342701086-9-18-2025-27-AS-SRIN-DM3V3R-20251002160511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701086
Report Date: 09/18/2025
Date Signed: 09/18/2025 03:26:30 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
12/19/2024 and conducted by Evaluator Vincent Moleski

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20241219105348

FACILITY NAME:	DIAMOND OAK GUEST HOME		FACILITY NUMBER:	342701086
ADMINISTRATOR:	MASSAQUOI, MOHAMED		FACILITY TYPE:	740
ADDRESS:	8632 DIAMOND OAK WAY		TELEPHONE:	(916) 685-4099
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95624
CAPACITY:	6	CENSUS:	DATE:	09/18/2025
		UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Niomi Massaquoi		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff hit resident with an object
Facility staff restricted resident from having visitors

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to deliver findings on this complaint investigation. LPA Moleski spoke with facility administrator Mohamed Massaquoi over the phone and explained the purpose of the visit.

LPA Moleski reviewed an incident report from this facility dated 12/24/23. According to this incident report, three individuals arrived at this facility unannounced on that date around 5:30 p.m. in an attempt to visit a resident (R1). The two staff members on duty (S1-S2) did not recognize the individuals, who described themselves as R1's family members, according to the report. The staff members explained that they needed to speak with R1 to ask if R1 knew the visitors, but one of the visitors jammed their foot in the door in an attempt to enter the facility, according to the report. Staff members called the facility administrator, Mohamed Massaquoi, who called R1's responsible party (R1's RP). R1's RP said that the visitors were family members of R1, but they had been "causing trouble," according to the incident report. [continued on 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

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 3

Control Number 27-AS-20241219105348

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: DIAMOND OAK GUEST HOME	FACILITY NUMBER: 342701086
	VISIT DATE: 09/18/2025

NARRATIVE

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R1's RP asked Massaquoi to prevent these individuals from visiting, but Massaquoi explained that he could not restrict R1's visitation unless R1 did not recognize the visitors, according to the report. Massaquoi went to the facility to address the situation, and when he arrived, one of the visitors informed him that they had called the police, per the report. A responding officer spoke with R1, and R1 permitted only two of the visitors to enter, but did not want to see the third, according to the report. The officer remained to monitor the visitation, according to the report.

LPA Moleski reviewed a police report, dated 7/15/24, regarding this incident. According to the report, a prior call had been made on 12/24/23. LPA Moleski reviewed a call log regarding this incident. According to the call log, multiple visitors were allowed into the facility, but complained that they were "kicked out." The facility owner (presumably Mohammed Massaquoi) also called officers and said that R1 did not want to see the visitors. According to the call log, one of these visitors was making threats that they might "get physical." Officers advised the person not to make threats. The call was cleared by a "mediated visit," according to the call log. The follow up report dated 7/15/24 included a statement made by one of the visitors. In the statement, the visitor said that "the officers helped facilitate a visit" between R1 and the other visitors "but I was told [R1] did not want to see me."

In interviews, Massaquoi and S2 said that R1's RP had requested to restrict R1's visitation, but they explained to R1's RP that the facility was required to permit visitation with whomever R1 wanted to see. Both Massaquoi and S2, who arrived at the facility on 12/24/23 after the staff members on duty (S1 & S4) called, said that R1's two family members were allowed to visit, but the third individual who R1 had requested not to see remained outside.

In an interview, S1 largely corroborated the narrative of the incident report as described above. S1 said that on 12/24/23, R1 did not want to see some of the visitors, but others did come inside and visit R1.

In an interview, an ombudsperson who responded to visitation concerns said that the resident themselves had chosen to restrict who visited them.

[continued on 9099-C]

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 27-AS-20241219105348

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: DIAMOND OAK GUEST HOME	FACILITY NUMBER: 342701086
	VISIT DATE: 09/18/2025

NARRATIVE

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The complainant alleged that R1 was struck by a staff member in January 2024, but did not share any specific information such as a date of occurrence or the names of any individuals involved. LPA Moleski requested police reports regarding this incident from the local police department, but the only report on file was made by a CDSS employee in December 2024, immediately after this complaint was filed with CDSS. LPA Moleski interviewed Massaquoi and three staff members (S1-S3) who were working at this facility around that time. None of these individuals reported any incidents of physical abuse as alleged by the complainant. R1's RP voiced no concerns regarding physical abuse at this facility in an interview.

LPA Moleski interviewed all current residents of this facility (R4-R7). None of the residents reported any concerns with visitation and none reported any experiences of physical abuse in this facility. LPA Moleski interviewed R5's responsible party. R5's RP voiced no concerns regarding visitation or physical abuse. LPA Moleski interviewed responsible parties of two former residents (R2's RP & R3'S RP). Neither party expressed significant concerns regarding restricted visitation or physical abuse at this facility.

The department has determined the following as it relates to the allegations that facility staff hit a resident with an object and that facility staff restricted a resident from having visitors:

The above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies were cited during this visit. An exit interview was held with Mohamed Massaquoi. Mohamed Massaquoi said staff member Niomi Massaquoi could sign this report in his absence. A copy of this report was left with staff member Niomi Massaquoi.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025

LIC9099 (FAS) - (06/04)

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