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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602219
Report Date: 10/17/2023
Date Signed: 10/17/2023 11:01:53 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
10/06/2023 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20231006165009
FACILITY NAME:AMBITIONS - 183RD STREETFACILITY NUMBER:
198602219
ADMINISTRATOR:LESLYN VENEGASFACILITY TYPE:
735
ADDRESS:11417 183RD STTELEPHONE:
(562) 219-5799
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:3CENSUS: 3DATE:
10/17/2023
UNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Administrator Tranae GatlinTIME COMPLETED:
11:16 AM
ALLEGATION(S):
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Staff hit residents
Staff threatened resident
INVESTIGATION FINDINGS:
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On 10/17/23 at 9:53 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted two (2) unannounced complaint visit to the facility in conjunction to deliver findings. Upon arrival LPA met with staff S1 who called the Administrator Tranae Gatlin and explained the purpose of the visit. Administrator Tranae Gatlin arrived at 10:18 a.m.

During the initial visit on 10/10/2023 LPA toured the facility and did not observe cameras. LPA obtained resident roster, staff roster via email, and C1-C3 Individual Person-Centered Plan. LPA also interviewed: Administrator Tranae and a total of four (4) staff who shall be referred to as S1 through S4. LPA attempted to interview a total of 3 residents who shall be referred to as: C1 through C3. Due to the residents’ limited communication LPA was not able to use resident’s interviews. LPA contacted Harbor regional center case manager for C1 and C2 twice and left a voice mail. Prior to today’s visit LPA conducted an interview with C1 and C2 case manager who shall be referred to as witness #1 (W1).
Report Continued on 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
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-20231006165009
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: AMBITIONS - 183RD STREET
FACILITY NUMBER: 198602219
VISIT DATE: 10/17/2023
NARRATIVE
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The investigation reveals the following: Regarding " Staff hit residents”. It is alleged that S1 and S2 hit C1 and C2. The Administrator denied the allegation, stating that staff has never hit the clients in care. 4 out of 4 staff denied witnessing staff hit clients. LPA conducted a file reviewed and did not observe disciplinary actions regarding the above allegation. LPA interviewed W1 and confirmed they have not witnessed staff hitting clients during their visits or received complaints.

The investigation reveals the following: Regarding " Staff threatened resident”. It is alleged that S1 threatened C1. The Administrator denied the allegation stating staff has never threatened the clients in care. 4 out of 4 staff denied witnessing staff threatening clients. LPA conducted file reviewed and did not observe disciplinary actions regarding the above allegation. LPA interviewed W1 and confirmed they have not witnessed staff threatening clients during their visits or received complaints.


Based on LPA's interviews, investigation revealed: 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, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Tranae Gatlin and a copy of this record provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2