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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345003010
Report Date: 01/02/2025
Date Signed: 01/02/2025 03:54:18 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
12/31/2024 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20241231115538
FACILITY NAME:OHANA CARE HOMEFACILITY NUMBER:
345003010
ADMINISTRATOR:MITITI, DANFACILITY TYPE:
740
ADDRESS:8254 MOSS OAK AVETELEPHONE:
(916) 725-8784
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 4DATE:
01/02/2025
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Dan Mititi, Administator TIME COMPLETED:
03:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Uncleared staff working in the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to open and close a complaint received on 12/31/24. LPA met with Dan Mititi, Administator, and explained the reason for the inspection. Also present was staff (S1) who on duty. Currently there are (3) residents on hospice. LPA and Administrator toured the interior to observe residents in care. There were no concerns noted.

LPA and Administrator discussed the allegation staff (S2) not being cleared before starting to work at the facility. Documentation showed staff (S1) was cleared and associated to the facility on 6/16/23; (S2) was cleared and associated to the facility on 6/16/23 and worked unitl on/around 7/8/24 and was disassociated. (S3) was cleared and associated on 8/12/23. Review of the LIC500 and Guardian show all current staff are cleared and associated currently to the care home. Administrator confirmed all of this information in today's inspection.
Based on information obtained, LPA finds the allegation to be UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis. This allegation is being dismissed without further investigation. Exit interview. Copy of report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2025
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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