198602219-7-1-2024-28-AS-LHIS-D7HLRL-20240725085916

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602219
Report Date: 07/01/2024
Date Signed: 07/01/2024 04:07:42 PM

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
06/17/2024 and conducted by Evaluator Jewel Baptiste

COMPLAINT CONTROL NUMBER: 28-AS-20240617214042

FACILITY NAME:	AMBITIONS - 183RD STREET		FACILITY NUMBER:	198602219
ADMINISTRATOR:	LESLYN VENEGAS		FACILITY TYPE:	735
ADDRESS:	11417 183RD ST		TELEPHONE:	(562) 219-5799
CITY:	ARTESIA	STATE: CA	ZIP CODE:	90701
CAPACITY:	3	CENSUS: 3	DATE:	07/01/2024
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Administrator Ashilee Jackson		TIME COMPLETED:	04:22 PM

ALLEGATION(S):

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Staff verbally abuse the clients
Staff physically abuse the clients

INVESTIGATION FINDINGS:

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On 07/01/2024 at 10:00 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an initial complaint visit to investigate the above allegations. Upon arrival LPA met with S2, who contacted the Administrator Ashilee Jackson. The Administrator arrived at 10:15 a.m. and LPA explained the reason for the visit.

During the prior visit: A tour of the facility was completed. LPA Baptiste spoke to each client, and they appeared to be doing fine. A copy of the body checks for the month of June for C1 and C2, and client progress notes for the month of June for C1 and C2 was obtained. LPA will receive IPP for clients C1 and C2, staff roster, and client roster via email. LPA interviewed the Administrator.

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: 07/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024

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-20240617214042

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: 07/01/2024

NARRATIVE

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During today’s visit LPA interviewed a total of 3 staff who shall be referred to as S1 through S3. LPA Baptiste interviewed Harbor Regional Center Service coordinator’s who shall be referred to as witness#1 through witness#2 (W1-W2). LPA interviewed the responsible parties of all the clients who shall be referred to witness#3 through witness#4 (W3-W4). LPA also reviewed staff files for S1 through S3.

The investigation reveals the following: Regarding “Staff verbally abuse the clients”. It is alleged that C1 and C2 is being verbally abused by staff. The Administrator denied the allegation stating staff do not verbally abused the clients and they have not received concerns of abuse from family or Regional Center. The Administrator further stated they had a disgruntle staff that may have false reported due to being disgruntled. 3 out of 3 staff denied the allegations citing they have never verbally abused the clients, nor have they witnessed those behaviors from there co- workers. 3 out the 4 witnesses stated they do not have any concerns regarding verbal abuse. 1 out of 4 witnesses stated they have not observed staff verbally abusing the clients, but there loved one repeated a bad word which they quickly corrected them. Upon review of staff files, LPA did not observe disciplinary actions regarding the allegations for S1 through S3.

The investigation reveals the following: Regarding “Staff physically abuse the clients”. It is alleged that C1 and C2 is being physically abused by staff. The Administrator denied the allegation stating staff has never physically abused the clients and they have not received concerns of abuse from family or Regional Center. The Administrator further stated they had a disgruntle staff that may have false reported due to being disgruntled. 3 out of 3 staff denied the allegations citing they have never physically abused the clients, nor have they witnessed those behaviors from there co- workers. Staff further stated the clients has behaviors, but they are easy to verbally prompt. 3 out the 4 witnesses stated they do not have any concerns regarding physically abuse. 1 out of 4 witnesses stated they have not observed staff physically abusing the clients but has had concerns about their loved one. During file review LPA did not observe concerns of physical abuse.

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 the Administrator Ashilee Jackson 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: 07/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024

LIC9099 (FAS) - (06/04)

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