306005938-6-10-2026-22-AS-APAO-DVU5D8-20260709195130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005938
Report Date: 06/10/2026
Date Signed: 06/10/2026 04:56:28 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/03/2026 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20260603163021

FACILITY NAME:	VIOLA HOMES ESTATE		FACILITY NUMBER:	306005938
ADMINISTRATOR:	OLUWATOSIN AJIJOLA		FACILITY TYPE:	735
ADDRESS:	810 W. CIRCLE DRIVE		TELEPHONE:	(714) 867-7070
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	4	CENSUS: 4	DATE:	06/10/2026
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Administrator- Oluwatosin Ajijola		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff injured client

INVESTIGATION FINDINGS:

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On June 10, 2026, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced initial complaint visit and delivered findings at the facility for the above allegation. LPA Kim met with Administrator (ADMIN) Oluwatosin Ajijola and explained the purpose of the visit.

During today's visit, LPA Kim conducted a physical tour of the facility with ADMIN Ajijola LPA Kim reviewed and obtained copies of the resident roster, staff roster, staff schedule, and two (2) client records which include: Identification and Emergency Information, Physician's Report, Needs and Services Plans/Reappraisal, and other pertinent records. LPA Kim reviewed and obtained four (4) staff records LIC501, emergency contact information, and other pertinent records LPA Kim conducted interviews with two (2) clients and six (6) staff.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

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 22-AS-20260603163021

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: VIOLA HOMES ESTATE	FACILITY NUMBER: 306005938
	VISIT DATE: 06/10/2026

NARRATIVE

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Allegation: Staff injured client
It is alleged there was bruising on Client #1’s (C!) arms which was caused by staff restraining C1 during a behavioral episode on May 28, 2026..

Based on investigation, on May 28, 2026, at 6:50 AM, C1 was upset that the staff was serving cereal to them because they were told by their doctor it was too sugary. S1 and S3 stated to C1 that they were allowed to have cereal. C1 was upset and S1 and S3 started to de-escalate the situation. Based on interviews, S1 and S3 believed C1 was heading to their room after they de-escalated situation. C1 did not go to their room and opened a kitchen drawer and took a spatula then headed toward another client’s room to attack them. S1 attempted to redirect C1, but C1 was being aggressive towards S1 in order to attack another client. S1 restrained C1. When C1 calmed down, C1 headed to their room and called 911. It was stated on the facility incident record, C1 call 911 and wanted to be taken to the hospital.

Police came and the officer reviewed the situation and determined that C1 did not need to be hospitalized. Based on facility incident record, after the police left the facility, C1 proceeded to be aggressive verbally and physically towards all staff and all clients. Then C1 went to the kitchen and acquired another kitchen item to attack staff and clients. S1 proceeded to restrain C1. Based on interviews with S1, S3, S4, and C2, they all stated the S1 restrained C1 in a proper and gentle manner. S1, S4, and C2 stated that C1 apologized to all staff and clients for their behavior. Based on interviews, S1, S3, and S4 stated that S1 restrained C1 according to their training on restraining and CPI holds. S1, S3, and S4 stated body check assessment for C1 had not injuries of bruises, scratches, or other concerns. Based on training records S1, S3, and S4 have CPI training that are current and valid.

On May 29, 2026, S1 and S5 accompanied C1 and C2 to an outing. They arrived at the store to purchase some personal items. C1 stated they wanted to buy shoes and other item and they admitted they were aggressive on the ride back to the facility. They stated they were sorry and were remorseful for attacking S1 and C2 during the ride back. S1, S5, and C2 stated there was incident where C1 pulled C2’s hair and C2 responded by punching C1 in the face. Later on during the ride, C1 attacked S1 while S1 was driving. S1 pulled the car to the side and informed the Administrator of the situation. S5 escorted C2 out of the car, while S1 discussed with C1 their actions. S1 stated they restrained C1’s arm and knee until she calmed down according to CPI training. C1 agreed to move to the back of the van. S5 and C2 returned to the car.
Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260603163021

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: VIOLA HOMES ESTATE	FACILITY NUMBER: 306005938
	VISIT DATE: 06/10/2026

NARRATIVE

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Everyone returned to the facility. The incident report received by OC Regional office confirms all of this.
When C1 returned to their room they started scratching themselves and hitting their head. S1 restrained C1 to help them refrain from hurting themselves. Based on photos taken by S1 and body assessment form dated May 29, 2026, C1 had scratches on both of their wrists and arms, redness on their back, and some discoloration on their head. Later, C1 would call 911 and told the operator that they wanted to kill themselves and kill all staff and clients at the facility. Based on hospital records, the reason C1 was hospitalized was due to suicidal thoughts. Resident was hospitalized on May 29, 2026, and was discharged back to the facility on June 1, 2026.

Based on the information gathered, there is no sufficient evidence gathered to confirm the above allegation.
Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegation Staff injured client. Although the allegation may have happened or are 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 was conducted and a copy of the report was provided to Administrator Oluwatosin Ajijola.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026

LIC9099 (FAS) - (06/04)

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