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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320126
Report Date: 03/01/2024
Date Signed: 03/01/2024 01:03:34 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
10/20/2022 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20221020140717
FACILITY NAME:SUCCESSFUL PEOPLE LLCFACILITY NUMBER:
198320126
ADMINISTRATOR:AKINMADE, OLUWATOSINFACILITY TYPE:
735
ADDRESS:7353 W 87TH PLACETELEPHONE:
(310) 902-4893
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY:6CENSUS: 2DATE:
03/01/2024
UNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Shelia FikesTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff slapped a resident in care.
Staff spoke inappropriately to a resident in care.
Staff are not meeting resident's dietary needs.
Staff do not ensure resident has liquids.
Staff kicked client.
Staff inappropriately disciplined client.
INVESTIGATION FINDINGS:
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On 03/01/24, at 09:00am, Licensing Program Analysts (LPAs) Perry Scott and Troy Watson conducted a subsequent unannounced visit to the facility and was greeted by Shelia Fikes, DSP. LPA explained the purpose of this visit is to gather additional information and deliver findings for the allegations mentioned above.

The investigation consisted of the following: An initial complaint visit was completed by LPA Martessa Brown on 10/28/22. A subsequent visit was completed by LPAs Perry Scott and Troy Watson on 03/01/24. LPAs investigated the allegations mentioned in this complaint; and conducted interviews with clients and staff. Client Roster, Staff Roster, Physicians report, ID/Emergency records for C1 were obtained from the facility.

The investigation revealed the following: Allegation #1- Staff slapped a resident in care.

Report continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
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 5
Control Number 11-AS-20221020140717
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 LLC
FACILITY NUMBER: 198320126
VISIT DATE: 03/01/2024
NARRATIVE
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On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3), Westside Regional Center Program Manager (W1) and client (C2) regarding the allegation. Client (C1) is no longer at the facility due to a higher level of care needed. The details of the complaint alleged that the facility staff (S1) slapped client on the back causing C1 to fall to the floor because C1 asked for a slice of pizza. 3 of 3 staff denied the allegation that Staff slapped a resident in care. All staff (S1-S3) stated that they do not hit their clients or discipline them in any way, they use behavior modification or redirection techniques to calm down the clients when they get agitated. S1 stated that S1 never kicked or slapped C1, S1 stated that S1 only asked C1 to sit down on that day. LPA interviewed C2 about the allegation that Staff slapped a resident in care. 1 of 2 clients interviewed denied the allegation and stated the staff does not touch the clients in that way and has not touched C2 in that way. Client (C1) is no longer at the facility due to a higher level of care needed. LPA interviewed W1 about C1 and W1 stated that C1 needed a higher level of care and was no longer at the facility and was transferred to a crisis center.

Based on interviews there is insufficient evidence to support the allegation that the Staff slapped a resident in care. 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.

Allegation # 2- Staff spoke inappropriately to a resident in care.

On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3), Westside Regional Center Program Manager (W1) and client (C2) regarding the allegation. Client (C1) is no longer at the facility due to a higher level of care needed. The details of the complaint alleged that the facility staff member (S1) told C1 that C1 was always asking for more food than the other clients and spoke to C1 in an inappropriate manner.

Report continued on LIC9099-C

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20221020140717
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 LLC
FACILITY NUMBER: 198320126
VISIT DATE: 03/01/2024
NARRATIVE
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3 of 3 staff denied the allegation that Staff spoke inappropriately to a resident in care. All staff (S1-S3) stated that they are trained to care for the clients and speak to them in an appropriate manner and have never spoken in an inappropriate way. LPA interviewed C2 about the allegation that Staff spoke inappropriately to a resident in care. 1 of 2 clients interviewed denied the allegation and stated that at no time has any of the staff spoke to them inappropriately. Client (C1) is no longer at the facility due to a higher level of care needed. LPA interviewed W1 about C1 and W1 stated that C1 needed a higher level of care and was no longer at the facility and was transferred to a crisis center.

Based on interviews, there is insufficient evidence to support the allegation that the Staff spoke inappropriately to a resident in care. 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.

Allegation # 3- Staff are not meeting resident's dietary needs.

On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3) and client (C2) regarding the allegation. Client (C1) is no longer at the facility due to a higher level of care needed. The details of the complaint alleged that the facility staff are not meeting the dietary needs of the client. 3 of 3 staff denied the allegation that Staff are not meeting resident's dietary needs. All staff (S1-S3) stated that they are providing the clients with three meals per day that are nutritionally balanced. LPA interviewed C2 about the allegation that Staff are not meeting resident's dietary needs. 1 of 2 clients interviewed denied the allegation and stated that they are getting nutritious food at the facility, and they like it. Client (C1) is no longer at the facility due to a higher level of care needed. LPA reviewed the meal plan and observed that they are getting a nutritious diet daily.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff are not meeting resident's dietary needs. 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.

Report continued on LIC9099-C

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 11-AS-20221020140717
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 LLC
FACILITY NUMBER: 198320126
VISIT DATE: 03/01/2024
NARRATIVE
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Allegation # 4- Staff do not ensure resident has liquids.

On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3) and clients (C2) regarding the allegation. Client (C1) is no longer at the facility due to a higher level of care needed. The details of the complaint alleged that the facility staff members are not giving C1 enough liquids. 3 of 3 staff denied the allegation that Staff do not ensure resident has liquids. All staff (S1-S3) stated that when C1 was at the facility C1 received as much liquid as C1 desired. Staff stated that whenever C1 stated that C1 was thirsty C1 was given what C1 wanted. LPA interviewed C2 about the allegation that Staff do not ensure resident has liquids. 1 of 2 clients interviewed denied the allegation and stated that the staff gives them juice, water, and soda whenever they want it. Client (C1) is no longer at the facility due to a higher level of care needed.

Based on interviews, there is insufficient evidence to support the allegation that the Staff do not ensure resident has liquids. 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.

Allegation # 5- Staff kicked client.

On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3), Westside Regional Center Program Manager (W1) and clients (C2) regarding the allegation. Client (C1) is no longer at the facility due to a higher level of care needed. The details of the complaint alleged that the facility staff member (S1) kicked C1. 3 of 3 staff denied the allegation that Staff kicked client. All staff (S1-S3) stated that they have never kicked any client while in care. S1 stated that S1 has never kicked C1. The only thing that happened was that S1 asked C1 to sit down, and there was no aggression on S1s part, and no violence occurred. LPA interviewed C2 about the allegation that Staff kicked client. 1 of 2 clients interviewed denied the allegation and stated that they have never been kicked or mistreated while in care. Client (C1) is no longer at the facility due to a higher level of care needed. LPA interviewed W1 about C1 and W1 stated that C1 needed a higher level of care and was no longer at the facility and was transferred to a crisis center.

Based on interviews, there is insufficient evidence to support the allegation that the Staff kicked client. 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.

Report continued on LIC9099-C

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20221020140717
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 LLC
FACILITY NUMBER: 198320126
VISIT DATE: 03/01/2024
NARRATIVE
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Allegation # 6- Staff inappropriately disciplined client.

On 03/01/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S3), Westside Regional Center Program Manager (W1) and client (C2) regarding the allegation. The details of the complaint alleged that the facility staff member inappropriately disciplined clients. 3 of 3 staff denied the allegation that Staff inappropriately disciplined client. All staff (S1-S3) stated that they have never disciplined any clients in a manner that was not appropriate. S1 stated that S1 did not discipline any client and stated that they do not put their hands on the clients. LPA interviewed (C2) about the allegation that Staff inappropriately disciplined client. 1 of 2 clients interviewed denied the allegation and stated that the staff does not discipline them. Client (C1) is no longer at the facility due to a higher level of care needed. LPA interviewed W1 about C1 and W1 stated that C1 needed a higher level of care and was no longer at the facility and was transferred to a crisis center.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff inappropriately disciplined client. 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.

No deficiencies were cited during this visit.

An exit interview was conducted, and a copy of this report was provided to Shelia Fikes, DSP.

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5