198602215-5-22-2026-28-AS-LHIS-DUMRVB-20260601132113

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602215
Report Date: 05/22/2026
Date Signed: 05/22/2026 10:27:44 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/05/2026 and conducted by Evaluator Noemi Galarza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20260505103034

FACILITY NAME:	CENTER FOR BEHAVIORAL CHANGE 6		FACILITY NUMBER:	198602215
ADMINISTRATOR:	EBENEZER AKINOLA		FACILITY TYPE:	735
ADDRESS:	52 RISING HILL RD		TELEPHONE:	(909) 461-3879
CITY:	POMONA	STATE: CA	ZIP CODE:	91766
CAPACITY:	4	CENSUS: 2	DATE:	05/22/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Cyrus Brockman, DSP		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff threatened client in care.
Staff did not provide proper food service to client in care.
Staff did not treat client in care with dignity and respect.
Staff did not assist the client in obtaining a new identification card.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Galarza conducted a subsequent visit to deliver findings on the above allegations. The purpose of the visit was explained to DSP Cyrus Brockman. Administrator Ebenezer Akinola was explained the purpose of the visit telephonically.

The investigation consisted of: On 5/7/2026, a physical plant inspection of the indoors and outdoor grounds was conducted. Resident and staff files were reviewed. Residents (R1 & R2), and staff (S1- S5) were interviewed. Resident (R3) is currently at a higher level facility. Copies of resident (R1's) Placement Information, Physician's Report, 30-Day Progress Report, IPP, 5 weeks of food menu, staff (S1's) Personnel Record, LIC 500 Personnel Report, and Register of Facility Residents were reviewed/obtained. No health and safety concerns were observed during the visits.

*Report continues on 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

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 28-AS-20260505103034

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CENTER FOR BEHAVIORAL CHANGE 6	FACILITY NUMBER: 198602215
	VISIT DATE: 05/22/2026

NARRATIVE

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Allegation: Staff threatened client in care. It is alleged that DSP staff (S1) threatened to throw a shoe, pull resident's hair, and put a finger on resident (R1's) face with a "look of hate". A total of five staff were interviewed. All staff denied the allegation. Staff (S1) stated they have never threatened R1, but have had disagreements because staff remind the resident to shower, clean their room, and to take medications, but the resident refuses. Staff stated that R1 has exhibited non-compliant behaviors such as, slamming doors and not following staff directions. None of the staff have witnessed S1 threatened or mistreat resident (R1). Resident (R1) stated that S1 is unprofessional because they get upset when the resident refuses showers and does not clean their room. Resident (R2) stated they have never seen S1 threatened R1, nor have they been threatened in the home by staff. Per record review, resident (R1) has history of false allegations, not completing ADLs, and defiant behaviors. There is insufficient evidence to corroborate the allegation.

Allegation: Staff did not provide proper food service to client in care. The complaint alleges resident (R1) asks facility staff to cook things they like and staff tell the resident they are not going to cook his food requests. Resident (R1) said they do not like the food provided at the facility because they are a picky eater. The resident stated they prefer to eat fast food, cheeseburgers, fries, and chicken enchiladas. Resident (R1) said that they ask staff to cook what they like and they refuse. A total of five staff were interviewed, of which all stated that resident (R1) is a finicky eater that prefers to eat fast food, drinks lots of soda, iced coffee, juice and likes to graze eat all day. Staff interviews revealed the facility follows a posted menu, asks residents what their food preferences are, and are able to serve alternate food meals, as long as they are a balanced diet and the food items are in supply at the facility. Staff stated they take R1 out to buy food when the resident has money. The food menu was reviewed and food supply was checked during the visits. Sufficient food and a balanced food menu was observed. The allegation cannot be supported.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20260505103034

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CENTER FOR BEHAVIORAL CHANGE 6	FACILITY NUMBER: 198602215
	VISIT DATE: 05/22/2026

NARRATIVE

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Allegation: Staff did not treat client in care with dignity and respect. It was reported that Regional Center service coordinator took advantage of resident (R1) by manipulating their money that resulted in losing access to their storage unit that contained all their belonging because the Regional Center did not pay the storage unit rent. Staff interviews revealed that resident (R1) manages their own money and the allegation is not related to any facility staff. The alleged perpetrator is a northern California Regional Center Service Coordinator. Staff stated all residents are treated with dignity and respect. Resident (R1) stated staff (S1) speaks to the resident bad because staff is demanding and the resident is "not a mind reader" and "I want her gone". Resident (R2) said staff are respectful. The findings indicate there is insufficient evidence to support the allegation.

Allegation: Staff did not assist the client in obtaining a new identification card. It is alleged that resident (R1) has told facility staff they need to get a new state identification card because the resident lost it when they were at a higher level facility, and facility staff will not take the resident to get a replacement ID card. Resident (R1) stated they are low income and Administrator does not understand the resident needs a new ID card and EBT card. Resident (R2) stated staff take residents on errands. Five (5) staff were interviewed, of which all denied the allegation. None of the staff interviewed had knowledge that R1 needs a replacement ID card and EBT card. Based on staff interviews, the findings indicate resident (R1) moved in on 3/25/2026 without a California ID card, and has not told Administrator they need to obtain a replacement card. Administrator stated staff can take R1 to get a replacement card, but the resident must pay the replacement fee with their money. There is insufficient evidence to support the allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted with Cyrus Brockman. A copy of the report was provided.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Noemi Galarza
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2026

LIC9099 (FAS) - (06/04)

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