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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425850004
Report Date: 08/11/2020
Date Signed: 08/11/2020 11:28:43 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2020 and conducted by Evaluator Arien Diaz
COMPLAINT CONTROL NUMBER: 29-AS-20200710140248
FACILITY NAME:YOKAM'S RCFE #1FACILITY NUMBER:
425850004
ADMINISTRATOR:KAMTO, YOLANDE KONGUEP T.FACILITY TYPE:
740
ADDRESS:958 E TUNNELL STTELEPHONE:
(805) 922-7670
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY:6CENSUS: 3DATE:
08/11/2020
UNANNOUNCEDTIME BEGAN:
11:18 AM
MET WITH:Michael RamosTIME COMPLETED:
11:27 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff speak inappropriately to resident

Staff handled resident in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Diaz conducted a subsequent complaint visit to deliver final findings of the complaint investigation. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, LPA Diaz met on a telephonic video with Staff Michael Ramos

On the allegations: Staff spoke inappropriately to resident, and staff handled resident in a rough manner. LPA Diaz conducted interviews with 3 staff and attempted to interview 4 residents including Resident 1 (R1). LPA also attempted to interview the reporting party. Based on all interviews conducted, no evidence was found that any staff were verbally abusive or that any staff handled the resident in a rough manner. All staff interviewed stated that they have not observed verbal abuse in the facility, and they do not raise their voices towards residents. Interview with residents also confirm that staff are not verbally abusive towards clients in the facility, and staff do not handle residents in a rough manner. Based on the evidence obtained, the allegation is deemed unsubstantiated at this time.
Exit interview, report given via email.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Alex EstradaTELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Arien DiazTELEPHONE: (747) 230-3890
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2020
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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