342700807-10-31-2025-27-AS-CACL-DNDU87-20251113142103

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700807
Report Date: 10/31/2025
Date Signed: 10/31/2025 01:16:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/30/2025 and conducted by Evaluator Pang Lee

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250930085622

FACILITY NAME:	AGAPE SUPPORTED HOMES		FACILITY NUMBER:	342700807
ADMINISTRATOR:	OMORAGBON, OSCAR		FACILITY TYPE:	735
ADDRESS:	3120 MOUNTAIN VIEW DRIVE		TELEPHONE:	(916) 993-8433
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95821
CAPACITY:	4	CENSUS: 4	DATE:	10/31/2025
		UNANNOUNCED	TIME BEGAN:	11:57 AM
MET WITH:	Janet Egberuare		TIME COMPLETED:	01:29 PM

ALLEGATION(S):

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Staff are handling resident roughly resulting in injuries

INVESTIGATION FINDINGS:

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On 10/31/2025, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA Lee met with House Manager Janet Egberuare and explained the purpose of the visit. The purpose of this visit is to deliver complaint finding for the allegation above. A brief interview conducted with House Manager Egberuare. The current census is four with two staff.

It was alleged that staff are handling resident roughly resulting in injuries. The investigation included a review of records, observations, and interviews with staff, residents, the resident’s responsible party, and outside agency. Based on record reviews, it was determined that client 1 (C1) exhibited bruising on the lower left abdomen. Interviews revealed that C1 also had bruises on the buttocks, which facility staff were unaware of until informed by the school. The school had observed a bruise on C1’s thigh, prompting the facility to conduct an internal investigation.

CONTINUED LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025

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 27-AS-20250930085622

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: AGAPE SUPPORTED HOMES	FACILITY NUMBER: 342700807
	VISIT DATE: 10/31/2025

NARRATIVE

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During that investigation, C1 did not disclose how the bruise occurred. LPA Lee interviewed three out of four clients, none of whom reported witnessing staff handling residents roughly or in a manner that resulted in injuries. When asked directly if anyone at the facility was hurting them, C1 stated, “No.” Records review and interviews further indicated that C1 has a history of challenging behaviors, including self-injurious actions such as hand-biting and arm-scratching. It was also noted that C1 has fair, sensitive skin that bruises easily. During observations, no bruise was observed on C1, and staff to resident interactions appeared appropriate. An outside agency representative reported no concerns about the facility and confirmed that C1 has a known history of self-injurious behaviors. Additionally, C1’s responsible party expressed no concerns regarding the allegation and stated that the facility is doing its best to meet C1’s needs. Based on the interviews and statements conducted during the investigation process LPA Lee was unable to corroborate the allegation that staff are handling residents roughly resulting injuries.

The investigation revealed the preponderance of evidence standards has not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with House Manager Egberuare, and a copy of this report was provided to the facility.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2025

LIC9099 (FAS) - (06/04)

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