House of Judah

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Allegation investigated: Staff left residents unsupervised Staff do not respond to residents call buttons Staff did not assist resident with medical needs in a timely manner Staff did not ensure resident's toileting needs were met

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegations. LPA Lund met with Care Staff Dan Rakuro and explained the reason for the visit. Census: 5 Staff left residents unsupervised- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 left the Residents in care unsupervised while S1 was asleep on the couch during visit on 6/4/2026. Being cited under requlation 87411(a) Substantiated Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff left residents unsupervised therefore the allegation was deemed SUBSTANTIATED. Staff do not respond to residents call buttons- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not check on residents while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 1569.29 (c) Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff do not respond to residents call buttons therefore the allegation was deemed SUBSTANTIATED. Staff did not assist resident with medical needs in a timely manner- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not meet the needs on the residents while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 87465(g) Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff did not assist resident with medical needs in a timely manner therefore the allegation was deemed SUBSTANTIATED. Staff did not ensure resident's toileting needs were met- LPA Lund observed staff and interviewed staff. Based on LPA Lund’s observation and interview with Staff (S1). LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. S1 was the only staff at the facility at the of the visit until Administrator Apakuki Nawasa arrived and replaced S1 with another staff member. LPA Lund interviewed S1 who stated that S1 has not slept in over 24 hours. S1 could not meet the residents toileting while S1 was asleep on the couch during visit on 6/4/2026. Being cited under regulation 87459(a)(3)(B) Based on LPA Lund’s observation and interview with Staff (S1), the information provided, it clear that staff did not ensure resident's toileting needs were met therefore the allegation was deemed SUBSTANTIATED. As a result of this investigation, this LPA found the allegations to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. Per the California Code of Regulations, Title 22, Division 6, Chapter 6, deficiencies were observed or cited and noted on LIC 809D.the state’s words, verbatim · CDSS document, Sep 18, 2026 · control 27-AS-20260526160047

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Sep 21, 2026

Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608...., This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 18, 2026

Plan of correction: Staff (S1) is no longer working at the facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(g) · Plan of correction due date: Sep 21, 2026

FIncidental Medical and Dental Care The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 18, 2026

Plan of correction: Staff (S1) is no longer working at the facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87459(a)(3)(B) · Plan of correction due date: Sep 21, 2026

87459(a)(3)(B) Functional Capabilities-(a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to:(3) Toileting, including the need for:(B) Assistance of another person. This requirement is not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026 This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 18, 2026

Plan of correction: Staff (S1) is no longer working at the facility.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 97468.2(a)(4) · Plan of correction due date: Oct 2, 2026

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, ... (4) To care, supervision, and services that meet their individual needs This requirement was not met as evidenced by: LPA Lund observed S1 sleeping on the couch during his visit on 6/4/2026. Which poses a potential health, safety, and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 18, 2026

Plan of correction: Staff (S1) is no longer working at the facility.

Type of visit: Case Management - Deficiencies

On 8/18/2026 at 9:40 AM Licensing Program Analyst (LPA) Reza Jamaly arrived unannounced at the facility to continue investigation regarding complaint 27-AS-20260726201956. LPA met with facility designated staff Daniel Rokuro and explained the purpose of the visit. During the investigation LPA interviewed Administrator (AD), Staff 1 (S1) and reviewed R1 file. LPA learned that R1 medication refusal was not reported to department since R1 admission (2/26/2025). On 7/31/2026 LPA Jamaly interviewed Administrator (AD) Nawasa Apakuki, LPA asked when R1 started to refuse medication? And what action facility is taken? AD stated that R1 started to refuse medication a month after admission, we shared the issue with referral agency Bay Area Community Services (BACS), they told us, R1 will be like that. LPA asked if AD talked to physician, responsible party and if AD reported R1 medication refusal to department? AD stated I didn't talk to the doctor, I didn't speak with responsible party either, I just talked to R1. I verbally talked with LPA Shakaricka when R1 was admitted to the facility, but we didn't report it to the facility. Also, LPA interviewed S1 on 8/18/2026, S1 confirmed that facility didn't report R1 medication refusal to department. Based on observation, and interview conducted facility failed to report R1 medication refusal to department. Therefore, technical violation were issued. An exit interview was conducted with Daniel and a copy of this report provided to the facility.the state’s words, verbatim · CDSS document, Aug 18, 2026

Type of visit: Case Management - Incident

On 6/30/2026 at 2:00 PM, Licensing Program Analysts (LPAs) Reza Jamaly and Christina Valerio conducted a case management visit to follow up with below incident report and meet with Staff 1 (S1). Facility staff attempted to contact Administrator Apakuki Nawasa via cell phone but did not answer the phone. The department received incident Report that on 3/17/2026 friend of R1 walked in to the facility and picked up R1 to outside to have a joint visit with R1's wife, since R1's wife has trespass order and can't come inside the facility. Per incident report, R1 has been left outside of the facility for hours exposed to sun. To investigate the incident LPAs Jamaly and Valerio, conducted interview, and reviewed resident's file. LPA interviewed S1 about the incident, S1 stated that "on 3/17/2026, R1's friend walked in and signed the Visitor Sign in Sheet and took R1 outside to meet R1's wife outside. R1's wife is on trespass order, and can not meet R1 inside the facility, then I got busy with supervising other resident, after approximately an hour, I noticed that R1 is left alone outside of the facility" LPAs also, reviewed R1 file, based on LIC 602, R1 can not leave facility unsupervised. LPAs also observed that Visitor Sign in Sheet is signed in on date of incident (3/17/2026) by the visitor name and R1 is listed as a reason for the visit. Based on observation, interview and record review made during today’s visit, no deficiencies were cited per California Code of Regulations, Title 22. An exit interview was conducted with S1 and a copy of this report provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jun 30, 2026

Type of visit: POC

On 12/8/2025 Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of this visit was to follow-up with the licensee regarding a Plan of Correction (POC) cited during a visit to the facility on 11/21/2025. LPA spoke with facility staff/ administrator Dede Nawasa. The current census is 4 with 1 facility staff. LPA spoke with the licensee regarding the status of the Plan of Correction cited Title 22 regulation 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities. The licensee stated that the facility is in progress of completing the training related to resident care and supervision and will send LPA proof of training for all staff currently working in the facility by 12/12/2025. No citations were issued during this visit. A copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 8, 2025

Type of visit: Case Management - Incident

On 11/19/2025 at 9:30 AM Licensing Program Analyst (LPA) Shakaricka Hughes conducted a visit to the facility. The purpose of this visit was to conduct a case management visit regarding a Special Incident Report (SIR) that was received by CCLD on 11/13/2025 concerning a resident that eloped from the facility. LPA met with facility staff Dede Nawasa. LPA explained the purpose of the visit. The current census is 3 with 1 facility staff. LPA interviewed facility staff (S1) regarding an incident of elopement on 11/11/2025. Based on interview with S1 it was revealed that the facility staff fell asleep, and was not aware of the resident eloping from the facility until the morning of 11/11/2025. Facility staff stated that law enforcement was called, and the resident (R1) was located by law enforcement on 11/12/2025 at 3:00 AM. LPA toured the facility, and noticed the facility has auditory signals on the front and back door of the facility. LPA reviewed the LIC 602 Physician's Report for resident (R1) and it was revealed that the resident is unable to leave the facility unassisted. Based on today's case management, a citation is issued under Title 22, Division 6. An immediate civil penalty in the amount of $500 is issued for the date of 11/11/2025 due to absence of supervision. An exit interview was conducted with facility staff Dede Nawasa. A copy of this report LIC 809, LIC 809-D, LIC 421IM and appeal rights was provided at the end of the visit.the state’s words, verbatim · CDSS document, Nov 19, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Nov 20, 2025

87464 (f)(1) Basic services care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on interviews with facility staff. The facility did not provide adequate care and supervision which resulted in R1 eloping from the facility on 11/10/2025 and returning to the facility on 11/12/2025. This posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 19, 2025

Plan of correction: Licensee agrees to submit a plan of correction to LPA by 11/20/2025 on how the facility will remain in compliance with the regulation at all times, and ensure supervision of residents in care. Additionally, licensee stated that the facility will update the LIC 602 Physician's Report for resident (R1) and send an updated copy to LPA Hughes via email.

Type of visit: Prelicensing

On 10/24/25 at 1:10am Licensing Program Analyst (LPA) Kevin Gould arrived at House of Judah for the purpose of conducting a required change of location pre-licensing inspection. LPA met with Licensee, Apakuki Nawasa and together conducted a tour of the home. The home received a fire clearance for 6 non-ambulatory residents. There are four bedrooms and one staff office. Fire clearance indicates the staff office may not be used as a staff bedroom. LPA and licensee evaluated the physical plant to ensure the health and safety of future residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas and staff office. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA observed all beds in place and the home is appropriately furnished to meet the licensed capacity. LPA measured the water temperature, temperature measured at 109 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility has the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications area secure from residents. Per California Code of Regulations, Title 22 the licensee has met all requirements for this facility to be licensed. LPA has no objections to the facility being licensed at the time of this report.the state’s words, verbatim · CDSS document, Oct 24, 2025