342700903-4-28-2023-27-AS-KHOS-CU5QG5-20230727120854

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 CARE		FACILITY NUMBER:	342700903
ADMINISTRATOR:	EHIMAMIEGHO, JUSTICE OSASE		FACILITY TYPE:	740
ADDRESS:	407 MAPLE STREET		TELEPHONE:	(916) 912-8042
CITY:	GALT	STATE: CA	ZIP CODE:	95632
CAPACITY:	18	CENSUS: 13	DATE:	04/28/2023
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Justice Ehimamiegho		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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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 King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 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 King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 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

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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 King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 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)

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