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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609568
Report Date: 08/26/2022
Date Signed: 08/26/2022 02:18:11 PM

Unsubstantiated


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., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2022 and conducted by Evaluator Wendell Smith
COMPLAINT CONTROL NUMBER: 31-AS-20220725110906
FACILITY NAME:BEWISE HOMEFACILITY NUMBER:
197609568
ADMINISTRATOR:OKONKWO, CHINWEIKEFACILITY TYPE:
740
ADDRESS:22214 VANOWEN STREETTELEPHONE:
(818) 300-4994
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91303
CAPACITY:6CENSUS: 5DATE:
08/26/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Rachel Akampa.TIME COMPLETED:
02:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident is being physically abused while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent complaint visit to finish investigation into the allegation above. LPA met with facility staff and explained the reason for this visit.

It is alleged that resident #1 (R1) was physically abused by staff # 1 (S1). LPA conducted the initial visit on 7/26/22 where LPA interviewed S1 regarding the allegation. During today's visit LPA conducted interviews with residents from 12:10-12:35pm. LPA interviewed R1's case manager from Brilliant Corners over the telephone from 1:10-1:30pm. LPA previously interviewed R1 over the phone. Information from residents reveal that no one witnessed S1 hit or do anything to R1. Information from S1's social worker and hospital personnel reveal that R1 has a history of fabricating stories of abuse due to R1's diagnosis. It is said R1 will say they have have had their head bashed in and will call 911 and when R1 gets to the hospital at gets checked out there are no signs of abuse shown or R1 will recant their story. Based on the information obtained through interviews with residents, staff, and R1's social worker this allegation is deemed Unsubstantiated at this time. Exit Interview conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022
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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