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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603658
Report Date: 10/25/2024
Date Signed: 10/25/2024 10:00:38 AM

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
10/22/2024 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241022093955
FACILITY NAME:DIGNITY HOME CENTER INCFACILITY NUMBER:
198603658
ADMINISTRATOR:DUROMOLA, ADEBOWALE EVELYNFACILITY TYPE:
735
ADDRESS:230 E BENWOOD STTELEPHONE:
(626) 922-3944
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:6CENSUS: 6DATE:
10/25/2024
UNANNOUNCEDTIME BEGAN:
07:40 AM
MET WITH:Evelyn Doromola/S-1TIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Facility staff yells at clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a visit to investigate the above allegation. LPA met with Evelyn Duromola/S-1 and discussed the purpose of today's visit.

During this investigation, LPA obtained a copy of the staff and client rosters, reviewed C-1's file and obtained relevant documentation, interviewed Staff #1 (S-1) through Staff # 3 (S-3) and interviewed Client #1 (C-1) through Client #3 (C-3). Client #4 (C-4) was asleep during the time of this visit. LPA was unable to interview Client #5 (C-5) and Client #6 (C-6) as both are non-verbal.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
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-20241022093955
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: DIGNITY HOME CENTER INC
FACILITY NUMBER: 198603658
VISIT DATE: 10/25/2024
NARRATIVE
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Allegation: Facility staff yells at clients. Client interviews revealed that staff do not yell at clients. Interviewed clients indicated that staff have not yell at them nor have they witnessed staff yelling at other clients. Interviewed clients indicated they do not have any concerns. Staff interviews revealed that staff do not yell at clients. Interviewed staff indicated they have not witnessed any staff yelling at clients. Interviewed staff indicated they are trained in mandated reporting and zero tolerance policies. Interviewed staff indicated they have not received any complaints pertaining to this matter. Staff interviews also revealed that C-1 has a history of fabricating stories. Interviews do not corroborate this allegation.

Based on record review and interviews conducted the findings indicate, 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.



An exit interview conducted, appeal rights and a copy of this report was provided to Evelyn Duromola/S-1.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2