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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881247
Report Date: 03/11/2026
Date Signed: 03/11/2026 12:54:25 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
06/17/2024 and conducted by Evaluator Ivashia Wright
COMPLAINT CONTROL NUMBER: 18-AS-20240617234351
FACILITY NAME:COVENANT LOVING CAREFACILITY NUMBER:
331881247
ADMINISTRATOR:BOLADELE IGEFACILITY TYPE:
735
ADDRESS:937 ASTER STREETTELEPHONE:
(213) 820-4701
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY:4CENSUS: DATE:
03/11/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff mishandled a client's medication.
Staff are not meeting a client's medical needs.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Ivashia Wright and Ahliah Sharp, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPAs Ivashia and Ahliah met with Aisha Audu house manager and explained both the purpose of the visit.

On June 17, 2024, Community Care Licensing Division (CCLD) received a complaint alleging that staff mishandled a client's medication and staff are not meeting a client's medical needs. During the investigation, the LPA inspected the facility, reviewed R1's records, and conducted interviews.

Regarding the allegation that staff mishandled clients medication, it was reported that Resident 1 (R1) experienced issues with the facility providing medication after leaving the facility and staff refused to deliver medication to rehab.

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
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 2
Control Number 18-AS-20240617234351
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: COVENANT LOVING CARE
FACILITY NUMBER: 331881247
VISIT DATE: 03/11/2026
NARRATIVE
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Interview with Licensee, Administrator Amiat Molade stated R1's medication was provided along with belongings to an employee of Springs of Hope. I obtained additional information from Administrator, which led me to communicate with R1's conservator and R1. Furthermore the interview with staff Blessing Benieh supported the statement. Blessings stated staff is trained to provide all belongings including medication once a client leaves the facility. Additionally, a client interview revealed that there are no issues with medication administration at the facility.

Based on staff interviews, resident interviews, facility records, and R1's files, the allegations that staff mishandled a client's medication and are not meeting a client's medical needs is deemed unsubstantiated. This means that although the allegations may have happened or are valid, the preponderance of evidence requirement has not been met to prove that the alleged violations did or did not occur.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2