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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397005971
Report Date: 05/29/2025
Date Signed: 05/29/2025 02:57:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CRP RO, 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
03/20/2025 and conducted by Evaluator Connie Goldie
COMPLAINT CONTROL NUMBER: 23-CR-20250320091730
FACILITY NAME:KAIR IN HOME SOCIAL SERVICES, INCFACILITY NUMBER:
397005971
ADMINISTRATOR:IKE CHINAKA CHIDUMAMFACILITY TYPE:
430
ADDRESS:2105 W MARCH LANE, STE 2TELEPHONE:
(209) 954-0614
CITY:STOCKTONSTATE: ZIP CODE:
95207
CAPACITY:0CENSUS: DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Elkhair Ahmed, LicenseeTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Resource parent hit minor.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Connie Goldie arrived at the facility to conduct an unannounced complaint investigation inspection on 05/29/2025 at 02:45 PM. LPA Goldie spoke with Elkhair Ahmed, Licensee to discuss the findings of the complaint investigation and allegation stated above. LPA Connie Goldie conducted this investigation.
The initial 10-day complaint investigation inspections were conducted by LPA Goldie at the agency and the Resource Family Home on 03/25/2025. At the agency, LPA Goldie reviewed one Resource Family Home file and two youth files. LPA Goldie obtained the following documentation: Certificate of approval, RFA written report, RFH Health and Safety Checklist, C1 and C2 Face Sheets, and progress notes for the length of placement. During 10-day resource home visit, LPA Goldie conducted a physical plant inspection and interviewed resource parents and C2. During the investigation, eight confidential interviews were conducted between 03/25/2025 and 05/15/2025.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jodean Hall
LICENSING EVALUATOR NAME: Connie Goldie
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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 2
Control Number 23-CR-20250320091730
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CRP RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: KAIR IN HOME SOCIAL SERVICES, INC
FACILITY NUMBER: 397005971
VISIT DATE: 05/29/2025
NARRATIVE
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The Department investigated the allegation, “Resource parent hit minor” During confidential interviews it was disclosed that a child said they were hit by RF. It was not corroborated by others interviewed.The resource parents denied the allegation. The County Social Worker stated that C1 has been known to “say inaccurate things and make up stories.”. Therefore, it is not possible to determine whether the allegation occurred or not.

Based on the investigation, records reviewed, and interviews conducted, the complaint finding is UNSUBSTANTIATED at this time meaning 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. A copy of all reports and appeal rights were discussed and provided to the facility.
SUPERVISORS NAME: Jodean Hall
LICENSING EVALUATOR NAME: Connie Goldie
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2