331880690-5-20-2026-18-AS-RORN-DUFQX8-20260526123308

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880690
Report Date: 05/20/2026
Date Signed: 05/20/2026 12:13:40 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
10/29/2024 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20241029134552

FACILITY NAME:	EHIEMERE RESIDENTIAL CARE HOMES		FACILITY NUMBER:	331880690
ADMINISTRATOR:	EHIMERE, CHYKE		FACILITY TYPE:	735
ADDRESS:	1051 HARRIER ST		TELEPHONE:	(951) 992-9065
CITY:	PERRIS	STATE: CA	ZIP CODE:	92571
CAPACITY:	6	CENSUS: 0	DATE:	05/20/2026
		UNANNOUNCED	TIME BEGAN:	08:29 AM
MET WITH:	Chyke Ehimere		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Facility Staff is mismanaging Client's medication

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 allegation and to deliver findings. The Department was met by Chyke Ehiemere and reason for visit explained. The facility currently has no clients in placement at this time.
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 September and October 2024, Physicians orders (dated 12/1/24), Centrally Stored Medication and destruction log (dated August 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)

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Control Number 18-AS-20241029134552

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 Client's medication

The detail of the complaint alleges the following: Folic Acid, Multivitamin gummies, Lomatigir 150mg, Doxycycline Hclate was given and not signed off on (10/24/24). It is also alleged that the facility stores outdated medication (since 2023) as some medications are signed off on, but medication was unopen, (September 2024 MAR), Lastly it is alleged that staff does not properly dispose of medications.

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 has been no reports of missed medications and staff signs when medication is given. Additionally, A1 reported that all staff has been trained on Medication Administration and how to appropriately dispose of medication.

On May 20, 2026 the department reviewed and evaluated the following documents: Medication Administration Record (MAR) for the months of September and October 2024, Physicians orders (dated 12/1/24), Centrally Stored Medication and destruction log (dated August 2024), In reviewing the documents, the department found that all medications were properly initialed including the following: : Folic Acid, Multivitamin gummies, Lomatigir 150mg, Doxycycline Hclate for the date indicated in the complaint (10/24/24).

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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)

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Control Number 18-AS-20241029134552

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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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.

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)

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