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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700903
Report Date: 07/31/2025
Date Signed: 07/31/2025 10:43:35 AM

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
04/24/2025 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20250424114638
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:
07/31/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Justice Ehimamiegho, LicenseeTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was overmedicated by staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/31/2025, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced to 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 a resident was overmedicated by staff, LPA Campbell interviewed residents and inquired if there were any concerns regarding medicine being put in their food without their knowledge or permission? When interviewed, R5 stated staff did not dose their food with medicine. LPA Campbell also interviewed R2 and R3. Neither resident reported that staff had put medicine or laxatives in their food as reported in the complaint.
After interviews, LPA Campbell found that there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur though the allegation may or may not have happened, 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
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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