Senior Care Records.

Complaint Investigation Report

Ag Adult Residential Care Home, Modesto08/04/2022Licence 502700543

Census4
Date signed08/05/2022 09:50:50 AM
The inspector’s account

502700543-8-5-2022-27-AS-KHOS-CHLLPC-20220824085543

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/14/2022 and conducted by Evaluator Arielle Pascua

COMPLAINT CONTROL NUMBER: 27-AS-20220614125434

Licensing Program Analyst (LPA) Arielle Pascua conducted an unannounced facility visit on 08/04/2022 to deliver complaint findings. LPA Pascua was greeted by caregiver, Sheriff Kabba and was told to contact the Administrator to let them know that CCL was present at this time. Shortly after, LPA Pascua met with Facility Designated Administrator, Oynema Nkwocha and explained the purpose of the visit.

Current census is 4. Throughout the course of this investigation, LPA Pascua conducted interviews and reviewed facility documents. Based on interviewed conducted, residents and staff members denied being treated differently from other residents. An interview with the Facility Designated Administrator was conducted and confirmed that he tries to train staff to treat all residents with respect. He also stated that he does not know of any issues between staff members and residents.

As a result of this investigation, the Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies cited per Title 22 Regulations. Exit interview was conducted and a copy of this report was given to the Facility Designated Administrator, Oynema Nkwocha.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction