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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320007
Report Date: 08/08/2025
Date Signed: 08/08/2025 03:41:42 PM

Substantiated


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
07/30/2025 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20250730153326
FACILITY NAME:SUCCESSFUL PEOPLEFACILITY NUMBER:
198320007
ADMINISTRATOR:MARIA DRUMMONDFACILITY TYPE:
735
ADDRESS:1141 W 133RD STTELEPHONE:
(310) 819-8032
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:4CENSUS: 2DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Frances Snoddy, AdministratorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility rooms being utilized by individuals that do not need care and supervision.
INVESTIGATION FINDINGS:
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On 8/8/25 Licensing Program Analyst (LPA) Felisa Shirley, conducted an unannounced complaint visit to the address listed above. LPA Shirley arrived and spoke to the Administrator, Francis Snoddy and the purpose of the visit was discussed. LPA was granted access to the facility.

The investigation consisted of the following:

On 8/8/25 LPA reviewed both clients files and requested copies of the following: Resident Roster, Staff roster, Staff Schedule, Identification and Emergency Contact Information, Physician’s Report and Admission Agreements. LPA Shirley interviewed Staff 1 – Staff 7 and Client 1. LPA Shirley attempted to interview C2, however C2 was not available for interview as he is non-verbal.

Con'd on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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-20250730153326
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: SUCCESSFUL PEOPLE
FACILITY NUMBER: 198320007
VISIT DATE: 08/08/2025
NARRATIVE
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The investigation revealed the following:

Allegation: Facility rooms being utilized by individuals that do not need care and supervision.

It is alleged that there were 2 adults and an infant, (A-1, A-2 and A-3) residing in a locked upstairs bedroom, located inside of this facility, that were not in need of care or supervision. LPA spoke with the Administrator who stated that A-1, A-2 and A3 were family members that were residing in the upstairs bedroom but have since moved out on 8/3/25. LPA Shirley obtained the names of these individuals. LPA Shirley requested and reviewed the resident roster and did not observe the names of A-1 and A-2 residing in the upstairs bedroom. LPA Shirley reviewed the staff roster and did not observe the names of A-1 and A-2. LPA Shirley reviewed records and found that A-1 and A-2 are fingerprint cleared and associated to this facility, but they were never employees. LPA Shirley spoke with (W-1) with Westside Regional Center who stated that they observed A-1, A-2 and A-3 in a locked room upstairs in this facility.

LPA interviewed staff 1 – staff 7 (S-1 – S-7). Of those interviewed 4 out of 7 confirmed the allegation, and 3 stated, not to my knowledge. LPA interviewed client 1 (C-1), who confirmed the allegation

Based on observations, information gathered and reviewed, and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.



Based on CCLD staff's observation and interviews conducted, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title twenty-two (22), Division six (6), is being cited, please see attached LIC-9099D.

Deficiencies were cited during today's visit.

An exit interview was conducted, and plans of corrections were developed with the Administrator, Francis Snoddy. A copy of this report and appeals rights were provided.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20250730153326
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: SUCCESSFUL PEOPLE
FACILITY NUMBER: 198320007
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2025
Section Cited
CCR
80022(b)(7)
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80022 Plan of Operation

(b) The plan and related materials shall contain the following:
(7) A sketch of the building(s) to be occupied, including a floor plan which describes the capacities of the buildings for the uses intended, room dimensions, and a designation of the rooms to be used for nonambulatory clients, if any.

This requirement was not met as evidenced by:
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Licensee will review regulation and submit written proof of understanding of the regulation and submit picture of the vacant room to LPA Shirley’s email: felisa.shirley@dss.ca.gov or fax attn: to LPA Felisa Shirley to 424-544-1016 by POC due date of 8/22/25.
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Based on interviews and records reviewed, A-1, A-2 and A-3 were residing in the locked upstairs bedroom designated for clients who require care and supervision. Licensee violated this regulation by changing the use of the room. This action poses as a potential health and safety risk to persons 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: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
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