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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800195
Report Date: 12/12/2025
Date Signed: 12/12/2025 01:49:56 PM

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
10/10/2025 and conducted by Evaluator Renese Howell-Small
COMPLAINT CONTROL NUMBER: 56-AS-20251010154830
FACILITY NAME:JDJ BEHAVIORAL INCORPORATEDFACILITY NUMBER:
361800195
ADMINISTRATOR:ELIZABETH GONZALEZFACILITY TYPE:
735
ADDRESS:2385 PEACOCK AVENUETELEPHONE:
(909) 907-5867
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:4CENSUS: 4DATE:
12/12/2025
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Angela EyitayoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff pushed client and dragged on the carpet
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/12/2025 at 11:15AM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegation. LPA discussed the purpose of the visit with staff, Angela Eyitayo. The investigation consisted of interviews and record review.

In regards to the allegation of staff pushed client and dragged on the carpet:
LPA interviewed staff, Client 1 (C1) and a relative of C1. Staff denied the allegation and stated C1's behavior includes false statements. When questioned by staff, C1's explanations were inconsistent. The relative of C1 stated that they did not observe any injuries and C1 would have informed them if staff caused an injury. Based upon interviews and record review, this allegation is UNSUBSTANTIATED.

UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted where this report LIC9099 was discussed and a copy was provided to staff, Angela Eyitayo.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Renese Howell-Small
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2025
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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