331881302-2-13-2026-56-AS-EMAN-DRGTHN-20260220134502

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881302
Report Date: 02/13/2026
Date Signed: 02/13/2026 11:32:55 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 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
11/25/2025 and conducted by Evaluator Hannah Rodgers

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20251125100423

FACILITY NAME:	PASSIONATE HOME 1		FACILITY NUMBER:	331881302
ADMINISTRATOR:	OLAJUMOKE IJABADENUYI		FACILITY TYPE:	735
ADDRESS:	29340 GRAND SLAM		TELEPHONE:	(323) 671-6789
CITY:	LAKE ELSINORE	STATE: CA	ZIP CODE:	92530
CAPACITY:	4	CENSUS: 4	DATE:	02/13/2026
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator Olajumoke Ijabadenuyi		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Staff did not prevent a client from sustaining injuries while in care
Staff inappropriately restrained a client in a closet
Staff hit a client
Staff mishandled a client's medication
Staff did not meet client's bathing needs
Staff did not provide client with meals

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Administrator Olajumoke Ijabadenuyi.
On November 25, 2025, it was alleged staff did not prevent a client from sustaining injuries while in care, staff inappropriately restrained a client in a closet, staff hit a client, staff mishandled a client's medication, staff did not meet client's bathing needs, and staff did not provide client with meals. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, client, and outside source interviews.
According to the allegations received, on November 24, 2025, Client #1 (C1) was found to have bruising on their arms and a red abrasion on their forehead. It was also alleged that C1 was found to be restrained in a closet by staff, that staff hit C1, that staff were unable to verify that C1 received their medications, and that staff had not bathed or fed C1.
[Continued on LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

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 56-AS-20251125100423

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: PASSIONATE HOME 1	FACILITY NUMBER: 331881302
	VISIT DATE: 02/13/2026

NARRATIVE

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Review of C1’s behavioral services annual report dated October 2025 revealed that C1 will bang their head or teeth on the ground. C1 will also bite or scratch their arms. Interviews with staff corroborated C1’s self-injurious behaviors. Review of facility records revealed that staff maintained a log for C1’s self-injurious behaviors and on November 24, 2025, there was a total of eight self-injurious behaviors logged. Interviews with staff and outside sources did not reveal that C1 was restrained in their closet, nor did they reveal that staff hit C1. Review of C1’s Medication Administration Record (MAR) revealed that on November 24, 2025, C1 was administered their medications and interviews with staff corroborated C1 received their medications. Interviews with staff and outside sources did not reveal that staff had not bathed C1 nor did staff not feed C1.

Based on interviews and records review, the investigation did not yield a preponderance of evidence to conclude that staff did not prevent a client from sustaining injuries while in care, staff inappropriately restrained a client in a closet, staff hit a client, staff mishandled a client's medication, staff did not meet client's bathing needs, and staff did not provide client with meals. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator Olajumoke Ijabadenuyi, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2026

LIC9099 (FAS) - (06/04)

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