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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804286
Report Date: 12/18/2025
Date Signed: 12/18/2025 01:55:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/30/2025 and conducted by Evaluator Ethel Contreras
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20250930154142
FACILITY NAME:NEEMA HOMES LLCFACILITY NUMBER:
486804286
ADMINISTRATOR:NGATA, STEPHENFACILITY TYPE:
735
ADDRESS:1001 YATELEY COURTTELEPHONE:
(562) 353-0990
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY:4CENSUS: 1DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Stephen Ngata-Administrator TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Contreras arrived unannounced to deliver findings regarding the allegations listed above and met with Administrator (admin) Stephen Ngata. During the investigation, LPA reviewed records, conducted interviews and made observations at the facility. Complaint alleges a facility staff 1 (S1) had violated the personal rights of client 1 (C1).

CCL received incident report from facility on 10/03/2025 stating that on 9/27/2025 S1 and C1 were playful boxing with soft punches using toy gloves. C1 got mad and started to punch S1 harder causing S1 to use a Ukeru protective pad, as claimed by S1. Additionally, Incident report stated staff witnesses saw S1 hold C1 hands and pushed C1 against the back of a couch, causing C1 back to bend backwards from the push.
Upon interviews and declarations obtained, all witnesses confirmed that S1 inappropriately responded toward the interaction by pushing C1 aggressively toward the couch, causing C1’s back to bend back from the force used.

Continued to 9099C.......
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Ethel Contreras
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 3
Control Number 21-AS-20250930154142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NEEMA HOMES LLC
FACILITY NUMBER: 486804286
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/18/2025
Section Cited
CCR
80072(a)(1)
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Personal Rights: 80072(a)(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by: Based on interviews with multiple staff, administrator declaration and LPA observations
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Licensee failed to ensure client personal rights were protected. Licensee agrees to review regulations 80072 Personal Rights in their entirety. LIC9098 Proof of Corrections self-certifying review to be submitted to CCLD by 12/19/2025.
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it was confirmed that on 9/27/2025 staff S1 inappropriately responded to client C1 behavior resulting in aggressively pushing C1 against the couch. This is an immediate personal rights risk to C1 and clients in care.
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In addition, training is to be scheduled and completed for all staff on Personal Rights and Crisis Prevention Interventions. Completed training to be submitted to CCLD by 1/09/2026.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Ethel Contreras
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 21-AS-20250930154142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NEEMA HOMES LLC
FACILITY NUMBER: 486804286
VISIT DATE: 12/18/2025
NARRATIVE
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Continued from 9099....

Witness claimed S1 reacted angrily toward the incident causing them to step outside the facility and leave their shift earlier than scheduled. In addition, administrator suspended S1 to conduct an internal investigation, employee resigned from Neema Homes before suspension was cleared.

Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 Chapter 8, are being cited on the attached 9099-D.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted and report given to Licensee.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Ethel Contreras
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3