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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347004931
Report Date: 04/09/2024
Date Signed: 04/09/2024 11:35:31 AM

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
01/30/2024 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20240130144529

FACILITY NAME:PRIDE GATE INC.FACILITY NUMBER:
347004931
ADMINISTRATOR:IGBINADOLOR, JOSEPHFACILITY TYPE:
735
ADDRESS:7841 BETTY LOU DRIVETELEPHONE:
(510) 472-9499
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:4CENSUS: 3DATE:
04/09/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Joseph IgbinadolorTIME COMPLETED:
11:50 PM
ALLEGATION(S):
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- Staff did not provide clean clothing to resident.
INVESTIGATION FINDINGS:
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On 4/9/24, at 10:45am, Licensing Program Analyst (LPA) Arvin Villanueva arrived to this facility unannounced to conduct a follow up complaint visit and deliver findings regarding the allegation noted above. LPA initially met with one of the staff on duty and explained the purpose of the visit. Joseph Igbinadolor, facility administrator, was notified of the visit and arrived shortly after. Today's visit, there were one resident in care with two staff on duty.

It was alleged that staff do not provide residents with clean clothing. Throughout this investigation, LPA Villanueva conducted facility observation, staff interviews, reviewed resident’s record and attempted interviews with resident. Additionally, LPA Villanueva conducted a collateral visit to a day program to interview day program staff and review records. During a facility observation on 3/27/24, LPA inspected all residents’ bedrooms including their closet and clothing. Per observation of residents’ clothes, LPA observed residents’ clothes to be clean and free of odor.

{Con't to LIC9099-C...}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 27-AS-20240130144529
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: PRIDE GATE INC.
FACILITY NUMBER: 347004931
VISIT DATE: 04/09/2024
NARRATIVE
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{...con't from LIC9099-A}

LPA also observed hygiene supplies for residents in care including soap, shampoo, cream, lotion and perfume. Also, during the facility observation, Resident2 (R2) was present,and playing video games in their bedroom. Per observation, LPA observed R2’s clothes to be clean and observed no visible stains. LPA also observed R2 to be well-groomed, clean shaven, and free from odor. LPA conducted record review of Resident1 (R1) including their Individual Program Plan (IPP) report, Individual Services Program (ISP) report, care notes for November 2023 and medication.

An additional record review of R1 was conducted at R1’s day program which includes their ISP report and care notes. Per review of the day program care notes dated 2/1/24 to 3/27/24 revealed that on most days, staff noted R1 to be cleaned in appearance. Further record review revealed that R1 has an ongoing behavior of refusing to shower. Per interview with facility staff and day program staff revealed that R1 would go to day program without showering. Per interview with facility staff revealed that resident who refuses shower would be assisted with a wipe down method using wet cloth similar to a sponge bath. Additionally, during a visit at R1’s day program on 3/28/24, LPA observed R1 to be clean in appearance.

Based on the information gathered throughout this investigation, there is not a preponderance of evidence to conclude that staff did not provide clean clothing to resident(s)., therefore, this allegation is UNSUBSTANTIATED. Note that an unsubstantiated finding means 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.

An exit interview was conducted with Joseph Igbinadolor, and a copy of this report was provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4