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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700903
Report Date: 07/24/2025
Date Signed: 08/14/2025 12:20:31 PM

Unsubstantiated


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
04/02/2025 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20250402115429
FACILITY NAME:EHIMAS RESIDENTIAL CAREFACILITY NUMBER:
342700903
ADMINISTRATOR:STEPHANIE SIEWEFACILITY TYPE:
740
ADDRESS:407 MAPLE STREETTELEPHONE:
(916) 912-8042
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY:15CENSUS: 15DATE:
07/24/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Justice Ehimamiegho, LicenseeTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Facility is malodorous.
Staff is not performing incontinent care.
Staff is not administering medication as prescribed.
Residents are left in bed and not provided with activities or exercise.
Residents grooming needs are not being met.
Staff is under the influence of drugs and/or alcohol.

INVESTIGATION FINDINGS:
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This is an amended report from 08/14/2025.

On 07/24/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced to conduct further interviews and present findings regarding an ongoing complaint investigation. LPA Campbell met with Justice Ehimamiegho, Licensee and explained the purpose of the visit.

Regarding the allegation that the facility is malodorous, during two visits on 04/29/2025 and 07/24/2025, LPA Campbell noticed no unusual or undesirable odor in the community.

Regarding the allegation that staff are not performing incontinent care, R1 stated they didn't need incontinent care, but they did witness their roommate (R6) receive daily incontinence care from staff. R5 also reported that because they are non-ambulatory, staff help them with incontinence care. No residents interviewed reported staff not helping with incontinence care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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 2
Control Number 27-AS-20250402115429
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: EHIMAS RESIDENTIAL CARE
FACILITY NUMBER: 342700903
VISIT DATE: 07/24/2025
NARRATIVE
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Regarding the allegation that staff is not administering medication as prescribed, R3 and R2 reported that staff always offer medication as directed but they refuse to take the medication. R1 stated they take the medication offered though they don't know what the medication is for.

In regards to residents shower and grooming needs, R5 reported they get showers every two days or as needed. R3 stated they take a shower ever two days vs when they were at home, where it was a shower every day. R2 reports they shower three times a week. LPA Campbell observed no stained clothing or dirty nails during interviews.

No residents interviewed reported staff who were under the influence of drugs and alcohol though R1 stated they have only been present a week. The licensee reports they have not witnessed staff who were inebriated or using drugs. No staff and only one of the residents interviewed reported possible alcohol use though they could not provide names or state when it may have occurred.

In regards to activities or exercise, the community keeps group activity items present in cabinets that are accessible to residents. The community has several bingo sets, puzzles and games. R2 reported that staff offer to take them on walks around the corner, Staff 2 (S2) reported taking residents to the flea market nearby and R4 stated staff have taken him to the store when asked and to doctor's appointments upon request.

R5 also reported that though they cannot get up, staff always ask if they want to get up and go outside in a chair. Because it causes them pain to sit in a chair, R5 now participates in physical therapy in order to become stronger and increase their mobility. R2 reports that staff offer to take them to stores where sometimes staff will buy them a soda.

During this visit, LPA Campbell also observed a Case Worker visiting residents on their case load and offer to take residents to the store if they have had their shower. During this visit, one resident had not showered and thus could not go out.
Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore this allegation is UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview was held and a copy of report was given to Justice Ehimamiegho, Licensee.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2