342700903-8-25-2023-27-AS-KHOS-CVTVKZ-20230919163110

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700903
Report Date: 08/25/2023
Date Signed: 08/25/2023 04:34:33 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
02/27/2023 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20230227143013

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:	15	CENSUS: 12	DATE:	08/25/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Stephenie Siewe		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff did not properly groom a resident while in care

INVESTIGATION FINDINGS:

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On 8/25/23 at approximately 2pm, Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived at facility unannounced to continue an investigation in to the above listed allegation. LPA Jensen met with facility manager Stephanie Siewe and explained the purpose of today's visit.

During the course of the investigation LPA Jensen interviewed 2 staff members, 7 of 12 residents and 1 responsible party for a resident. 2 of 2 staff advised that the facility has a standard morning routine for grooming the residents that includes assistance with brushing teeth, washing face and brushing hair if needed. Many clients can do some of these activities themselves. The facility manager stated that showers are given on an as needed basis and every client is different. Some clients require daily showers, some receive showers every other day and some twice a week. The care provider interviewed stated each client is showered at least twice a week.
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: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

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-20230227143013

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: 08/25/2023

NARRATIVE

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The staff manager also explained that some clients choose to wear clothing inappropriate for the weather or season and when this occurs staff tries to encourage the resident to change clothing.

6 of 7 clients interviewed stated they have no concerns regarding grooming and that services provided are adequate.

LPA Jensen observed signs on resident bedroom doors specifying the shower schedule for the occupants of that room.

Based on the interviews conducted with staff and residents as well as postings observed on resident doors the allegation of staff did not properly groom a resident while in care is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it.

No citations are being issued. An exit interview was conducted and a copy of this report, appeal rights and LIC 811 were given.

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Maja Jensen	TELEPHONE: 916-639-5584
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

LIC9099 (FAS) - (06/04)

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