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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603650
Report Date: 12/22/2025
Date Signed: 12/22/2025 02:03:49 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
12/15/2025 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251215170415
FACILITY NAME:DIGNITY HOME CENTER INC. IIFACILITY NUMBER:
198603650
ADMINISTRATOR:DUROMOLA, ADEBOWALE EVELYNFACILITY TYPE:
735
ADDRESS:211 S LARK ELLEN AVETELEPHONE:
(626) 922-3944
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY:4CENSUS: 4DATE:
12/22/2025
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Oludayo Edgal - Co-AdministratorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff does not treat client with dignity or respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced initial complaint visit to
investigate the above allegation. LPA met with Veronica Nosike, DSP II and explained the purpose
of the visit. At 10:58am, Oludayo Edgal, Co-Administrator arrived and assisted LPA with the investigation.

The investigation consisted of the following: LPA conducted a tour of the facility and obtained copies of the staff & client rosters, House rules, Staff #3 (S3) in-service training log regarding Clients rights/Zero Tolerance Policy (07/25/2025), and Client #1 (C1)'s files such as; Face sheet/Identification & Emergency Information, Admission Agreement (12/21/2023), Client's rights, Physician's report (05/05/2025), Functional Capability Assessment (01/02/2024), Medical appointments/Hospitalizations (Jan. 2025-Nov. 2025), Medication list, Quarterly behavioral report (04/17/2025,07/17/2025 & 10/17/2025) and Individual Program Plan (IPP) 01/30/2023 & 01/16/2025). LPA interviewed Staff #1 (S1) - Staff #2 (S2) and Client #1 (C1) in person, Staff #3 (S3), San Gabriel Pomona Regional Center Service Coordinator (SC) and Quality Assurance Representative (QA) telephonically. Client #2 (C2) - Client #4 (C4) are out in the community; therefore not interviewed. *****CONTINUED ON LIC9099-C*****
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2025
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-20251215170415
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: DIGNITY HOME CENTER INC. II
FACILITY NUMBER: 198603650
VISIT DATE: 12/22/2025
NARRATIVE
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The Investigation revealed the following:

Regarding allegation: "Staff does not treat client with dignity or respect." It is alleged that C1 reported during an in person meeting on 12/11/2025, that staff is mean and mistreating them. (3) of (3) staff interviewed stated they never heard or seen any staff being mean or mistreating clients. S1 stated that the facility has zero tolerance policy for that kind of behavior and that personal rights/zero tolerance policy in service training are being conducted to staff members regularly. S3 stated they never hit or mistreated any clients. All (3) staff interviewed stated they prioritize clients and treat them with dignity and respect. Interview with C1 revealed that S3 treated them badly, but C1 stated that they feel safe in the home and did not want to move out. LPA reviewed C1's documents and showed that C1 has a history of lying and being suspicious of others. The allegation is now being investigated by theĀ Regional Center, and the investigation is still ongoing. There was no other witnesses to the alleged incident. Based on statements and interviews conducted with client and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the 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 and a copy of this report was provided to Oludayo Edgal, Co-Administrator
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2025
LIC9099 (FAS) - (06/04)
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