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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603369
Report Date: 12/13/2025
Date Signed: 12/13/2025 12:11:43 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
09/16/2025 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250916104213
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:
12/13/2025
UNANNOUNCEDTIME BEGAN:
11:39 AM
MET WITH:Edwin Offol, DSP and Peter Ayaji, Manager TIME COMPLETED:
12:16 PM
ALLEGATION(S):
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Staff member physically assaulted client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to deliver findings for the allegation listed above. LPA met with Edwin Offol, DSP and Edwin Offol, DSP and Peter Ayaji, Manager arrive a short time later. LPA took tour of facility.

On 09/16/2025 Licensing Program Analyst (LPA), Alberto Lopez conducted an unannounced health and safety check visit in response to the above-mentioned allegation. LPA met with Peter Ajayi, Manager, and discussed the purpose of the visit. Administrator Adedolapo Olusoji assisted with the visit and facilitated the record review.

The investigation consisted of the following: LPA inspected the physical plant including the common areas, dining room, kitchen and food supplies. LPA also obtained copies of staff and client rosters, and C1 pertinent information from C1 file
(CONTINUED)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2025
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-20250916104213
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: DAZION INC
FACILITY NUMBER: 198603369
VISIT DATE: 12/13/2025
NARRATIVE
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(CONTINUED FROM 9099)

The facility has sufficient (2) day perishable and (7) days non-perishable food supplies. LPA did not observe any signs of neglect, abuse or other immediate signs of health and/or safety concerns.

It has been determined that the above allegation will require further investigation.
Exit interview was conducted and a copy of this report was provided to Administrator Adedolapo Olusoji

The department obtained and reviewed staff and client rosters, C1 face sheet and other pertinent information, interviews with three (3) Staff (#1-#3) staff and three (3) clients (C#1 -C#3)

The investigation revealed regarding allegation: Staff member physically assaulted client in care. It is alleged a staff physically pushed client and applied pressure to C1 neck.

The department interviewed three (3) staff members, all three denied the allegation. The department interviewed three (3) clients and all three could not corroborate the allegation. During the department’s interview with C1, C1 was unable to describe an incident of abuse between C1 and a staff member. C1 has a documented history of violence and aggression towards staff members who work in the home. The Pomona Police Department arrived on scene and determined no crime had occurred and did not pursue an investigation. Based on Interviews conducted by the department, and evidence collected, there is not enough evidence to prove that the accusation of physical abuse occurred between staff member and C1.

Based on interviews, files reviewed and observations; 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 and a copy of this report was provided.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2