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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602215
Report Date: 07/29/2025
Date Signed: 07/29/2025 12:46:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/23/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250523091823
FACILITY NAME:CENTER FOR BEHAVIORAL CHANGE 6FACILITY NUMBER:
198602215
ADMINISTRATOR:EBENEZER AKINOLAFACILITY TYPE:
735
ADDRESS:52 RISING HILL RDTELEPHONE:
(909) 461-3879
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:4CENSUS: 4DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Teresa Cardenas and Ebenezer "Ben" AkinolaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility staff are not providing adequate supervision to clients in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegation. LPA met with Teresa Cardenas and discussed the purpose of today’s visit. Ebenezer “Ben” Akinola arrived at approximately 12:10 P.M..

LPA Irra conducted the initial visit on 05/29/25. During this visit, LPA obtained a copy of the staff and client rosters, staff contact information, interviewed Staff #1 (S-1) and Administrator and interviewed Client #1 (C-1). LPA was unable to interview Client #2 (C-2) as C-2 was asleep during this visit and was unable to interview Client #3 (C-3) as C-3 was not present at the time of this visit. LPA also reviewed files for C-1 through C-3 and obtained relevant documentation. During the course of this investigation, LPA also interviewed Staff #2 (S-2) through Staff #5 (S-5) and interviewed Client #3 (C-3). LPA attempted to interview C-2 numerous times and was unsuccessful as C-2 was asleep during the interview attempts. LPA also obtained a copy of San Gabriel Pomona Regional Center Corrective Action Plan (CAP) which was issued to this facility pertaining to staff sleeping during their shift. **Refer to LIC 9099C for the continuation of this report.**
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
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 3
Control Number 28-AS-20250523091823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: CENTER FOR BEHAVIORAL CHANGE 6
FACILITY NUMBER: 198602215
VISIT DATE: 07/29/2025
NARRATIVE
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Allegation: Facility staff are not providing adequate supervision to residents in care. It has been alleged that staff are sleeping and smoking during their shift. (1) out of (5) staff interviews revealed that approximately (3) to (4) months ago, a staff member working the night shift appeared to be asleep during their shift. (2) out of (3) client interviews revealed they have witnessed staff sleep while on shift. On 06/05/25, San Gabriel Pomona Regional Center issued a Corrective Action Plan (CAP) to this facility substantiating that “several staff sleep and/or lay down during their shifts”. This determination was based on staff and clients interviews as well as documentation submitted (including photographs). On 07/29/25, LPA reviewed the CAP with Ebenezer “Ben” Akinola in which he agreed to the findings and agreed to adhere to the CAP. The allegation of staff sleeping during their shift is corroborated by staff and client interviews as well as the CAP that was issued to this facility. There was insufficient evidence to determine if staff smoke during their shift.

Based on observation and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiency cited. Refer to LIC 9099D.

Exit interview conducted. A copy of this report and appeal rights were provided to Ebenezer “Ben” Akinola.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250523091823
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CENTER FOR BEHAVIORAL CHANGE 6
FACILITY NUMBER: 198602215
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
80065(a)
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Personnel Requirements (a) Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs.
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Administrator to provide a written statement/plan as to how the Administrator will monitor staff to ensure that staff will remain awake during their shift and provide this statement/plan to LPA Irra by POC due date.
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This standard is not met at evidence by:

Interviews revealed that staff are sleeping while on shift.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3