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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603578
Report Date: 05/26/2023
Date Signed: 05/26/2023 11:55:14 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/01/2023 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230501150557
FACILITY NAME:RHEMA CARE GROUP ALFORDFACILITY NUMBER:
198603578
ADMINISTRATOR:NWAKA, ANGELAFACILITY TYPE:
735
ADDRESS:1034 E. ALFORD STREETTELEPHONE:
(626) 324-3134
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY:4CENSUS: 1DATE:
05/26/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kilu NwakaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff punched client in care
Staff caused injuries to client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Administrator Kilu Nwaka and explained the reason for the visit.
The purpose of the visit is to deliver the findings from the original complaint dated 05/01/2023.
Initial visit was conducted on 05/03/2023 and the following was done:
Health and Safety Check conducted and from 8:45 AM to 10:30 AM Administrator, Staff S 1, Staff S 2, Client C 1 and Client C 2 were interviewed.
In regards to the allegation Staff punched client in care, based on interviews conducted with staff, clients, Regional Center Representative and Regional Center Documentation it was revealed in interview with Client C 2 that there has not been any verbal yelling or physical abuse by staff against clients in the home. C 2 stated that he has not observed staff punching or hitting C1 and that staff act professionally.
Staff stated that C 1 tried to get chemicals in the kitchen cabinet and broke the cabinet trying to get them.
Staff stated that C1 will try to drink the chemicals such as detergent. Stated that C 1 was trying to lite paper at gas stove and staff put him in CPI hold for safety of facility not being put on fire and stated that C 1
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20230501150557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: RHEMA CARE GROUP ALFORD
FACILITY NUMBER: 198603578
VISIT DATE: 05/26/2023
NARRATIVE
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punched staff and staff just performed hold and did not punch or hit.
San Gabriel Pomona Regional Center IPP summary dated 01/26/2023 listed under Behaviors/ Emotional Status states C1 displays self injurious behaviors such as cutting arms and face with sharp objects. Also states that C 1 has lit a fire inside his room in the past and lit a fire in the previous facility kitchen
Interview with Regional Center Representative who stated that law enforcement said that staff did not physically abuse C 1 and that bruise on bicep was consistent with coming from breaking the cabinet and also bruise on stomach was not from a punch, but observed C 1 slapping his own stomach with self injurious behavior.
Special Incident Report (SIR) dated 04/28/2023 was submitted listing details leading up to CPI hold in which C 1 lit the gas stove and began burning a paper towel.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

In regards to the allegation Staff caused injuries to clients in care, based on interviews conducted with staff, clients and Regional Center Representative and Regional Center Documentation it was revealed in interview with Client C 2 that there has not been any verbal yelling or physical abuse by staff against clients in the home. C 2 stated that he has not observed staff punching or hitting C1 and that staff act professionally.
Interview with Administrator who stated that staff here are more than capable to deal with clients with behaviors and are adept at performing CPI and any injuries were caused by C 1 while breaking the cabinet or other self injurious behaviors.
San Gabriel Pomona Regional Center IPP summary dated 01/26/2023 listed under Behaviors/ Emotional Status states C1 displays self injurious behaviors such as cutting arms and face with sharp objects. Also states that C 1 has lit a fire inside his room in the past and lit a fire in the previous facility kitchen
Interview with Regional Center Represntative who stated that law enforcement said that staff did not physically abuse C 1 and that bruise on bicep was consistent with coming from breaking the cabinet and also bruise was not from a punch, but observed C 1 slapping his own stomach with self injurious behavior.
Special Incident Report (SIR) dated 04/28/2023 was submitted listing details leading up to CPI hold in which C 1 lit the gas stove and began burning a paper towel.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2