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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880690
Report Date: 05/20/2026
Date Signed: 05/20/2026 01:45:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/28/2024 and conducted by Evaluator Deborah Lee
COMPLAINT CONTROL NUMBER: 18-AS-20241028150801
FACILITY NAME:EHIEMERE RESIDENTIAL CARE HOMESFACILITY NUMBER:
331880690
ADMINISTRATOR:EHIMERE, CHYKEFACILITY TYPE:
735
ADDRESS:1051 HARRIER STTELEPHONE:
(951) 992-9065
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:6CENSUS: 0DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Chyke EhimereTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility is mismanaging resident’s medication.
Facility is falsifying medication administration record.
INVESTIGATION FINDINGS:
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On May 20, 2026, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Chyke Ehiemere and reason for visit explained. The facility currently has no clients in placement.
Investigation consisted of the following:
On October 30, 2024, the Department conducted an unannounced initial visit to the facility to investigate the complaint allegation mentioned above. During the visit, it was determined that the complaint required further investigation.
On May 20, 2026, the department conducted an unannounced visit to continue investigation of above allegation. The department obtained the following documents: Medication Administration Record (MAR) for the months of July and October 2024, Physicians orders (dated 6/4/24), Centrally Stored Medication and destruction log (dated June 2024), Medication training sign in sheet (dated 9/18/21), SIR reporting training (dated 12/17/24), Client Rights training (dated 12/19/24),
On May 20, 2026, the department conducted interview with Administrator (A1). There are no staff or clients available for interviews as the facility currently has no clients in placement.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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 3
Control Number 18-AS-20241028150801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: EHIEMERE RESIDENTIAL CARE HOMES
FACILITY NUMBER: 331880690
VISIT DATE: 05/20/2026
NARRATIVE
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The investigation revealed the following

Allegation: Facility Staff is mismanaging resident’s medication

The detail of the complaint alleges, C1 was given four prescribed medications on 10/24/2024, but they were not signed off on the log.

On May 20, 2026, the department interviewed Administrator A1 who denied the allegation stating, medications are stored and given appropriately. A1 went on to state that there have been no reports of missed medications and staff signs when medication is given. Additionally, A1 reported that all staff have been trained on Medication Administration.

On May 20, 2026 the department reviewed and evaluated the following documents: Medication Administration Record (MAR) for the months of June and October 2024, Physicians orders (dated 6/4/24), Centrally Stored Medication and destruction log (dated June 2024),

The department found that the medication was properly signed off on the MAR.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20241028150801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: EHIEMERE RESIDENTIAL CARE HOMES
FACILITY NUMBER: 331880690
VISIT DATE: 05/20/2026
NARRATIVE
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Allegation: Facility is falsifying medication administration record.

The detail of complaint alleges that in June 2024 there was a medication log error where C1 was not receiving medication, but the log was signed that she was receiving medication.

On May 20, 2026, the department interviewed Administrator A1 who denied the allegation stating, medications are stored and given properly. A1 went on to state that there have been no reports of missed medications and staff signs when medication is given. Additionally, A1 reported that all staff have been trained on Medication Administration Lastly, A1 denied that staff are falsifying documents stating that C1 has always been given medication as prescribed and medication has always been appropriately signed off on.

On May 20, 2026, the department reviewed and evaluated the following documents: Medication Administration Record (MAR) for the months of June and October 2024, Physicians orders (dated 6/4/24), Centrally Stored Medication and destruction log (dated June 2024).

On May 20, 2026, the department found that C1 was receiving medication June 2024 according to the MAR and Physician report.

During this visit, the department found that there was insufficient documentation available.

Based on the information gathered, there is insufficient evidence to support the allegation mentioned above; 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.

Exit interview conducted with Administrator Chyke Ehiemere. No deficiencies cited during today’s visit. Copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3