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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601561
Report Date: 11/25/2025
Date Signed: 11/25/2025 11:49:59 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/24/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20251124120644
FACILITY NAME:AMBIRIA HOMES IFACILITY NUMBER:
198601561
ADMINISTRATOR:CARMEN VARGASFACILITY TYPE:
735
ADDRESS:6424 SHERMAN WAYTELEPHONE:
(323) 771-6800
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY:4CENSUS: 3DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:House Manager Horace EvansTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff hit a client while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman made a visit to the facility and was greeted by Staff S1 and explained the reason for the visit.
Shortly thereafter House Manager Horace Evans arrived.
The purpose of the visit is to investigate the above allegation.
At today's visit 11/25/2025 the following was done:
Staff and client roster were submitted.
Interview was conducted with Client C1. The other 2 clients were at Day Program.
Interviews were conducted with Staff S1- Staff S4.
File was reviewed for C 1 and Admission Agreement, Physician's Report and Individual Program Plan (IPP) were submitted.
Interview was conducted with Regional Center Representative.
In regards to the allegation Staff hit a client while in care, based on interviews conducted and information gathered Client C1 stated that she spoke with the Regional Representative and that it was misinterpreted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
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 2
Control Number 28-AS-20251124120644
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: AMBIRIA HOMES I
FACILITY NUMBER: 198601561
VISIT DATE: 11/25/2025
NARRATIVE
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Stated that it was a client that hit her when she first arrived at the facility in March 2025.
Said no staff has ever pushed or hit her.
Regional Center Quality Assurance (QA) Supervisor stated that they did follow up and their investigation result was no support of physical abuse.
Said Client C1 confirmed with Regional Center that it involved a client not a staff having a physical confrontation with.
House Manager Horace Evans stated that Client C1 told the Regional Center that it was a misunderstanding and that it was not a staff, but a client who had hit her.
Staff S1-S4 all stated that Client C1 has alot of behaviors and also has a history of fabricating.
All said they have at least 2 staff present with Client C1 because they don't trust what C1 might say.
All also stated that staff has never hit Client C1 or any other client.
Review of IPP listed under Desired Outcome #9 it states that C1 is to decrease attention seeking behaviors (such as untruthful statements) from once per day to zero times to help develop some self-control and emotional management.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the complaint investigation of the allegation is unsubstantiated.

Exit interview conducted and report issued to House Manager Horace Evans.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Glenn Trueman
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2