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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603369
Report Date: 11/16/2025
Date Signed: 11/16/2025 08:44:30 AM

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
09/17/2025 and conducted by Evaluator Christian Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250917104641
FACILITY NAME:DAZION INCFACILITY NUMBER:
198603369
ADMINISTRATOR:ADEDOLAPO OLUSOJIFACILITY TYPE:
735
ADDRESS:734 GLENEAGLES AVENUETELEPHONE:
(909) 233-4528
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY:4CENSUS: 3DATE:
11/16/2025
UNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Manuel Edet DSPTIME COMPLETED:
08:50 AM
ALLEGATION(S):
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Staff inappropriately touched resident.
Staff has inappropriate interaction with resident.
Staff hit resident.
Staff cannot effectively communicate with resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with DSP Manuel Edet who assisted with today’s visit.

The investigation consisted of the following: On 09/18/2025 LPA Ramirez requested and obtained copies of Resident/Client Roster (LIC 9020), Personnel Report (LIC 500), and conducted a physical plant tour. On 09/29/2025 IB Investigator J. Canto interviewed C1. On 10/24/2025 LPA Gutierrez requested and obtained copies of staff roster, client roster, C1’s identification and emergency information, physicians report, facility notes, behavior service report, individual program plan (IPP), special incident report (SIR), Pomona Valley discharge instructions, and Pomona Police Department report. LPA interviewed Administrator, staff 1-2 (S1-S2), client 2 (C2) and client 3 (C3) is non-verbal. On 11/14/2025 LPA Gutierrez interviewed staff 3 (S3) over the telephone. During today’s visit LPA Gutierrez delivered findings.

SEE LIC 9099C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2025
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-20250917104641
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: DAZION INC
FACILITY NUMBER: 198603369
VISIT DATE: 11/16/2025
NARRATIVE
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In regard to the allegation “Staff inappropriately touched resident.”, it is alleged that staff touched C1 in his/her private parts. This allegation was investigated by Investigations Branch (IB), investigator J. Canto, which revealed the following: During interviews with Regional Representative, it was revealed that C1 has a history of making allegations when wants and needs are not met. C1 made allegations against previous placement. Contact with Pomona PD Officer Melgoza indicated the allegation of potential sexual abuse/battery to be unfounded. Investigator Canto interviewed C1 and C1 was unable to give specific dates, times, and details of incident. LPA Gutierrez interviewed Administrator and three (3) staff and four out of four (4) all stated that no inappropriate touching of a client has ever happened. During interviews with one (1) resident it was stated that staff has never touched them inappropriately.

In regard to the allegation “Staff has inappropriate interaction with resident.”, it is alleged that staff hugs, kisses clients on the head, and tickles clients. During interviews with Administrator and staff four (4) out of four (4) stated that they never acted inappropriately with clients or witnessed staff act inappropriately with clients. S1 stated that they have a client that when having behavior issues hugging will calm him/her down. During interviews with clients one (1) out of two (2) clients stated that they have not had any inappropriate interactions with staff. C2 stated that any interactions with staff has never been in a bad way. C3 is non-verbal. Interview with Investigations Branch (IB), investigator J. Canto reveled that C1 could not describe any inappropriate interactions with staff.

In regard to the allegation “Staff hit resident”, it is alleged that staff hit clients. During interviews with Administrator and staff four (4) out of four (4) stated that they have never hit a client in care. During interviews with clients one (1) out of two (2) clients stated that they have never been hit by staff. C2 stated there was an incident with a staff member that is no longer there. LPA asked C2 if he/she was hit and C2 stated no. C3 is non- verbal.

SEE LIC 9099C

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250917104641
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: DAZION INC
FACILITY NUMBER: 198603369
VISIT DATE: 11/16/2025
NARRATIVE
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In regard to the allegation “Staff cannot effectively communicate with resident.”, it is alleged that staff speak another language and clients can’t understand them. During interviews with Administrator and staff four (4) out of four (4) stated that they all speak English and clients have never had any problems with communication. During interviews with clients one (1) out of two (2) clients stated there wasn’t any language barrier. C2 stated that staff does talk to each other in a different language. C3 is non-verbal. LPA spoke with four staff members and was able to communicate effectively with all four staff.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. 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. An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Christian Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3