<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610136
Report Date: 05/05/2025
Date Signed: 05/05/2025 01:48:11 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
04/29/2025 and conducted by Evaluator Lorena Casillas
COMPLAINT CONTROL NUMBER: 31-AS-20250429114828
FACILITY NAME:REM CALIFORNIA LLC - NORTH HILLSFACILITY NUMBER:
197610136
ADMINISTRATOR:TURYASIIMWA, ASSUMPTAHFACILITY TYPE:
735
ADDRESS:16312 TUPPER STREETTELEPHONE:
(818) 830-5275
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:4CENSUS: 4DATE:
05/05/2025
UNANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:Ridwan OlatoyinboTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not notify licensing of alterations to facility
Staff are not providing safe and healthful accommodations for the residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/05/2025 at 10:15 am Licensing Program Analyst (LPA) Lorena Casillas and IB Investigator Michele Salant conducted an unannounced initial complaint visit to investigate the above stated allegations. LPA and IB were greeted and allowed entry by staff. Administrator Ridwan Olatoyinbo met with LPA and IB and LPA explained the reason for the visit. An entrance interview was conducted.

At 10:30 am LPA and IB conducted a tour of the facility, interviewed with Administrator and staff, reviewed facility files and obtained copies of pertinent information related to the investigation.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
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 4
Control Number 31-AS-20250429114828
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: REM CALIFORNIA LLC - NORTH HILLS
FACILITY NUMBER: 197610136
VISIT DATE: 05/05/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation #1 Staff did not notify licensing of alterations to facility.

It is alleged that staff did not notify licensing of alterations to the facility. It is reported that on 04/21/25 the facility began replacing the floor throughout its entirety along with bathroom renovations, but that the facility failed to notify Community Care Licensing (CCL) of these alterations. On 04/29/25 LPA Casillas conducted a facility file review to locate any communication between the facility and CCL where the facility informs CCL of repairs and none could be located. LPA asked Administrator if notification to CCL was made, and Administrator admitted that the facility failed to notify CCL prior to beginning alterations and repairs. Administrator stated that communication with LPA Smith was done on 05/01/25, LPA Casillas informed Administrator that CCL needs to be notified prior to construction being made not after or during. Furthermore, LPA and IB were able to observe that alterations to one (1) facility bathroom was ongoing as well as all the flooring throughout the facility had been replaced. Therefore, based on observations and interviews, this allegation is deemed substantiated.

Allegation #2 Staff are not providing safe and healthful accommodations for the residents.

It is alleged that staff are not providing safe and healthful accommodations for the residents. It is reported that during the renovation of facility bathroom and replacement of flooring mentioned above, the staff failed to relocate clients in order to avoid clients inhaling dust and being exposed to debris. LPA interviewed the Administrator who stated that the repairs did not cause any hazard to clients but did admit that clients are in the facility during repairs. Staff #1 (S1) also stated that clients were not relocated to another location during the repairs and have been present at the facility at the same time as construction workers while they are doing repairs. LPA and IB toured the facility and were able to observe that there were multiple construction workers doing repairs and alterations, it was also observed that material and construction equipment such as tools were left unattended in the open garage, accessible to clients in care. Based on interviews and observations, the facility did not provide healthful accommodations during repairs exposing clients to dust, debris, and construction tools therefore this allegation is deemed substantiated.

Citations issued, please see LIC9099-D. Appeals rights discussed and provided. Exit interview conducted and a copy of report given to Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20250429114828
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: REM CALIFORNIA LLC - NORTH HILLS
FACILITY NUMBER: 197610136
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
80086(a)
1
2
3
4
5
6
7
Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all licensees shall notify the licensing agency of the proposed change.This was not met as evidenced by:
1
2
3
4
5
6
7
Administrator discussed and agreed to notifying CCL of any future construction or alterations to the facility and will provide in writing an understanding of the regulation by email to LPA by POC due date.
8
9
10
11
12
13
14
Based on interviews, file review, and observations the facility failed to report construction or alterations to CCL, this poses a potential health and safety risk to clients in care.
8
9
10
11
12
13
14
Type B
05/15/2025
Section Cited
CCR
80087(a)
1
2
3
4
5
6
7
Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This was not met as evidenced by:
1
2
3
4
5
6
7
Administrator discussed and agreed to reviewing the cited regulation and will provide in writing an understanding of the regulation by email to LPA by POC due date.
8
9
10
11
12
13
14
Based on interviews, file review, and observations the facility failed to provide clients with a clean, safe, and sanitary environment by exposing them to construction dust and debris, this poses a potential health and safety risk to clients in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20250429114828
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: REM CALIFORNIA LLC - NORTH HILLS
FACILITY NUMBER: 197610136
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2025
Section Cited
CCR
80087(g)
1
2
3
4
5
6
7
Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. This was not met as evidenced by:
1
2
3
4
5
6
7
Administrator immediately assigned a staff member to sit and monitor the construction tools and equipment while construction was in progress so that they would not be accessed by clients. POC cleared curing visit.
8
9
10
11
12
13
14
Based on observations facility failed to store construction tools and equipment leaving them accessible to clients. This poses an immediate health and safety risk to clients in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4