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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426107
Report Date: 06/11/2026
Date Signed: 06/11/2026 01:28:03 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
01/25/2024 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 18-AS-20240125132224
FACILITY NAME:GRACE ADULT DAY CAREFACILITY NUMBER:
336426107
ADMINISTRATOR:ANWULI, NKECHIFACILITY TYPE:
775
ADDRESS:24318 HEMLOCK AVENUE #F-1TELEPHONE:
(951) 565-0663
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92557
CAPACITY:30CENSUS: 28DATE:
06/11/2026
UNANNOUNCEDTIME BEGAN:
08:46 AM
MET WITH:NKECHI ANWULITIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility staff physically assaulted client.
INVESTIGATION FINDINGS:
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On June 11, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced complaint visit. LPA met with the Administrator (A1), Nkechi Anwuli-Akpenyi, and explained the purpose of the visit.

The complaint investigations consisted of the following. On June 11, 2026, the Department obtained various documents, including the Personnel Report LIC 500 (dated 06/11/26) and the Client Roster (dated 06/11/26). The Department reviewed and collected documents for Client 1 (C1), including the Admission Agreement, the physician's Report, the facility training staff, and staff training on the client's personal rights and physical abuse. The Unusual Incident Report. The Department interviewed the Administrator (A1), six staff members (S1-S6), and four clients (C1, C3, C4, C5). The Department was unable to interview the client C2 because the client had not attended the Adult Day Program since January 2024. On June 11, 2026, the department contacted the Placement agency.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
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 3
Control Number 18-AS-20240125132224
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: 06/11/2026
NARRATIVE
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Allegation #1: Facility staff physically assaulted client.

The complaint alleged that client C2 informed the staff at the facility where C2 resided that they were afraid to return to the Day Program after witnessing a Day Program staff member hit client C1 on the forehead. On January 31, 2024, the department interviewed five staff members (S1-S5), all of whom denied the allegation and stated that they had never witnessed S1 hitting any client. On the same date, the department interviewed two clients (C1 and C2). C1 was unable to answer the questions due to health conditions. On March 3, 2024, the department interviewed the Administrator (A1), who also denied the allegation and stated that A1 had never witnessed any incident of staff hitting a client in their care or been informed of such incidents by others.

On June 11, 2026, the department interviewed the Administrator (A1), who denied the allegation that staff physically assaulted clients. A1 stated that clients are always in activity rooms with other staff and clients, making it impossible for any staff member to hit a client unnoticed. Additionally, the Administrator mentioned that the Day Program had conducted its own assessment of the incident in 2024.

On the same day, the department interviewed six other staff members (S1-S6), all of whom similarly denied the allegations. They affirmed that they would never hit any clients and had never witnessed any staff member physically assault a client in the Day Program.

Report continued on LIC9099C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 18-AS-20240125132224
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: 06/11/2026
NARRATIVE
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The department also interviewed four clients (C1, C3, C4, and C5). Three of them denied ever being physically hit by staff and expressed that they enjoy attending the Day Program. Unfortunately, the department cannot interview C1 due to their health condition. C2 was also unavailable for an interview, as they had not returned to the Day Program since 2024. Furthermore, on June 11, 2026, the department reviewed the Day Program records, which indicated that staff received quarterly training on client rights and client abuse in 2024, 2025, and 2026. On June 11, 2026, the department contacted the placement agency regarding the complaint.

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.

No deficiencies were cited.

An exit interview was conducted. A copy of the report was provided to the Administrator, Nkechi Anwuli.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3