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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602117
Report Date: 07/22/2024
Date Signed: 07/22/2024 02:44:09 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
07/15/2024 and conducted by Evaluator Regina Cloyd
COMPLAINT CONTROL NUMBER: 11-AS-20240715113824
FACILITY NAME:AMBITIONS - DENKER AVENUEFACILITY NUMBER:
198602117
ADMINISTRATOR:ARANA, EDGARFACILITY TYPE:
735
ADDRESS:20942 DENKER AVETELEPHONE:
(424) 558-3885
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:3CENSUS: 3DATE:
07/22/2024
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Administrator Kelli PinkneyTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Unqualified staff providing care to residents.
INVESTIGATION FINDINGS:
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On 07/22/2024 Licensing Program Analyst (LPA) Regina Cloyd conducted a complaint investigation at the above facility to address the following allegation. LPA met with Administrator Kelli Pinkney and explained the purpose of the visit. The investigation consisted of the following: During today’s investigation, LPA reviewed records and interviewed (1) client, (1) witness and (5) staff members which includes the Program Manager, Administrator and (3) Direct Support Professionals.

The investigation revealed the following: Regarding the allegation "Unqualified staff providing care to residents,” it is being alleged that the Licensee hired an unqualified staff member (S2). Record review revealed that S2 has 33 hours of training. Five out of five staff interviews indicate that the facility personnel are competent to provide the services necessary to meet individual client needs. The Administrator indicated that training concerning the clients’ needs are covered in the New Employee Orientation and during job-shadowing. The Program Manager indicated that S2 demonstrated competency in S2's training.
Continue to LIC9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
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 11-AS-20240715113824
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: AMBITIONS - DENKER AVENUE
FACILITY NUMBER: 198602117
VISIT DATE: 07/22/2024
NARRATIVE
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In addition, one client (C1) indicated that C1 feels safe at the facility and likes the staff. Plus Witness #1 (W1) stated that W1 has not received complaints concerning the competency of the facility’s staff. Regarding the allegation “Unqualified staff providing care to residents,” based on record review and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted and a copy of this report was provided to the Administrator Kelli Pinkney.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2