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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 236803990
Report Date: 10/03/2024
Date Signed: 10/03/2024 11:40:25 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/04/2024 and conducted by Evaluator Christopher Arnhold
COMPLAINT CONTROL NUMBER: 21-AS-20240604150708
FACILITY NAME:NYUMBANI HOMEFACILITY NUMBER:
236803990
ADMINISTRATOR:GIKUHI, JOTHAMFACILITY TYPE:
735
ADDRESS:1560 SAUTERNE PLTELEPHONE:
(707) 540-3240
CITY:UKIAHSTATE: CAZIP CODE:
95482
CAPACITY:4CENSUS: 3DATE:
10/03/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Judy KahoroTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are intoxicated while on shift
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Judy Kahoro. Based on interviews conducted and records reviewed, LPA was not able to find evidence to support the allegation that staff were intoxicated while on shift. Previously, a facility staff was confronted by Licensee for smelling like alcohol and having alcohol while at work. They did not notify law enforcement and a field sobriety test was not conducted. According to interviews conducted, staff was not visibly unsteady nor did they appear drunk.
LPA interviewed staff regarding possible personally rights violations. LPA was not able to find evidence to support the allegation that staff were violating clients personal rights.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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