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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320414
Report Date: 05/28/2026
Date Signed: 05/29/2026 04:16:22 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
11/12/2025 and conducted by Evaluator Pamela Bunker
COMPLAINT CONTROL NUMBER: 11-AS-20251112103653
FACILITY NAME:LEXIE RESIDENTIAL CAREFACILITY NUMBER:
198320414
ADMINISTRATOR:CLARKE, ZOIEFACILITY TYPE:
735
ADDRESS:2717 W 85 STREETTELEPHONE:
(310) 490-9095
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY:4CENSUS: 4DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Christina OfoaTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff did not prevent individual in the facility from sexually abusing client in care
INVESTIGATION FINDINGS:
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*This report dated 05/28/2026 serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 4/24/2026.*
On April 24, 2026, at 8:00 a.m., Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegation. Upon arrival, LPA met with Licensee Zoie Clarke and explained the purpose of the visit. Entry into the facility was granted.
The investigation consisted of the following: On April 24, 2026 at 8:00 a.m., the following documents were reviewed and obtained as part of the investigation: Personnel Report (dated 04/09/2026 ), Resident Roster (dated 04/09/2026), Admission Agreement (dated 04/23/2024), Identification and Emergency Information (dated 04/23/2023), Physician’s Report (dated 04/10/2025 ), Medical Assessment (dated 04/10/2025), Medication Administration Records (MARs), (dated 11/01/2025-present), Appraisal & Needs and Services Plan (dated 09/30/2024), Functional Capability Assessment (dated 04/23/2024), Preplacement Appraisal Information (dated 04/23/2024), Personal Rights (dated 04/23/2024), Consent Forms (date 04/23/2024), Special Incident Report (dated 11/11/2025), See continued LIC9099-C page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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-20251112103653
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: LEXIE RESIDENTIAL CARE
FACILITY NUMBER: 198320414
VISIT DATE: 05/28/2026
NARRATIVE
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Continued LIC9099-C page 2

Westside Regional Center reports (dated 11/25/2025, 12/03/2025, 02/11/2026, & 02/25/2026), Inglewood Police Department Report (dated 11/11/2025), Optimum Medical Group Referral and OB/GYN reports (dated 07/31/2025, 10/21/2025, 10/29/2025, 11/03/2025, and 11/10/2025)

Allegation: Staff did not prevent an individual in the facility from sexually abusing a client in care.
On 04/09/2026, between 8:00 a.m. and 3:45 p.m., the Department conducted interviews with Staff #1–#3 (S1–S3). All three staff members (3 out of 3) reported that they have never witnessed any client being sexually abused by staff. They stated that the facility provides adequate care and supervision at all times to ensure residents are safely assisted. Each staff member confirmed that there are no male employees working at the facility.

All staff interviewed (3 out of 3) stated that they noticed a change in the client in June of 2025, which was reported to the facility administrator. S1 reported that she contacted the client’s Primary Care Physician, who referred the client to an OB/GYN on 07/31/2025. S1 stated that on October 21, 2025, the client was taken to the OB/GYN appointment for evaluation and was prescribed antibiotics. On November 10, 2025, the client had a follow-up telehealth appointment. It was later determined that the client had contracted a sexually transmitted infection (STI). On November 11, 2025, the Inglewood Police Department responded to the facility to conduct an investigation. All three staff members denied that the client had any form of sexual contact with any person while at the facility, and S1–S3 denied the allegation.

On 04/09/2026, between 8:00 a.m. and 3:45 p.m., the Department attempted to interview Clients #1–#3 (C1–C3). All three clients are nonverbal and were unable to respond to any of the questions. The Department was able to interview Client #4 (C4). C4 denied the allegation.

On 1/16/2026, the department interviewed staff from the Behavioral Reintegration Day Program, Witness 1 (W1), regarding the allegation. Per W1, no male clients engage with C1 at all, and staffing is a 1:3 ratio, one female staff member, one client, and two of their housemates. They added that clients are not left alone in the restroom.

See continued LIC9099-C page 3.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20251112103653
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: LEXIE RESIDENTIAL CARE
FACILITY NUMBER: 198320414
VISIT DATE: 05/28/2026
NARRATIVE
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Continued LIC9099-C page 3

During the Department investigation, the Department obtained and reviewed records and found the following: Records from clients OBGYN office note that an appointment was conducted on 10/21/2025 during which samples were taken for testing. Lab test results dated 10/29/2025 show that the client tested positive for STIs. Report from Inglewood Police Department reports dated 11/11/2025 notes that Inglewood PD officer visited facility, spoke to staff, and attempted to speak to clients, and that the case was being sent to a detective. The department reviewed Westside Regional Center(WRC) report dated 1/15/2026. Per the report, WRC received an incident regarding a client's STI. WRC staff interviewed facility staff, clients, and staff at the client's day program. The investigation did not yield direct evidence or witness accounts identifying a specific cause, incident, or responsible party.

Based on interviews, available evidence, observation, information received, and records reviewed, there was not enough evidence to support the allegations. 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 deemed unsubstantiated.

There were no deficiencies cited. LPA Bunker provided Administrator Zoie Clarke with copies of the Complaint Investigation Reports LIC-9099 and LIC-9099Cs.

An exit interview was conducted.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Pamela Bunker
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3