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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 032701223
Report Date: 09/09/2025
Date Signed: 09/09/2025 03:02:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 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
04/30/2025 and conducted by Evaluator Arvin Villanueva
COMPLAINT CONTROL NUMBER: 27-AS-20250430095638
FACILITY NAME:ARGONAUT CARE HOME, INC.FACILITY NUMBER:
032701223
ADMINISTRATOR:NGAIMA, MAMAFACILITY TYPE:
740
ADDRESS:860 ARGONAUT DR.TELEPHONE:
(209) 217-1512
CITY:JACKSONSTATE: CAZIP CODE:
95642
CAPACITY:6CENSUS: 5DATE:
09/09/2025
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Licreisha Wilson, Staff on dutyTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Due to neglect or lack of supervision, resident sustained multiple injuries resulting in hospitalization.
Lack of supervision resulted in resident eloping from facility.
INVESTIGATION FINDINGS:
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On 9/9/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct a follow-up complaint visit and deliver findings regarding the allegations noted above. LPA met with staff on duty, Licreisha Wilson (S1), and explained the purpose of the visit. The facility supervisor, Renae Earl (S2) was notified and gave permission to S1 to sign this report.
Present during today’s visit were 5 residents with 1 staff on duty (S1).

Allegation - Due to neglect or lack of supervision, resident sustained multiple injuries resulting in hospitalization:
The investigation into this allegation consisted of interviews and record reviews. On 4/30/2025, resident (R1) was found outside in the roadway injured and bleeding after leaving the facility unsupervised. Witness (W1) statement and police reports confirmed the facility’s front door was open when they arrived at the facility and staff on duty, S1, admitted to be “very tired” and had not checked on residents. Interview with Police Officer (W2) confirmed S1 was asleep behind a locked garage door and had to wake S1.
{9099-1}
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
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 4
Control Number 27-AS-20250430095638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ARGONAUT CARE HOME, INC.
FACILITY NUMBER: 032701223
VISIT DATE: 09/09/2025
NARRATIVE
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Facility Supervisor (S2) and Administrator, Chukwudi “Patrick” Ikiseh (S3), both acknowledged that it was facility policy for the front door alarm to remain activated at all times, but it had not been turned on the night of the incident. S2 and S3 also admitted that the alarm was old, and staff sometimes forgot to use it, leaving the facility unsecure.

Review of R1’s medical records confirmed that as a result of leaving the facility unsupervised, R1 sustained multiple serious injuries, including fractures to the cervical spine, nasal bone, nasal septum, and orbital roof, as well as facial bruising, resulting in hospitalization. Medical records and death certificate record further confirmed that R1’s injuries, combined with advanced dementia and lack of food and fluid intake, contributed to R1’s death on 5/8/2025. The evidence shows the facility did not ensure to provide proper supervision and security, which directly led to R1’s injuries, resulting in hospitalization and eventual death. Therefore, the allegation is SUBSTANTIATED.

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Allegation - Lack of supervision resulted in resident eloping from facility:

The investigation into this allegation consisted of interviews and record reviews.

On 4/30/2025, a resident (R1) was found outside in the roadway after leaving the facility unsupervised. Witness (W1) and police reports confirmed the facility’s front door was open when they arrived at the facility, and staff on duty, S1, admitted she had not checked on residents because she was “very tired.” Responding Police Officer (W2) confirmed S1 was asleep behind a locked garage door when W2 entered the facility. Supervisor (S2) and Administrator Chukwudi “Patrick” Ikiseh (S3) both acknowledged that facility protocol required the front door alarm to be turned on at all times, but it was not activated the night of the incident. S2 and S3 also admitted there was no system in place to document when the alarm was turned on or off, and staff sometimes forgot to use it. Interview with S3, suspected that R1 likely spent 30 to 45 minutes outside unsupervised before being found. Because the alarm was not activated and staff did not provide the expected supervision, R1 was able to leave the facility unnoticed, resulting in R1 being found injured in the street. The evidence demonstrates that the facility did not follow its own safety protocols, directly leading to R1’s elopement. Therefore, the allegation is SUBSTANTIATED.

A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met.

{9099-2}

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 27-AS-20250430095638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ARGONAUT CARE HOME, INC.
FACILITY NUMBER: 032701223
VISIT DATE: 09/09/2025
NARRATIVE
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Deficiencies are being cited from the California Code of Regulations (CCR) and/or the Health and Safety Code. Immediate Civil Penalty is being assessed in the amount of $1000.00. At this time enhanced civil penalty assessments are under review and additional civil penalties may be assessed pursuant to Health and Safety Code 1569.49.

An exit interview was conducted with S2 over the phone and a plan of corrections and appeal process were discussed. A copy of this report and appeal rights were provided.

{9099-3}

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 27-AS-20250430095638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ARGONAUT CARE HOME, INC.
FACILITY NUMBER: 032701223
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/10/2025
Section Cited
HSC
1569.312(e)
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Basic Service Requirements. Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement is not met as evidenced by:
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Per discussion, S3 stated facility made multiple changes including installing camera at the front door, night staff conducts regular checks on resident, and replacing the alarms and ensuring alarms are on at all times.
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Based on interviews and record reviews, R1 left the facility unsupervised and sustained multiple injuries resulting in hospitalization. This poses an immediate health, safety and personal rights risk to residents in care.
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Per discussion, S3 agreed to submit a written plan that they put in place after the incident and submit plan to the Department by POC due date.
Type A
09/10/2025
Section Cited
CCR
87464(f)(1)
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Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by:
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Per discussion, S3 stated facility made multiple changes including installing camera at the front door, night staff conducts regular checks on resident, and replacing the alarms and ensuring alarms are on at all times.
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Based on interviews and record reviews, R1 left the facility unsupervised in the morning of 4/30/25 at around 3am. This poses an immediate health, safety and personal rights risk to residents in care.
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Per discussion, S3 agreed to submit a written plan that they put in place after the incident and submit plan to the Department by POC due date.
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: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4