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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880690
Report Date: 10/18/2025
Date Signed: 10/18/2025 01:56:15 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
09/14/2022 and conducted by Evaluator Blanca Gonzalez
COMPLAINT CONTROL NUMBER: 18-AS-20220914091351
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:
10/18/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Administrator Chyke EhiemereTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff spoke to resident in an inappropriate manner.
Staff did not seek medical attention to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Blanca Gonzalez conducted an unannounced subsequent complaint visit to investigate the allegations listed above. The initial complaint visit was conducted by LPA Yolanda Delgado on 09/22/2022. During today’s visit, LPA met with Administrator Chyke Ehimere and explained the reason for the visit.

During the initial complaint visit, LPA Delgado interviewed one (1) resident, two (2) staff and requested and obtained copies of pertinent documentation. During today’s subsequent complaint visit, LPA Gonzalez requested copies of Admission Agreement and SIRs. LPA interviewed one (1) staff. Facility had zero (0) residents.

continued on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2025
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 2
Control Number 18-AS-20220914091351
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: 10/18/2025
NARRATIVE
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continued from LIC 9099

Regarding the allegation Staff spoke to resident in an inappropriate manner; it is alleged on the afternoon of 9/11/22, S2 told the C1 to 'shut up' because they said something that wasn't true. Residents started arguing over the television, resulting in C1 arguing with the other clients and S2.

The investigation revealed the following:

Interviews conducted with staff revealed 3 out of 3 staff stated they have not witnessed residents spoken inappropriately by staff. Interview conducted with one (1) resident, resident stated that there was an incident with S2 but after a discussion, things got better

Regarding the allegation Staff did not seek medical attention to resident in care; it is alleged that after everyone went to bed, R1 self-harmed by cutting their wrist and neck with a razor blade. No medical actions were taken after the incident with C1 because the care home said they didn't need to go. The Care Home stated that their actions were minor.

The investigation revealed the following:

Interviews conducted with staff revealed staff stated after assessing the situation, first aid was administered at the facility, therefore providing medical attention.

Based on LPAs observations and interviews with staff and residents, it is determined that there was not enough supportive evidence to corroborate with the reported allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview held, and a copy of this report was provided to Administrator Chyke Ehimere.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Blanca Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2