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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006192
Report Date: 07/22/2025
Date Signed: 07/22/2025 10:07:58 AM

Substantiated


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
07/15/2025 and conducted by Evaluator Michael Tea
COMPLAINT CONTROL NUMBER: 22-AS-20250715162429
FACILITY NAME:VIOLA HOMES ESTATEFACILITY NUMBER:
306006192
ADMINISTRATOR:SNETTER, MIATTAFACILITY TYPE:
735
ADDRESS:15770 AZALEA WAYTELEPHONE:
(323) 304-4620
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:4CENSUS: 4DATE:
07/22/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Stephanie AguilarTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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- Facility centrally stored medication is accessible to facility clients due to a faulty lock
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conduct a complaint investigation. LPA Tea was greeted and granted entry by House Manager (HM) Stephanie Aguilar and explained the reason for the visit.

The department received a complaint on July 15, 2025, and LPA Tea conducted the initial 10-day visit on July 22, 2025. LPA Tea spoke to facility staff and made observations. The investigation determined the following:

LPA asked HM Aguilar where the client medications are stored. The medications are locked in a moveable storage cabinet that has wheels in the kitchen. LPA asked HM Aguilar to lock up the medication. In the beginning the house manager was having difficulties locking up the medication but was able to lock up the medication. LPA then attempted to try to lock up the medication and struggled to lock up the cabinet.

Complaint Investigation Report continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
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 22-AS-20250715162429
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: 306006192
VISIT DATE: 07/22/2025
NARRATIVE
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Therefore, the cabinet lock was rendered faulty, leaving medications unsecured. Prior to LPA’s visit, HM Aguilar has addressed the issue with the medication cabinet lock with Administrator (AD) Oluwatosin Ajijola. AD Ajijola fixed the faulty lock but as of today’s visit the medication cabinet is unable to consistently lock properly making it accessible to clients.

Therefore, based on LPA Tea's observations and interview conducted, the allegation facility centrally stored medication is accessible to facility clients due to a faulty lock is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred.

The following are being cited per California Code of Regulations Title 22 Division 6 Chapter 8.

An exit interview was conducted with House Manager Stephanie Aguilar and Administrator Oluwatosin Ajijola over the phone and a copy of this report and appeal rights was provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20250715162429
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: 306006192
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/23/2025
Section Cited
HSC
80075(k)(i)
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Health Related Services ... Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by:
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During today's visit facility house manager secured the medication in the filing cabinet temporarily until they get a replacement medication cabinet. The facility will call the phamarcy today to get a replacement cabinet and provide an invoice to the LPA.
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Based on LPA's observation, the lock of the medication cabinet is still faulty during the visit. This poses an immediate health and safety risk to the the clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3