198320206-2-13-2026-11-AS-JHAD-DRKUHD-20260223143545

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320206
Report Date: 02/13/2026
Date Signed: 02/13/2026 07:25:30 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/12/2026 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260212100118

FACILITY NAME:	234TH HOME		FACILITY NUMBER:	198320206
ADMINISTRATOR:	BOATNER, VERRETTA		FACILITY TYPE:	735
ADDRESS:	160 E. 234TH STREET		TELEPHONE:	(310) 872-3326
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	4; 4	CENSUS: 4	DATE:	02/13/2026
		UNANNOUNCED	TIME BEGAN:	08:29 AM
MET WITH:	Ebeagbor Emubonuvie & Nicolas Myers		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff are not providing adequate supervision.
Staff do not prevent drugs and alcohol from being accessible.
Staff do not properly maintain the facility.

INVESTIGATION FINDINGS:

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On February 13, 2026, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit. Ebeagbor Emubonuvie Program Supervisor and Nicolas Myers Program Director greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above.

The investigation included interviews, record reviews, and a tour of the facility. Interviews with Staff member S#1 - S#4 (S1-S4) and Client #1 - #4 (C1- C4). The Department reviewed several documents, including the the Personnel Report LIC 500 (dated 09/16/25), Client’s #1-#4 Individual Service Plan (dated 12/17/25 and 02/10/26), Physicians Report LIC 602 (dated 02/25/25, 06/09/25 and 10/20/25) and REM California Mentor House Rules (dated 11/11/25). and other pertinent records associated with this complaint.

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

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 11-AS-20260212100118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: 234TH HOME	FACILITY NUMBER: 198320206
	VISIT DATE: 02/13/2026

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Staff are not providing adequate supervision.
Allegation #2: Staff do not prevent drugs and alcohol from being accessible.

The complaint alleges that staff are failing to provide adequate supervision, resulting in clients having access to drugs and alcohol. It is reported that no rules have been set for the clients in this home, and they are not being followed. No further information has been provided regarding these situation.

On February 13, 2026, between 10:30 AM and 11:15 AM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not support these allegations. All staff members confirmed that adequate supervision is provided, with three Direct Support Providers (DSP) present on each shift. They all noted that the facility provides the necessary oversight and assistance to meet each client's individual needs, as outlined in their care plans, in accordance with Title 22 regulations. Additionally, staff reported that there has been no instance of clients accessing any controlled substances within the facility. However, two out of the four clients are independent and can spend time out in the community, where their activities are not monitored. Nonetheless, these clients are aware that the House Rules are strictly enforced, prohibiting smoking, drugs, and alcohol always. All staff members confirmed completion of DSP I and DSP II training.

On February 13, 2026, between 11:15 AM and 01:35 PM, the Department interviewed client member members identified as Client #1 through C#4 (C1-C4). Four (4) out of four (4) cannot validate these claims. They reported adequate supervision with 3 to 4 Direct Support Providers per shift. All clients stated they have no access to drugs or alcohol and have not seen anyone with controlled substances in the facility. They also confirmed that House Rules are enforced, prohibiting smoking, drugs, and alcohol at all times.

On February 13, 2026, between 12:44 PM and 02:08 PM, the Department interviewed witness members identified as Witness #1 and Witness #2 (W1-W2). Two (2) out of the two (2) witnesses could not support these claims. Both witnesses confirmed that there have been no reports of insufficient supervision that could allow clients access to controlled substances, either within the facility or in the community.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20260212100118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: 234TH HOME	FACILITY NUMBER: 198320206
	VISIT DATE: 02/13/2026

NARRATIVE

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Moreover, it was affirmed that two of the four clients can engage with the community unsupervised by staff; however, they are unable to exercise control over their actions outside the facility.

The Department toured the facility on February 13, 2026, and observed five staff members on duty. The Department inspected all clients’ rooms and did not observe any health or safety issues.

The Department reviewed client’s #1-#4 Individual Service Plan (dated 12/17/25 and 02/10/26), Physicians Report LIC 602 (dated 02/25/25, 06/09/25 and 10/20/25) and REM California Mentor House Rules (dated 11/11/25). Further review of Personnel Report LIC 500 (dated 09/16/25) and 234^th Home Staff schedule (dated 02/09/26 through 02/15/26).

Based on the information gathered, there is not enough evidence to support the allegations mentioned above.

Allegation #3: Staff do not properly maintain the facility.

It is alleged that the staff does not properly maintain the facility. It is reported that the conditions of their living area are “unclean and unhealthy.” No further information has been provided regarding this matter.

On February 13, 2026, between 10:30 AM and 11:15 AM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not support this claim. All staff members confirmed that key qualities for Direct Support Providers (DSPs) include a commitment to safety and regulatory compliance. They play an essential role in protecting clients from hazards. This responsibility encompasses various tasks such as housekeeping duties, cleaning common areas, maintaining facilities, sanitizing bathrooms, handling laundry, and implementing infection control measures. The housecleaning duties and maintenance duties are done daily or as needed.

On February 13, 2026, between 11:15 AM and 01:35 PM, the Department interviewed client members identified as Client #1 through C#4 (C1-C4). Four (4) out of four (4) cannot support this claim. They reported that the facility was consistently clean and sanitary and that there were no issues or concerns.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20260212100118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: 234TH HOME	FACILITY NUMBER: 198320206
	VISIT DATE: 02/13/2026

NARRATIVE

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On February 13, 2026, between 12:44 PM and 02:08 PM, the Department interviewed witness members identified as Witness #1 and Witness (W1-W2). Two (2) out of the two (2) witnesses could not validate claim. Both witnesses confirmed that the unhealthy or sanitary condition claimed has never been an issue or concern during their visits to the facility.

The Department toured the facility on February 13, 2026, and observed the common areas to be in a clean and sanitary condition. The Department inspected all clients’ rooms and did not observe any health or safety issues.

A review of (DSP) responsibilities and duties, Facility House Rules (dated 11/11/2025), Personnel Report LIC 500 (dated 09/16/25) and 234^th Home Staff schedule (dated 02/09/26 through 02/15/26).

Based on the information gathered, there is not enough evidence to support the allegation mentioned above

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegation are Unsubstantiated.

An exit interview was conducted with Nicholas Myers, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

LIC9099 (FAS) - (06/04)

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