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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601016
Report Date: 03/19/2025
Date Signed: 03/19/2025 05:20:38 PM

Document Has Been Signed on 03/19/2025 05:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:AMBITIONS - 184TH PLACEFACILITY NUMBER:
198601016
ADMINISTRATOR/
DIRECTOR:		WALKER, DEMETRAFACILITY TYPE:
735
ADDRESS:3902 W 184TH PLTELEPHONE:
(310) 771-0997
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY: 4CENSUS: 4DATE:
03/19/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:01 PM
MET WITH:Demetra WalkerTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 03/19/2025 at 2:41PM, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Case Management Visit to the facility listed above. LPA met with Administrator, Demetra Walker, and the purpose of today’s visit was explained. LPA was granted entry into the facility.

LPA conducted a visit due to an SOC341 that was submitted for an incident that occurred on 03/14/2025 between two clients. Client C1 got upset and shoved C2. Staff was at the table and intervened before it could escalate. Once Clients C1 and C2 were calm, C1 apologized to C2, C2 accepted the apology, and they said they were both friends.

During interviews with Clients C1-C3, were asked if there were any problems between them and the other Clients in the home, three (3) out of three (3) said there are no problems.

During today’s visit, LPA toured the facility, interviewed Clients C1- C3, and received documents pertinent to the investigation. The following documents were received Harbor Regional Center Individual Person-Centered Plan, Appraisal/Needs and Services Plan, and Face Sheet from Harborview Center Behavioral Health.

During today's visit LPA did not observe or cite any deficiencies.

LPA conducted an exit interview with Administrator, Demetra Walker, and a copy of this report was provided

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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