198602113-8-10-2023-28-AS-WSHO-CUWUGX-20230821153500

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602113
Report Date: 08/10/2023
Date Signed: 08/10/2023 10:28:03 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
01/04/2022 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220104112031

FACILITY NAME:	AMBITIONS - HEDDA STREET		FACILITY NUMBER:	198602113
ADMINISTRATOR:	LAQUALA MCKINLEY		FACILITY TYPE:	735
ADDRESS:	12914 HEDDA STREET		TELEPHONE:	(562) 474-8418
CITY:	CERRITOS	STATE: CA	ZIP CODE:	90703
CAPACITY:	3	CENSUS: 3	DATE:	08/10/2023
		UNANNOUNCED	TIME BEGAN:	08:56 AM
MET WITH:	Baltazar Cornejo - Administrator		TIME COMPLETED:	10:42 AM

ALLEGATION(S):

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Facility does not have adequate food supplies on hand.
Food served to clients is not of the quantity to meet their needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced subsequent complaint visit to conduct additional interviews regarding the above-mentioned allegations. LPA met Baltazar Cornejo (Administrator) and explained the reason for the visit.

The investigation consisted of the following: On 01/13/2022. LPA Galarza interviewed the Administrator and Staff 1 (S1) and was unable to interview Clients 1-3 (C1-C3) due to communication barriers. LPA Galarza rendered unsubstantiated findings during her visit. Today's visit, LPA Mora obtained copies of the client and staff rosters. LPA interviewed Administrator, Staff 2 (S2), Regional Center Representative, and attempted to interview Client 1 - Client 2 (C1 - C2). LPA toured the kitchen.

The investigation revealed the following: regarding the allegation "facility does not have adequate food supplies on hand", it is alleged that the facility's food supply is limited. Administrator and staff interviewed denied the allegation. Clients interviewed could not corroborate the allegations due to communication barriers. (Continued to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20220104112031

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: AMBITIONS - HEDDA STREET	FACILITY NUMBER: 198602113
	VISIT DATE: 08/10/2023

NARRATIVE

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Regional Center Representative stated that when they had conducted their visits they have observed an adequate quantity of food at the facility and they have no concerns. LPA observed 2 days perishable and 7-day non-perishable food in the kitchen and also an adequate amount of emergency food and water supply in the garage. LPA also observed a grocery list created by a nutritionist posted on the kitchen's refrigerator and the administrator stated that they use this list to purchase groceries on Tuesdays or Thursdays.

Regarding the allegation "food served to clients is not of the quantity to meet their needs", it is alleged that the clients are not getting enough food. Administrator and staff stated that the clients get 3 meals and 3 snacks a day. They follow the quantity of food that the nutritionist list on the menu. Clients interviewed could not corroborate the allegations due to communication barriers. Regional Center Representative stated that when they had conducted their visits they have observed that the clients are well fed and have no concerns. LPA observe that the facility menu shows measurements for certain food.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the unsubstantiated findings rendered on the report dated 01/13/2022 remain unchanged.

Exit interview held and a copy of the report was provided

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

LIC9099 (FAS) - (06/04)

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