198320282-4-9-2026-11-AS-JHAD-DSZNRH-20260410104133

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320282
Report Date: 04/09/2026
Date Signed: 04/09/2026 01:06:42 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
03/30/2026 and conducted by Evaluator Perry Scott

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20260330165035

FACILITY NAME:	ACOSTA FAMILY HOME II		FACILITY NUMBER:	198320282
ADMINISTRATOR:	ACOSTA, ASHLEY		FACILITY TYPE:	735
ADDRESS:	1811 EAST ABILA STREET		TELEPHONE:	(310) 604-8740
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	4	CENSUS: 0	DATE:	04/09/2026
		UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Ashley Acosta		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staffing is insufficient

INVESTIGATION FINDINGS:

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On 4/9/26, at 12:30pm, the department conducted an initial complaint visit to the facility and was greeted by Ashley Acosta, Administrator. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegation mentioned above.

The investigation consisted of the following: The department investigated the allegation mentioned in this complaint and conducted an interview with staff (S1).

The investigation revealed the following: Allegation- Staffing is insufficient.

The details of the complaint alleged that the facility is operating without sufficient staff to take care of the clients. On 4/9/2026, from 12:30pm-1:30pm, the department interviewed staff (S1) regarding the allegation. 1 of 1 staff denied the allegation that Staffing is insufficient. Staff stated that the facility is closed and has no more clients in care. Staff stated that the last client left on 03/07/2026 and relocated to another facility.

Report Continued On LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

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 11-AS-20260330165035

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: ACOSTA FAMILY HOME II	FACILITY NUMBER: 198320282
	VISIT DATE: 04/09/2026

NARRATIVE

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The department toured the facility and verified that the facility has no clients and no need for staff. The department also observed that all of the clients’ belongings were removed.

The department reviewed the notice of closure documents and eviction notices sent to Community Care licensing Division on 01/20/2026. The facility also sent a notice of closure letter to Harbor Regional Center and gave each client an eviction notice letter, according to Title 22 regulations. The department observed and verified that all parties were notified of the closure and no longer have any clients in care.

Based on interviews and records that were reviewed, there is insufficient evidence to support the allegation that Staffing is insufficient because the facility has closed and no longer has any clients 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.

No deficiencies were found and no citations were issued for this complaint investigation.

An exit interview was conducted with Ashley Acosta, Administrator, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2026

LIC9099 (FAS) - (06/04)

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