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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320332
Report Date: 02/14/2025
Date Signed: 02/14/2025 05:28:49 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2025 and conducted by Evaluator Wendy Gibbs
COMPLAINT CONTROL NUMBER: 11-AS-20250206115720
FACILITY NAME:TRUE DESTINYFACILITY NUMBER:
198320332
ADMINISTRATOR:REED, SHEILAFACILITY TYPE:
735
ADDRESS:10613 S 8TH AVE.TELEPHONE:
(310) 704-4476
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:4CENSUS: 4DATE:
02/14/2025
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Lexus TwymanTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff yell and scream at the clients
Staff deny a client access to the kitchen
Staff force Client to leave facility during the day due to lack of staff
INVESTIGATION FINDINGS:
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On 02/14/2025, the department conducted an unannounced complaint visit to the facility listed above. The department met with Administrator, Lexus Twyman and was later joined by Licensee, Sheila Reed, and the purpose of today’s visit was explained.

During today’s visit the department toured the facility, interviewed Staff S1-3, interviewed Clients C1-C4, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Physician’s Report, Individual Program Plan (IPP), Psychological Report, Rights of Individuals with Developmental Disabilities, Menu, House Rules, Staff Responsibilities, and Staff training.

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
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 4
Control Number 11-AS-20250206115720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: TRUE DESTINY
FACILITY NUMBER: 198320332
VISIT DATE: 02/14/2025
NARRATIVE
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Staff yell and scream at the clients.
The allegation alleges that staff scream and yell at the clients.

The department received and reviewed a copy of Rights of Individuals with Developmental Disabilities that is in each of the Client’s file and posted in their rooms. Additionally, the department received and reviewed Staff Training logs and observed on 01/08/2025 staff received training regarding Client Needs, Client Supervision and Awareness. The department reviewed staffs CPI Nonviolent Crisis Intervention cards that are valid till 09/09/2025.


During interviews with Staff S1-S3, were asked if they have or have heard staff yell at clients, three out of three stated they have not heard staff yell at clients. Additionally, during interviews, Staff S1 stated they have heard staff talk loudly, when a Client is having a behavior, to be heard for de-escalation purposes.
During interviews with Clients C1-C4, were asked if staff have yelled at them or if they have heard staff yell at other Clients, four out of four stated they have not been yelled at and have not heard staff yell at other clients.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20250206115720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: TRUE DESTINY
FACILITY NUMBER: 198320332
VISIT DATE: 02/14/2025
NARRATIVE
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Staff deny a client access to the kitchen.
The allegation alleges that staff deny access to the kitchen after 8:30PM.
During the facility tour, the department observed the kitchen is accessible to Clients
in the home. The department observed Clients cooking and preparing snacks in the kitchen.
The department received and reviewed staff training logs regarding Client Needs including the use of the kitchen and access to food.
During interviews with Staff S1-S3, were asked if Clients have access to the kitchen and food when they want, three out of three stated the kitchen closes at 10PM (Clients are asked not to use the stove) but snacks are always available anytime.
During interviews with Clients C1-C4, were asked if they have access to the kitchen and food when they want, four out of four stated it is closed to cook after 10PM but they can always go in and get a snack like apples, oranges, crackers, toast, or anything we have to snack on.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20250206115720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: TRUE DESTINY
FACILITY NUMBER: 198320332
VISIT DATE: 02/14/2025
NARRATIVE
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Staff force client to leave the facility during the day due to lack of staff.
The allegation alleges that client is forced to leave during the day because there is no staff on shift during the day.
The department received and reviewed the staff schedule and did not observe staff scheduled between 8am and 2pm.
During interviews with Staff S1-S3, were asked if Clients are forced to leave the facility due to staff not being there, three out of three stated if a client does not want
to go to day program, or out into the community, or is home sick staff will stay with them.
During interviews with Clients C1-C4, were asked if they have been forced to leave the facility due to staff not being there, four out of four stated they are able to stay home if they want to and staff will stay with them. Additionally, during an interview with C1, they stated they choose to leave the facility in the mornings and be out in the community and if they want to stay someone will stay.

During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

During today’s visit the department did not observe or cite any deficiencies.

An exit interview was conducted with Licensee, Sheila Reed, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4