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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700903
Report Date: 04/28/2023
Date Signed: 04/28/2023 03:15:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2023 and conducted by Evaluator Maja Jensen
COMPLAINT CONTROL NUMBER: 27-AS-20230303123659
FACILITY NAME:EHIMAS RESIDENTIAL CAREFACILITY NUMBER:
342700903
ADMINISTRATOR:EHIMAMIEGHO, JUSTICE OSASEFACILITY TYPE:
740
ADDRESS:407 MAPLE STREETTELEPHONE:
(916) 912-8042
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:18CENSUS: 13DATE:
04/28/2023
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Justice EhimamieghoTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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9
Staff do not treat residents with respect
Staff yell at residents
Staff do not serve food of quantity to meet the needs of residents
Staff threaten residents
Residents are not being fed
INVESTIGATION FINDINGS:
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On 4/28/23 at approximately 1:20pm Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived facility unannounced to continue a compliant investigation in to the above listed allegations. LPAs met with Licensee Justice Ehimamiegho and explained the purpose of today's visit.

During the course of the investigation LPA Jensen interviewed 7 residents, 3 staff members and 2 responsible parties. LPA Jensen also observed meal service and the interactions between staff and residents on 3 separate occasions 3/6/23, 3/24/23 and 4/28/23.

With respect to the allegations the following determinations were made based on LPA observation during the course of site visits and the interviews conducted:

Continued on LIC 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja JensenTELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
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 27-AS-20230303123659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: EHIMAS RESIDENTIAL CARE
FACILITY NUMBER: 342700903
VISIT DATE: 04/28/2023
NARRATIVE
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Staff do not treat residents with respect
6 of 7 residents interviewed advised they are always treated with respect. 2 responsible parties for clients in care stated they had no concerns regarding how clients are treated. 3 of 3 staff members stated they have never witnessed another staff member treat clients without respect. Based on interviews conducted and observations made during 3 separate site visits this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that while the allegation may have happened, the preponderance of evidence does not prove it.

Staff yell at residents
7 of 7 residents interviewed advised staff has never yelled at them. 2 responsible parties for clients in care stated they had no concerns regarding how clients are treated. 3 of 3 staff members stated they have never personally yelled at clients or witnessed another staff member yell at clients. Based on interviews conducted and observations made during 3 separate site visits this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that while the allegation may have happened, the preponderance of evidence does not prove it.

Staff threaten residents
7 of 7 residents interviewed advised staff has never threatened them. 2 responsible parties for clients in care stated they had no concerns regarding how clients are treated. 3 of 3 staff members stated they have never personally threatened clients or witnessed another staff member threatened clients. Based on interviews conducted and observations made during 3 separate site visits this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that while the allegation may have happened, the preponderance of evidence does not prove it.

Staff do not serve food of quantity to meet the needs of residents
7 of 7 residents interviewed advised they receive an adequate quantity of food. 2 responsible parties for clients in care stated they had no concerns regarding how clients are treated. Based on interviews conducted and observations made by LPA Jensen during meal service this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that while the allegation may have happened, the preponderance of evidence does not prove it.

Continued on LIC 9099C...
SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja JensenTELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20230303123659
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: EHIMAS RESIDENTIAL CARE
FACILITY NUMBER: 342700903
VISIT DATE: 04/28/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
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14
15
16
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19
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Residents are not being fed
7 of 7 residents interviewed advised they are always fed. 2 responsible parties for clients in care stated they had no concerns regarding how clients are treated. Based on interviews conducted and observations made by LPA Jensen during meal service this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that while the allegation may have happened, the preponderance of evidence does not prove it.

No deficiencies were cited as a result of this visit. An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja JensenTELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3