197601032-7-2-2025-31-AS-EMIR-DJPMU5-20250718095430

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197601032
Report Date: 07/02/2025
Date Signed: 07/02/2025 01:56:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/18/2024 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20240618154559

FACILITY NAME:	EUNICE HOME II		FACILITY NUMBER:	197601032
ADMINISTRATOR:	AGBEDE, SONNY		FACILITY TYPE:	735
ADDRESS:	17131 COURBET STREET		TELEPHONE:	(818) 831-5282
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 6	DATE:	07/02/2025
		UNANNOUNCED	TIME BEGAN:	08:59 AM
MET WITH:	Sonny Agbede		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not keep resident(s) free from corporal or unusual punishment.
Staff did not accord resident(s) with dignity.
Staff did not provide sufficient supervision of residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the faciity to conclude the investigation regarding the above allegations. The initial visit to this complaint was made by LPA Evelin Rios on 06/24/24. Today, LPA met the administrator Sonny Agbede, and advised him of the allegations. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection to insure the health and safety of the facility and record review.

Staff did not keep resident(s) free from corporal or unusual punishment:
In regards to the allegation, it was reported that Resident 1 (R1) was slapped in the face by staff. Information via Incident Report (IR) recevied by LPA Rios during her 10 day visit revealed that Staff 1(S1) was allegedly told by Staff 2 (S2) that they had witnessed a third staff, Staff 3 (S3) slap Resident 1 (R1). LPA Rios's interview with S1 confirms the individual was made aware of an alleged abuse sometime in May 2024. LPA's interview with administrator revealed after they were made aware in June 6, 20204 they

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

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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Control Number 31-AS-20240618154559

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: EUNICE HOME II	FACILITY NUMBER: 197601032
	VISIT DATE: 07/02/2025

NARRATIVE

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sent an IR to North Los Angeles County Regional Center (NLACRC) and CCL but they did not complete the Report of Suspected Dependent Adult/Elder Abuse SOC341 and send it to appropriate agencies or to notify appropriate agencies such as law enforcement. According to the administrator they conducted their own investigation to determine if alleged abuse had occurred and decided not to send one because they felt there was not enough evidence to corroborate abuse as S2 had denied witnessing abuse and no date or time provided for alleged abuse. According to administrator S1 had told them they assumed the administrator was told of alleged abuse which was not the case.

Today, LPA again conducted interviews with the administrator and staff, who deny the allegations. LPA also interviewed six (6) out of six residents, and these residents could not confirm the allegation.

Based on the information obtained, there wasn't enough evidence to corroborate with the allegation of staff not keeping residents free from corporal or unusual punishment: Therefore, the allegation is deemed Unsubstantiated at this time.

Staff did not accord resident(s) with dignity:
In regards to the allegation, it was reported that staff got upset with Resident 2 (R2) over what was rumored that R2 was covered with feces, and smeared feces on the walls. Because of this, staff splashed bleach on R2, then forced R2 to take a shower. No time or date was given for this incident. No other witnesses identified to this complaint. Then, on or around 05/19/24, R2 refused another shower, but staff forced R2 to take one, despite R2's refusal. As a result, R2 sustained marks.

Interviews with administrator and staff deny the allegation. According to both, R2 engages in aggressive behaviors, causing self injury. Also, R2 also engages in behavior in smearing their feces on self and on walls and floors. Review of R2's records confirm that R2 has tantrums, property destruction, self injury, and aggression. Review of R2's records also reveal that R2 does defecate on self and smear these on floors and walls. Interviews with six (6) out of six residents could not confirm the allegation.

Based on the information obtained, there wasn't enough evidence to corroborate the allegation of staff not according a resident with dignity. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20240618154559

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: EUNICE HOME II	FACILITY NUMBER: 197601032
	VISIT DATE: 07/02/2025

NARRATIVE

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Staff did not provide sufficient supervision of residents:
In regards to the allegation, it was reported that Resident 2 (R2) requires one to one supervision. One day (no date given), it was observed that there was a chair, propped against the door to R2's room to stop R2 from exiting, or anyone else from entering.

Interviews with administrator and staff deny the allegation. Interviews with six (6) out of six residents could not confirm this allegation. Moreover, there were no other witnesses or a specific date given to conclude the allegation had actually occurred.

Based on the information obtained, there wasn't enough evidence to corroborate the allegation of staff no providing sufficient supervision to resident. Therefore, the allegation is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2025

LIC9099 (FAS) - (06/04)

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