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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602219
Report Date: 03/09/2025
Date Signed: 03/16/2025 02:48:39 PM

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
02/03/2025 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250203083213
FACILITY NAME:AMBITIONS - 183RD STREETFACILITY NUMBER:
198602219
ADMINISTRATOR:ASHILEE JACKSONFACILITY TYPE:
735
ADDRESS:11417 183RD STTELEPHONE:
(562) 219-5799
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:3CENSUS: 3DATE:
03/09/2025
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:DSP- Ryan CurreyTIME COMPLETED:
11:25 PM
ALLEGATION(S):
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Staff lock residents in their rooms.
INVESTIGATION FINDINGS:
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*This is a corrected version. LPA Ramirez conducted additional interviews and made corrections to report regarding interviews. No changes to findings. LPA Ramirez re-delivered unchanged findings on 3/9/2025.* Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced initial complaint investigation visit on 2/7/2025 regarding the above allegation. LPA was greeted by Direct Support Staff Tayvonte Wandix and explained the purpose of the visit. Administrator Ann Hyde arrived shortly after.

The investigation consisted of the following: LPA Ramirez requested and obtained copies Staff Roster (LIC 500) Staff#1 - 2 interviews (S1 – S2), Interview of Clients#1-2 (C1 – C2), Attempted Interview of client#3 (C3), Interviews with Harbor Regional Center staff, copies of Client#1-2 (C1-C2) Identification and Emergency Information (LIC 601), C1- C2 Individual Program Plan (IPP), copy of C1’s 1st Quarter Individual Service Plan (ISP) report period 11/1/2024 to 1/31/2025, and physical plant tour.

See 9099-C for continued report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2025
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-20250203083213
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 - 183RD STREET
FACILITY NUMBER: 198602219
VISIT DATE: 03/09/2025
NARRATIVE
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The investigation revealed the following: Regarding Allegation: Staff lock clients in their rooms. It is alleged all client doorknobs contain a keypad doorknob, and clients may not be cognitive enough to enter combination code to enter their own rooms; clients are unable to exit their rooms from the inside. Two (2) out of the two (2) staff interviewed denied this allegation. C1 was interviewed and denied the allegation. C1 demonstrated to LPA Ramirez they can unlock and lock their bedroom door. LPA Ramirez observed C1 enter their pin# into the keypad lock on C1’s door. C2 is non-verbal and LPA Ramirez was unable to interview client. C3 is new to the facility and was admitted to the facility on 2/6/2025. LPA Ramirez did not interview C3 due to C3 not being present when these alleged allegations occurred. LPA Ramirez toured the facility and observed one (1) out of three (3) client bedroom doors, to contain a keypad doorknob. LPA Ramirez was able to enter and exit C2 and C3’s room through bedroom door. LPA Ramirez did not observe keypad doorknobs on C2’s and C3’s door. Staff interviews revealed, C1 enters a 6-digit code into the keypad doorknob to enter their room. This code is personalized and easy for C1 to remember. Staff revealed they have the code and will only use it if C1 presented a safety concern while locked in their room. Staff interviews revealed, C2 and C3 bedroom doors also had keypad doorknobs but on 2/3/2025, staff removed the keypad knobs at the request from Harbor Regional Center Staff. LPA Ramirez reviewed C1’s 1st quarter ISP and it indicated C1 can choose to keep their door ajar, or closed and locked if C1 chooses and staff will knock and knock and wait before entering. Review of C1’s IPP revealed C1 has a history of property destruction and entering his roommates’ room without permission and taking items without permission. C1’s IPP and ISP both indicate C1 is verbal and can communicate with staff. Review of C2’s IPP revealed C2 room has a lock with a code number to ensure C2 personal space is protected from housemates. C2’s IPP revealed C2 is non-verbal but communicates through gestures, facial expressions, noises, yelling/screaming, pointing, and leading. Staff interviews revealed, prior to 2/3/25, C2 would make noises to get staffs’ attention and lead staff to C2’s door and staff would enter a 6-digit code to allow C2 entry into their room. Interviews with Harbor Regional staff revealed they were aware of keypad doorknobs on clients’ door as indicated in C2’s IPP. Harbor Regional staff revealed they are following up with the facility in the next few weeks. 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.

No violations were cited during this investigation. Exit interview was conducted. A copy of this report was provided via email.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2025
LIC9099 (FAS) - (06/04)
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