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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602220
Report Date: 07/25/2025
Date Signed: 07/25/2025 11:39:34 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250718121420
FACILITY NAME:AMBITIONS - BRIGHTON AVENUEFACILITY NUMBER:
198602220
ADMINISTRATOR:KELLI PINKNEYFACILITY TYPE:
735
ADDRESS:21325 BRIGHTON AVETELEPHONE:
(310) 817-6100
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:3CENSUS: 3DATE:
07/25/2025
UNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Kelli Pinkney TIME COMPLETED:
11:55 AM
ALLEGATION(S):
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Staff does not ensure sufficient care and supervision is provided to clients
INVESTIGATION FINDINGS:
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On 07/24/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit on to gather information regarding the above allegations. LPA met with Administrator Kelli Pinkney and the purpose of the visit was explained. On 07/25/2025, LPA Regina Cloyd conducted a subsequent visit and met with Administrator.

Investigation consisted of the following: On 07/22/2025, LPA interviewed Witness #1 (W1). On 07/24/2025, LPA reviewed Register of Facility Clients (dated 04/07/2024), Staff Roster (dated 02/06/25), Eight Staff CPI Blue Cards and Client Rights Policy, Resident Counsel Meetings (05/06/25, 05/07/25, 05/20/25, 06/18/25, 07/15/25), July 2025 Activity Calendar , C1 – C3’s Medication Administration Record (MAR) for May 2025 - July 2025, C1 – C3’s Physician’s Reports, Behavioral Support Plan, IPP/ISP/Needs and Services Plans, observed video surveillance (recorded on 07/10/2025), and interviewed two clients (C2-C3) and six staff members (S1 – S6). Continue to LIC9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
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 6
Control Number 11-AS-20250718121420
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: AMBITIONS - BRIGHTON AVENUE
FACILITY NUMBER: 198602220
VISIT DATE: 07/25/2025
NARRATIVE
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On 07/25/2025, LPA reviewed two incident reports faxed (on 07/11/2025 and 07/15/2025) to Community Care Licensing Monterey Park Regional Office. Note: Client #1 has been away from the facility.

Investigation revealed the following:

Regarding the allegation, “Staff does not ensure sufficient care and supervision is provided to clients”. LPA observed a video surveillance of Client #1 (C1) leaving the facility unattended to the neighbor’s driveway. C1 began to beat on the neighbor's car hood, kicked the driver side doors, and kicked the neighbor’s fence. Staff arrived afterwards. Record review of C1’s Physician’s Report (05/12/25) revealed that C1 cannot leave the facility unattended. Staff, client, and witness interviews (S1, S5 -S6, C2, W1) indicated that C1 and S5 were in the backyard to help C1 calm down. While playing basketball, the ball went in another direction and S5 went to go retrieve it. At that moment, C1 left the facility towards the neighbor’s occupied car. The neighbor’s car horn signaled S5 – S6, and C2 to come outside towards the neighbor's house to retrieve C1.

Regarding the allegation, “Staff does not ensure sufficient care and supervision is provided to clients” based on observation, record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Deficiencies are being cited according to California Code of Regulations, Title 22 on the attached LIC 9099D.
An exit interview was conducted, plans of correction developed, and a copy of this report with the appeal rights were provided to the Administrator Kelli Pinkney.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 11-AS-20250718121420
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: AMBITIONS - BRIGHTON AVENUE
FACILITY NUMBER: 198602220
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/12/2025
Section Cited
CCR
80078(a)
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80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs.

This requirement of was not met as evidence by:
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The Licensee will develop a plan of correction and email to regina.cloyd@dss.ca.gov by the POC due date.
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Based on observation, record review, and interviews, Client #1 left the facility unattended and damaged the neighbor's property. This posed a potential safety risk for client in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6