331880820-2-24-2023-56-AS-EMAN-CPD2GD-20230224162259

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880820
Report Date: 02/24/2023
Date Signed: 02/24/2023 10:28:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
02/21/2023 and conducted by Evaluator Ryan Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230221105402

FACILITY NAME:	YEMMA CARE HOME INCORPORATION		FACILITY NUMBER:	331880820
ADMINISTRATOR:	OYEBOBOLA, OLAYEMI		FACILITY TYPE:	735
ADDRESS:	24507 POINSETTIA DRIVE		TELEPHONE:	(818) 213-8485
CITY:	LAKE ELSINORE	STATE: CA	ZIP CODE:	92532
CAPACITY:	4	CENSUS: 4	DATE:	02/24/2023
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Emmanuel Oyebobola- House Manager		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Staff is transporting residents without a driver's license.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ryan Gardner conducted an unannounced visit to the facility to investigate and delivering findings for the above complaint allegation. LPA met with House Manager Emmanuel Oyebobola and explained the reason for the visit.

During today’s visit, LPA interviewed staff and reviewed and requested facility documents.

For allegation, Staff is transporting residents without a driver's license:

During interview conducted with staff, LPA was informed there are seven (7) staff that drive the clients.

During document review, LPA reviewed the facilities LIC500 for the current list of facility staff. The LIC500 lists seven (7) staff members. LPA reviewed the seven (7) staff files which included copies of their current driver’s licenses. LPA discovered that all seven (7) staff have a California issued driver’s license.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023

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 56-AS-20230221105402

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: YEMMA CARE HOME INCORPORATION	FACILITY NUMBER: 331880820
	VISIT DATE: 02/24/2023

NARRATIVE

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Based on the evidence found during the investigation, the allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report was discussed and provided to House Manager Emmanuel Oyebobola, along with a copy of the appeal rights.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023

LIC9099 (FAS) - (06/04)

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