336426107-2-12-2026-18-AS-RORN-DRTM78-20260303082107

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426107
Report Date: 02/12/2026
Date Signed: 02/12/2026 01:10:34 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
03/10/2023 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20230310144723

FACILITY NAME:	GRACE ADULT DAY CARE		FACILITY NUMBER:	336426107
ADMINISTRATOR:	ANWULI, NKECHI		FACILITY TYPE:	775
ADDRESS:	24318 HEMLOCK AVENUE #F-1		TELEPHONE:	(951) 565-0663
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	30	CENSUS: 28	DATE:	02/12/2026
		UNANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Mkechi Anwuli		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in client sustaining a fall
Staff did not perform first aid on client’s injuries after a fall

INVESTIGATION FINDINGS:

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On February 12, 2026, the Department of Social Services staff conducted an unannounced visit to this program to continue investigation of the above allegations and to deliver findings. The Department was met by the Licensee, Mkechi Anwuli, and the purpose of the visit was explained.
Investigation consisted of the following:
On 3/16/23, 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 February 12, 2026, the Department requested and obtain the following documents: C1’s admission agreement (dated: 5/16/18), C1’s signed personal rights (dated 4/3/25), C1’s Individual Program Plan (IPP)-dated 4/11/22, C1’s Special Incident Report (SIR)-dated 3/7/23, staff training: CPR/First aid (various expiration dates ranging from 11/13/26-1/19/27).
On February 12, 2026, the Department interviewed Licensee (A1), 5 staff (S1-S5), and 5 clients (C1-C5). Additionally, The department made observation of C1 and other clients participation in program.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

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-20230310144723

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: GRACE ADULT DAY CARE	FACILITY NUMBER: 336426107
	VISIT DATE: 02/12/2026

NARRATIVE

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The investigation revealed the following:

Allegation: Staff did not provide adequate supervision for client resulting in client sustaining a fall.

The detail of the complaint alleges that C1 was not assisted while walking which resulted in a fall at the day program. C1 allegedly missed a step and fell on his back.

On February 12, 2026, at 9:30am, the Department interviewed the Licensee (A1) who denied the allegation stating that C1 was accompanied by staff when he fell however C1 stumbled due to his unsteady gait and fell backwards. According to A1 the staff assessed C1 and did not see any visible injuries at the time of the incident. A1 further stated that the protocol for when a client falls is to 1) assess the client for injury, 2) apply first aid if needed 3) call 911 if the injury is serious, 4) call client’s home 5) submit and incident report.

On February 12, 2026, between 9:30am and 10:30am the Department interviewed 5 staff (S1-S5) regarding the allegation. Of those interviewed, 5 out of 5 denied allegation, stating that due to C1’s unsteady gate C1 is always accompanied by staff while at the program. Lastly, 5 out of 5 staff where able to state the protocol of what to do when a client falls.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230310144723

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: GRACE ADULT DAY CARE	FACILITY NUMBER: 336426107
	VISIT DATE: 02/12/2026

NARRATIVE

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On February 12, 2026, between 10:30am and 12:00pm, the department interviewed 5 clients regarding the allegations. 4 out of 5 clients stated that staff always help them when they need help and are always around. 1 out of 5 was unable to answer the questions due to cognitive functioning level, however the department made attempts to communicate with client.

On February 12, 2026, the Department reviewed and evaluated the following documents: Staff roster (dated 2/12/26), Client roster (dated: 2/12/26), C1’s admission agreement, (dated: 5/16/18), Physician’s Report (dated: 4/25/25,4/21/23), C1’s signed personal rights (dated 4/3/25), C1’s Individual Program Plan (IPP)-dated 4/11/22, C1’s Special Incident Report (SIR)-dated 3/7/23, staff training: CPR/First aid (various expiration dates ranging 11/13/26-1/19/27).

On February 12, 2026, the Department observed that there were no stairs at the entry way of the program, so it is unlikely that client “missed a step” as indicated in the complaint. The department also observed that there were plenty of staff at time of visit for adequate supervision of the participants of the program.

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: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20230310144723

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: GRACE ADULT DAY CARE	FACILITY NUMBER: 336426107
	VISIT DATE: 02/12/2026

NARRATIVE

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Allegation: Staff did not perform first aid on client’s injuries after a fall

The detail of the allegation alleges that staff did not apply first aid on C1’s injuries after fall.

On February 12, 2026, the Department interviewed A1 and 5 staff (S1-S5) regarding the allegation. A1 and 5 out of 5 staff state that they always assess the client after a fall to determine which level of care is needed. A1 stated that upon assessing C1, there were no visible signs of injury.

It is unknown if there were injuries during the time of the incident. The Licensee maintains that no visible injuries sustained during the assessment of C1 immediately following C1's fall.

There were no deficiencies cited during today’s visit.

Exit interview conducted with Mkechi Anwuli, Licensee and copy of report provided.

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026

LIC9099 (FAS) - (06/04)

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