Complaint Investigation Report
365530008-12-30-2022-56-AS-NBRN-CPCV34-20230224150404
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
SAN BERNARDINO , 1650 SPRUCE ST STE 200 MS29-27
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/25/2022 and conducted by Evaluator Amber Coleman
COMPLAINT CONTROL NUMBER: 56-AS-20221025091344
This unannounced visit by Amber Coleman, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegations mentioned above.
During the course of the investigation, interviews were conducted with staff and witnesses; as well as a review of records.
It is alleged that the facility lacks supervision for the residents in care. Interviews with staff revealed that the facility staff consists of Kingsley Okundaye, Administrator (Admin.) and 1 other Staff Member (S1). Resident #1 (R1) was admitted to the facility on 10/18/2022. Documentation provided to the Admin. consisted of a discharge plan, medication list and emergency contact infomation. No documentation was provided to Admin regarding R1's behaviors or patterns of activity. At the time of the incident, Admin. and S1 were on duty. R1's behavior began to escalate when they ran out of cigarettes. Medication for his behaviors was provided to him with no success of changed behavior. R1 attempted to leave the facility and was followed by a staff member to give redirection back into the facility. Also, with no sucess. Evidence provided by withness, did not display the resident entering the neighboring home. Police were sent to address the matter, however a Police Report could not be obtained.
We have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.
A copy of this report was provided to Administrator Kingsley Okundaye via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction