306005552-3-3-2022-22-AS-LADS-CD9PAC-20220407110832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005552
Report Date: 03/03/2022
Date Signed: 03/03/2022 10:56:20 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/28/2022 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220228152305

FACILITY NAME:	KAEGO'S RICHMAN GARDENS BY SERENITY CARE HEALTH		FACILITY NUMBER:	306005552
ADMINISTRATOR:	OGBECHIE, BIOSEH		FACILITY TYPE:	740
ADDRESS:	317 N RICHMAN AVE		TELEPHONE:	(714) 213-8248
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92831
CAPACITY:	26	CENSUS: 9	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	10:21 AM
MET WITH:	Wendy Cruz Andrade		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Facility does not have a certified Administrator.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day complaint visit to begin the investigation into the allegation listed above. LPA met with Operations Coordinator (OC) Wendy Cruz Andrade. LPA explained the reason for the visit. The investigation revealed the following. OC reported that the previous Administrator left the position without notice. OC verified that they do not have an Administrator's Certificate. OC reported that the current Administrator is the Licensee Bioseh Ogbechie who has a valid Administrator's Certificate that expires 8/21/2022. OC provided the LPA with a copy of the Administrator's Certificate. Based on the evidence gathered through record review and interview the allegation, facility does not have a certified Administrator is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of the report provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Joseph Alejandre	TELEPHONE: (951) 473-7041
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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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