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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603647
Report Date: 05/19/2026
Date Signed: 05/19/2026 05:38:32 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
05/18/2026 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260518171131
FACILITY NAME:KONICE CARE INCFACILITY NUMBER:
198603647
ADMINISTRATOR:IFEACHO, IFUNANYAFACILITY TYPE:
735
ADDRESS:14511 NEARGROVE ROADTELEPHONE:
(714) 735-8389
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY:4CENSUS: 4DATE:
05/19/2026
UNANNOUNCEDTIME BEGAN:
02:32 PM
MET WITH:Sunday Fadipe - Lead StaffTIME COMPLETED:
05:52 PM
ALLEGATION(S):
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Staff did not ensure snacks shall be easily available to residents
Staff do not ensure cleaning supplies are in a secured location
Staff mismanaged residents medication
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial unannounced complaint visit to address the allegations listed above. LPA met with Sunday Fadipe, Lead Staff for the facility, and explained the purpose of the visit. Administrator Ifunanya Ifeacho was notified of the visit by phone call.

The investigation consisted of the following: LPA conducted a tour of the facility, interviewed Staff #1 - 3 (S1 - S3), interviewed Clients #1 - 3 (C1 - C3), reviewed the medications along with medication administration records (MARs) for C1, and also reviewed the personal and incident (P&I) monies and ledgers for the clients of the home. LPA attempted to interview Client #4 (C4), however they were unavailable at the time of the visit. LPA also reviewed and reviewed a corrective action plan (CAP) from the East Los Angeles Regional Center (ELARC) dated 5/6/2026.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
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 7
Control Number 28-AS-20260518171131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: KONICE CARE INC
FACILITY NUMBER: 198603647
VISIT DATE: 05/19/2026
NARRATIVE
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The investigation revealed the following: In regards to the allegation that "Staff did not ensure snacks shall be easily available to residents," it is alleged that staff used a locking mechanism for the pantry in the kitchen because C4 frequently ate excessive amounts of food out of the pantry. During interviews with the client, one (1) out of three (3) interviewed corroborated the allegation. One client interviewed stated that the pantry was locked in the kitchen, however it was because C4 was eating an excessive amount of food in the facility. During interviews with the staff, all of them corroborated the allegation. One staff stated that they did lock the pantry in the kitchen due to C4 frequently overeating from the pantry, however they have since removed the lock from the pantry based on ELARC's CAP. During tour of the facility, LPA observed that there was no longer any locking mechanism present in the facility pantry.

In regards to the allegation that "Staff do not ensure cleaning supplies are in a secured location," it is alleged that laundry detergent was not secured and locked away during a visit by ELARC. During interviews with clients, none of them corroborated the allegation. One client interviewed stated that staff do not allow the clients access to chemicals or any cleaning solutions in the home. Another client interviewed stated that they have not witnessed any chemicals or cleaning solutions accessible in the facility. During interview with staff, all of them corroborated the allegation. One staff interviewed stated that at the time staff were doing laundry for the clients, and that they left the laundry detergent unsecured and unlocked on a top shelf near the washer and dryer. This staff member stated that one (1) client was present in the facility at the time of the visit who was being taken to an appointment. According to the CAP from ELARC dated 5/6/2026, it states that laundry detergent was observed on the top shelf of the laundry room during the visit. During LPA's tour of the facility, LPA observed that there were no chemicals unlocked within the facility.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
05/18/2026 and conducted by Evaluator Erik Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260518171131

FACILITY NAME:KONICE CARE INCFACILITY NUMBER:
198603647
ADMINISTRATOR:IFEACHO, IFUNANYAFACILITY TYPE:
735
ADDRESS:14511 NEARGROVE ROADTELEPHONE:
(714) 735-8389
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY:4CENSUS: 4DATE:
05/19/2026
UNANNOUNCEDTIME BEGAN:
02:32 PM
MET WITH:Sunday Fadipe - Lead StaffTIME COMPLETED:
05:52 PM
ALLEGATION(S):
1
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3
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5
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9
Staff did not ensure residents P&I funds are separately maintained
INVESTIGATION FINDINGS:
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5
6
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10
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13
Licensing Program Analyst (LPA) Erik Zaragoza conducted an initial unannounced complaint visit to address the allegations listed above. LPA met with Sunday Fadipe, Lead Staff for the facility, and explained the purpose of the visit. Administrator Ifunanya Ifeacho was notified of the visit by phone call.

The investigation consisted of the following: LPA conducted a tour of the facility, interviewed Staff #1 - 3 (S1 - S3), interviewed Clients #1 - 3 (C1 - C3), reviewed the medications along with medication administration records (MARs) for C1, and also reviewed the personal and incident (P&I) monies and ledgers for the clients of the home. LPA attempted to interview Client #4 (C4), however they were unavailable at the time of the visit. LPA also reviewed and reviewed a corrective action plan (CAP) from the East Los Angeles Regional Center (ELARC) dated 5/6/2026.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 28-AS-20260518171131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: KONICE CARE INC
FACILITY NUMBER: 198603647
VISIT DATE: 05/19/2026
NARRATIVE
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In regards to the allegation that "Staff did not ensure residents P&I funds are separately maintained," it is alleged that client personal and incidental funds were being maintained together in the same bank account. During interviews with the clients, none of them corroborated the allegation. One client reported that they do not have any issues with their P&I money or receiving it from staff. Another client interviewed likewise stated they do receive all their P&I funds from the administrator of the facility. During interviews with the staff, none of them corroborated the allegation. One staff stated that they keep a certain amount of client P&I funds in the facility, and the remaining is placed in a bank account, however these P&I funds are not comingled with the facility funds. Another staff interviewed likewise stated that they do keep the client's P&I funds in a bank account, and are working with ELARC towards separating the funds into separate accounts, however they are not comingled with the facility funds.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 28-AS-20260518171131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: KONICE CARE INC
FACILITY NUMBER: 198603647
VISIT DATE: 05/19/2026
NARRATIVE
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In regards to the allegation that "Staff mismanaged residents medication," it is alleged that C1 missed their Aripiprazole on 4/27/2026 and 4/28/2026. During interviews with the clients, none of them corroborated the allegation. C1 stated that they have not had any issues in obtaining their cycle medications. Another client interviewed stated that they did have any issues with their medications either. During interviews with the staff, all of them corroborated the allegation. One staff interviewed stated that there was a delay from the doctor submitting the order for the medication to the pharmacy, which caused the delay in obtaining it for C1. Another staff interviewed also stated that there was a delay from C1's doctor in submitting the order to the pharmacy, and they emailed the physician on 4/27/2026 to submit the order to the pharmacy, which was the first day that C1 had gone without their medication. During review of C1's medications along with their MARs, LPA observed that while C1 missed their medications on 4/27/2026 and 4/28/2026 based on their MARs, C1 now has their Aripiprazole.

Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 6, Chapter 1 is being cited on the attached LIC9099-D pages.

Exit interview held and a copy of the report and appeal rights was provided to the administrator.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 28-AS-20260518171131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KONICE CARE INC
FACILITY NUMBER: 198603647
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
80072(a)(3)
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(a) Except for (...) client shall have personal rights which include, but are not limited to, the following: (3) To be free from corporal or unusual punishment (...) not limited to (...) interference with the daily living functions, including eating (...) physical functioning.
This regulation is not met as evidenced by:
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***POC Cleared*** Administrator is to ensure that food in the pantry remains unsecured and unlocked at all times. Administrator shall unlock the pantry in the kitchen and submit proof to LPA by by the POC due date.
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Based on record review and interview, the above regulation was not met in 4 out of 4 clients, because it was determined there was a locking mechanism installed in the food pantry for a period of time, which posed a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 28-AS-20260518171131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: KONICE CARE INC
FACILITY NUMBER: 198603647
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/20/2026
Section Cited
CCR
80087(g)
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(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.

This regulation is not met as evidenced by:
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***POC Cleared*** Administrator is to ensure that cleaning solutions including laundry detergent remains locked and secured at all times. Administrator is to secure all cleaning solutions and ensure that they remain secured by the POC due date.
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Based on record review and interview, it was determined that the above regulation was not met in 1 out of 4 clients, because during ELARCs visit on 5/6/2026, laundry detergent was unsecured when at least one client was in the home, which posed an immediate health and safety risk to client in care.
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Type A
05/20/2026
Section Cited
CCR
80075(b)
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(b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications.

This regulation is not met as evidenced by:
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***POC Cleared*** Administrator is to ensure that all clients obtain their required medications at all times. Administrator is to obtain the Aripiprazole medication for C1 from their pharmacy and submit proof to LPA by the POC due date.
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Based on record review and interview, it was determined that the above regulation was not met in 1 out of 4 clients, because C1 went without their Aripiprazole medications for the days of 4/27/2026 and 4/28/2026, which posed an immediate health and safety risk to client in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Erik Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7