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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881280
Report Date: 04/11/2026
Date Signed: 04/11/2026 11:05:40 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2024 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240321113147
FACILITY NAME:OLUWATOYIN HOME, LLCFACILITY NUMBER:
331881280
ADMINISTRATOR:OLUWATOYOSI ADERONMUFACILITY TYPE:
735
ADDRESS:1777 VIA VERDE DRIVETELEPHONE:
(909) 320-7971
CITY:RIALTOSTATE: CAZIP CODE:
92377
CAPACITY:4CENSUS: 2DATE:
04/11/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Olaide Osibogun- LicenseeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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9
Staff did not provide a safe environment for resident.
Lack of supervision resulting in resident assaulting another resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Licensee Olaide Osibogun and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff did not provide a safe environment for resident. Regarding the allegation stated above, LPA conducted an interview with Staff #1 Staff #2 and Staff #3, regarding the alleged allegation Staff #1-3 informed LPA that Client #1 was a former client at the facility. Staff #1-3 further explained that Client #2 was having a behavioral episode and threw a phone which hit Client #1 on the face, which resulted in Client #1 to sustain a nosebleed. Furthermore, staff informed LPA that staff immediately intervened, redirected Client #2 and provided immediate medical attention to Client #1. Staff #3 informed LPA that clients were separated and additional supervision was implemented for clients. Staff #1-3 informed LPA that all clients are kept safe and no incidents concerning clients assaulting clients have occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2026
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 56-AS-20240321113147
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: OLUWATOYIN HOME, LLC
FACILITY NUMBER: 331881280
VISIT DATE: 04/11/2026
NARRATIVE
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Second allegation: Lack of supervision resulting in resident assaulting another resident. Regarding the allegation stated above, LPA conducted an interview with Staff #1 Staff #2 and Staff #3, regarding the alleged allegation Staff #1-3 informed LPA that during the time of the incident when Client #1 was hit with a phone by Client #2 two staff were present. Staff further stated that at the time of the incident Client #2 did not intentionally hit Client #1 staff explained that at the time of the incident Client #2 was having a behavioral episode and staff informed Client #2 that staff was going to contact local police department and Client #2 took the phone from staff and threw the phone not knowing it was going to hit Client #1. Staff further indicated that local police department later arrived. LPA conducted an interview with Client #2 regarding the alleged allegation Client #2 informed LPA that client never intended to hit Client #1 or any client at all. Client #2 informed LPA client has not had any issues or any incidents concerning Client#2 assaulting clients. Client #2 informed LPA that clients are always being supervised. Based on corroborating evidence LPA has determined that the above allegations are Unsubstantiated, meaning that 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.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Licensee Olaide Osibogun.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2026
LIC9099 (FAS) - (06/04)
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