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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602215
Report Date: 08/26/2025
Date Signed: 08/26/2025 01:05:45 PM

Unsubstantiated


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: 3DATE:
08/26/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Ebony AllenTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff was smoking during shift.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to render the finding for the above allegation. LPA met with Ebony Allen and discussed the purpose of today’s visit.

LPA Irra conducted the initial visit on 05/29/25 and a subsequent visit on 07/29/25. During the 05/29/25 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 indicated that there was insufficient evidence pertaining to staff smoking during their shift. **Refer to LIC 9099C for the continuation of this report.**
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
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 2
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: 08/26/2025
NARRATIVE
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Allegation: Staff was smoking during shift. It has been alleged that staff are smoking marijuana while on shift. Staff interviews revealed that staff do not smoke (including marijuana) during their shift. Interviewed staff indicated that they have not witnessed nor received any concerns pertaining to this matter. During the conducted visits, LPA did not observe any staff smoking nor smelled any smoke inside nor outside of this facility. Additionally, per San Gabriel Pomona Regional Center Corrective Action Plan (CAP) report, there was insufficient evidence pertaining to staff smoking during their shift. Interviews and documentation do not corroborate this allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of the Appeal Rights and this report was provided to Ebony Allen.

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

DATE: 08/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2