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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601842
Report Date: 06/30/2026
Date Signed: 06/30/2026 11:40:35 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
06/18/2026 and conducted by Evaluator Jewel Baptiste
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260618165043
FACILITY NAME:SHERYL FACILITYFACILITY NUMBER:
198601842
ADMINISTRATOR:DAMIEKA LASLEYFACILITY TYPE:
735
ADDRESS:19514 SHERYL AVETELEPHONE:
(562) 964-4782
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY:3CENSUS: 3DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Administrator Damieka LasleyTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Staff handled resident in an aggressive manner.
INVESTIGATION FINDINGS:
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On 06/30/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent visit to investigate the above allegations. LPA met with Administrator Damieka Lasley and discussed the purpose of today's visit.

During the initial visit, Jewel Baptiste (Licensing Program Analyst with CCLD), Kent Yamashiro (Quality Assurance Staff with Harbor Regional Center, Monica Edualino (Program Supervisor with Ambitions), Celeste Orellana (Program Manager with Ambitions), and Damieka Lasley (Administrator with Ambitions) conducted a Zoom meeting and interviewed Staff #1 and Staff #2 (S1 and S2). LPA also interviewed Staff #4 and Staff #5 (S4 and S5). Due to the clients (Client #1, Client #2 and Client #3) medical diagnosis LPA was unable to use there interviews.

Prior to the visit, LPA interviewed Staff #3 (S3) and discussed the outcome with the facility Administrator and Quality Assurance staff from Harbor Regional Center.
Report Continued on 9099c
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
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 5
Control Number 28-AS-20260618165043
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: SHERYL FACILITY
FACILITY NUMBER: 198601842
VISIT DATE: 06/30/2026
NARRATIVE
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The investigation reveals the following: " Staff handled resident in an aggressive manner”. It is alleged that S3 witnessed S1 and S2 roughly handling C1. S1 and S2 denied the allegation, stating that they had never handled C1 roughly and had only assisted C1 to stand when needed. S4 and S5 have worked with the company for three (3) days and were unable to witness the incidents. The Administrator stated they had never witnessed staff handling clients roughly, and neither staff member have had an incident prior to this situation. Unfortunately, due to the clients' diagnoses, LPA was unable to interview them. During file review, LPA observed there were no disciplinary notices for S1 and S2.

Based on LPA's interviews, the investigation revealed that although the allegation may have occurred or is valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted with Damieka Lasley and a copy of this record provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
06/18/2026 and conducted by Evaluator Jewel Baptiste
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260618165043

FACILITY NAME:SHERYL FACILITYFACILITY NUMBER:
198601842
ADMINISTRATOR:DAMIEKA LASLEYFACILITY TYPE:
735
ADDRESS:19514 SHERYL AVETELEPHONE:
(562) 964-4782
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY:3CENSUS: 3DATE:
06/30/2026
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Administrator Damieka LasleyTIME COMPLETED:
11:55 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff threaten resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/30/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent visit to investigate the above allegations. LPA met with Administrator Damieka Lasley and discussed the purpose of today's visit.

During the initial visit, Jewel Baptiste (Licensing Program Analyst with CCLD), Kent Yamashiro (Quality Assurance Staff with Harbor Regional Center, Monica Edualino (Program Supervisor with Ambitions), Celeste Orellana (Program Manager with Ambitions), and Damieka Lasley (Administrator with Ambitions) conducted a Zoom meeting and interviewed Staff #1 and Staff #2 (S1 and S2). LPA also interviewed Staff #4 and Staff #5 (S4 and S5). Due to the clients (Client #1, Client #2 and Client #3) medical diagnosis LPA was unable to use there interviews.

Prior to the visit, LPA interviewed Staff #3 (S3) and discussed the outcome with the facility Administrator and Quality Assurance staff from Harbor Regional Center. Report Continued on 9099c
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 28-AS-20260618165043
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: SHERYL FACILITY
FACILITY NUMBER: 198601842
VISIT DATE: 06/30/2026
NARRATIVE
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The investigation reveals the following: " Staff threatens resident”. It is alleged that S3 witnessed S1 and S2 threaten C1 with a cold shower. All staff denied the allegation, except for S1, who stated that someone in the facility told them it worked but would not state who. S1 further stated that they had said it to C1 but immediately felt bad and did not follow through with what was said. Based on the interview, S1 confirmed that it was said to C1 to control C1’s behavior, and there may be someone else in the home that has used this tactic.

Based on LPA observation, interviews, and file review, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 is being cited on the attached LIC9099D.

Exit Interview Conducted with Administrator/ Appeal Rights Provided / A Copy of the Report Issued.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20260618165043
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: SHERYL FACILITY
FACILITY NUMBER: 198601842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/30/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2026
Section Cited
CCR
80072(a)(3)
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Personal Rights
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.This requirement was not met as evidenced by
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Administrator will conduct a staff training with all staff regarding resident personal rights. Proof of training conducted , including staff sign in sheet to be faxed to LPA by POC due date.
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Based on interviews conducted it was revealed by the Staff 1 stated that they told C1 they will gave them a cold shower but was remorseful when they state it, which poses an potential health, safety, or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5