191800884-4-3-2025-11-AS-SCIS-DGHMVC-20250509095631

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191800884
Report Date: 04/03/2025
Date Signed: 04/03/2025 02:48:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250401105009

FACILITY NAME:	WILLING WORKERS, INCORPORATED		FACILITY NUMBER:	191800884
ADMINISTRATOR:	WENDY CARROLL LANIER		FACILITY TYPE:	775
ADDRESS:	4813 W WASHINGTON BLVD		TELEPHONE:	(323) 937-5950
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	240; 240	CENSUS: 89	DATE:	04/03/2025
		UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Ronald Revere		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff handled resident in an inappropriate manner.

INVESTIGATION FINDINGS:

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On 04/03/25, the department conducted an unannounced complaint visit to further investigate the above-mentioned allegations and deliver findings. The department met with Program Director, Ronald Revere, and explained the purpose of today’s visit.

The investigation consisted of the following: On 04/03/25, the department reviewed client files, requested, and received the following documents: staff roster, client roster, and copies of Physician Report (dated: 09/26/24), and South Central Los Angeles Regional Center Individual Program Plan (dated 06/11/24). Additionally, the department conducted interviews with staff #1-#7 (S1-S7), clients #2-#8(C2-C8), and attempted to interview client #1 (C1).

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

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 11-AS-20250401105009

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WILLING WORKERS, INCORPORATED	FACILITY NUMBER: 191800884
	VISIT DATE: 04/03/2025

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff handled resident in an inappropriate manner. It is alleged that a client sat on the ground, and a staff member pulled the client’s both legs, and dragged them off to the side away from the buses.

On 04/03/25, between 9:50 AM – 11:30 AM, the department interviewed S1-S7. Based on interviews conducted, 7 out of 7 staff interviewed stated that they don’t know of an incident involving a staff pulling and dragging a client by the legs. 7 out of 7 staff interviewed stated that they always treat clients with dignity and respect. An interview conducted with S1 revealed that nothing like this has ever surfaced nor been brought up to their attention. S1 also stated that this facility has zero tolerance for any type of abuse.

On 04/03/25, between 11:35 AM – 12:35 PM, the department interviewed C1-C8. Based on interviews conducted 7 out of 8 clients interviewed revealed that they do not know of an incident involving a staff pulling and dragging a client by the leg. 1 out of 8 clients interviewed was unable to communicate with the department. 7 out of 8 clients interviewed stated that all staff treat them with dignity and respect. 1 client was unable to communicate with the department. 8 out 8 clients interviewed stated that they are satisfied with the services being provided to them.

Continued on LIC9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250401105009

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WILLING WORKERS, INCORPORATED	FACILITY NUMBER: 191800884
	VISIT DATE: 04/03/2025

NARRATIVE

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Based on the information gathered, interviews conducted, and records reviewed, the Department found no evidence to support the allegation mentioned above. 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, therefore the allegation is Unsubstantiated.

An exit interview was conducted with Executive Director, Jitahadi Imara, and a copy of the report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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