197609704-1-28-2026-31-AS-NMAN-DR7T9Y-20260211133243

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609704
Report Date: 01/28/2026
Date Signed: 01/28/2026 03:05:20 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
01/21/2026 and conducted by Evaluator Tihesha Smith

COMPLAINT CONTROL NUMBER: 31-AS-20260121132755

FACILITY NAME:	SAFE LAUREL LLC		FACILITY NUMBER:	197609704
ADMINISTRATOR:	GBOYEGA AKINBOLA		FACILITY TYPE:	735
ADDRESS:	16300 VINTAGE ST		TELEPHONE:	(818) 489-1218
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	4	CENSUS: 4	DATE:	01/28/2026
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Gboyega Akinbola, Administrator		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff hit clients
Staff are not providing adequate food service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiheha Smith conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA Smith was greeted by staff and disclosed the reason for the visit. The administrator was contacted and arrived later.

Staff hit clients
It was alleged that Staff #1 (S1) hit Resident #1(R1) in the face and arms and also hit other residents. To investigate the above allegations LPA Smith interviewed staff and residents from 09:40 am - 2:40 pm. During interview with R1, LPA Smith did not observe any marks are bruises on R1’s face. R1 revealed S1 hit them because they were giving directions and staff would not listen. R1 revealed was hit on the top of their left thigh with closed fist by demonstrating the action and also hit the windowshield in the car. LPA Smith asked if they had any bruises,if they were hit anywhere else on their body, and if anyone witnessed it, R1 stated no. Interviews with two (2) of three (3) residents revealed they have not been hit by any staff and have not seen staff hitting other

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

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-20260121132755

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: SAFE LAUREL LLC	FACILITY NUMBER: 197609704
	VISIT DATE: 01/28/2026

NARRATIVE

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(Cont from 9099)

residents. LPA Smith interview with five (5) of five (5) staff revealed they have not hit any residents and have not witnessed S1 or any staff hitting any residents. Three (3) staff revealed that S1 went to pick up a resident and R1 accompanied the staff. S1 was using Google maps to navigate to the location, however R1 wanted to provide directions. S1 attempted to explain to R1 they will only use Google maps for the correct route which was not well received by R1 due to their behavior of insisting to go the route they suggested. LPA Smith did not observe any cracks or dents in windshield or windows on the facility vehicle.

Based on the information obtained during the investigation there is insufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time

Staff are not providing adequate food service

It was alleged that the home did not have food in the home in the past 10 days. To investigate the above allegations LPA Smith interviewed staff and residents from 09:40 am 11:45 am, observed food supply in between interviews at ? am, and requested documentation relevant to the investigation to include food menu, personnel report and resident roster. Interview with five (5) of five (5) staff revealed the home has adequate food supply in which food is replenished weekly on Sunday’s. All staff interviewed revealed that all residents receive all meals which are noted on food menu to include three (3) meals a day and snacks. Staff #2 (S2) reveal menu items maybe be substituted or fast food provided upon resident request. LPA Smith observed menu posted on refrigerator and the food supply in both refrigerator and cabinets contained an adequate supply of perishable and non-perishable food items. Interview with four (4) of four (4) residents revealed they receive all meals and have not missed a meal.

Based on the information obtained during the investigation there is insufficient information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time

No deficiencies noted at time of visit.

Exit interview/conducted copy of report provided.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Tihesha Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2026

LIC9099 (FAS) - (06/04)

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