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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609568
Report Date: 10/24/2024
Date Signed: 10/24/2024 02:29:05 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
10/21/2024 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20241021091302
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: 4DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Chinweike Okonkwo, AdministratorTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Staff member is financially abusing resident in care.
INVESTIGATION FINDINGS:
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At 09:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Staff #1 (S1) who granted access to the facility. The Administrator arrived shortly after and LPA explained the reason for the visit.

During course of the investigation, interviews and record review were made. At 09:40am, LPA requested client and staff roster. At 09:55am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, Client/Resident Personal Property and Valuables, and the Record of Client's Sefeguarded Cash Resources relevant to the investigation. At approximately 10:00am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:10am – 1:00pm, LPA interviewed C1's family member, a Social Worker from the Department of Health Services (DHS), the Administrator, two (2) staff, and four (4) clients.
Continue on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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 2
Control Number 31-AS-20241021091302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BEWISE HOME
FACILITY NUMBER: 197609568
VISIT DATE: 10/24/2024
NARRATIVE
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Allegation: Staff member is financially abusing resident in care.

It was alleged that Staff #1 (S1) borrowed money from Client #1 (C1) amounting to approximately $700.00. To investigate this allegation, LPA conducted an interview with the Administrator and S1 and both denied the above allegation. LPA was informed that clients can access their funds by making a request. After the request, the funds get disbursed in the form of cash and a P&I log is being signed by the client upon receipt. A copy of P&I log records was also provided to LPA. Moreover, LPA was informed that C1 is able to manage his/her own cash resources and leave the facility unassisted. Administrator and S1 stated that C1 doesn't tell anyone where the money are spent and the staff will not question by respecting C1's Personal Rights. LPA conducted interviews with four (4) clients and all clients confirmed that they receive their P&I funds upon request and expressed no concerns regarding this allegation. Clients also informed LPA that no staff ever asked to borrow money nor they witnessed others giving/landing money to the staff. Lastly, LPA conducted an interview with C1's family member who denied the above allegation and also expressed no concerns. Based on today’s interview, record review and the information gathered, this allegation is deemed Unsubstantiated at this time.

No deficiency cited

Exit interview conducted and copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2