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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602558
Report Date: 04/09/2025
Date Signed: 04/09/2025 03:19:40 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, 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
07/29/2024 and conducted by Evaluator Alfonso Iniguez
COMPLAINT CONTROL NUMBER: 11-AS-20240729150511
FACILITY NAME:AMBITIONS - 2ND AVENUEFACILITY NUMBER:
198602558
ADMINISTRATOR:WOODS, LETICIAFACILITY TYPE:
735
ADDRESS:10421 S 2ND AVETELEPHONE:
(323) 920-7174
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:3CENSUS: 2DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
01:43 PM
MET WITH:Cynthia Richmond/DSPTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Staff inappropriately spoke to resident in care.
Staff did not treat resident with dignity and respect.
INVESTIGATION FINDINGS:
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On 4/9/25, at approximately 2:00 PM, Licensing Program Analyst-LPA Alfonso Iniguez conducted a subsequent unannounced complaint visit. LPA Iniguez met with Cynthia Richmond /DSP. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Client’s interviews (C#1-C#3), Staff Interview (S#1 and S#2), and Witnesses interviews (W#1 and W#2). LPA obtained and reviewed the following documents: Client’s roster, Personnel roster, (C#1)’s Facility 2nd Quarter Program Review (WRC) dated: 3/5/24, (C#1)’s Individual Program Plan (IPP) from Westside Regional Center dated: 6/11/24, (C#1)’s Unusual Incident Report dated: 7/28/24 and facility staff training logs for the year of 2024.

Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 4
Control Number 11-AS-20240729150511
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 - 2ND AVENUE
FACILITY NUMBER: 198602558
VISIT DATE: 04/09/2025
NARRATIVE
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Investigation Revealed the Following:

Allegation: Staff inappropriately spoke to resident in care.

The details of the complaint alleged that facility administrator spoke to (C#1) in a dismissive way.



On April 9, 2025, at approximately 2:30 PM, during records review, LPA Iniguez observed (C#1)’s Individual Program Plan (IPP) from Westside Regional Center dated: 6/11/24. LPA Iniguez noted that there are no notes related to the allegation of facility staff speaking in an inappropriate way to (C#1). In addition, LPA Iniguez observed facility staff training logs; all facility staff have received training regarding clients' rights at least once a year.

On April 4, 2025, at approximately 9:30 AM, during an Interview with the Administrator (A#1), she stated that the facility staff receives training regarding clients personal rights every year. In addition, (A#1) stated that she has not spoken to (C#1) or other client in care in a dismissive way in the past.

LPA Iniguez has attempted to contact (C#1) via email three times: on 3/5/25, 3/13/25, and 3/24/25, but no response was received.

On April 9, 2025, at approximately 3:00 PM, during interviews with clients (C#2-C#3), (2) out of (2) stated that they think the facility staff is trained regarding client’s rights. In addition, (2) out of (2) clients in care stated that (A#1) has never spoken to them in a dismissive way in the past.



On April 4, 2025, at approximately 3:30 PM, during interviews with facility staff (S#1-S#2), (2) out of (2) stated that they received training regarding client’s rights every year. In addition, (2) out of (2) facility staff stated that they have never witnessed (A#1) speaking to (C#1) or other clients in care in a dismissive way in the past.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240729150511
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 - 2ND AVENUE
FACILITY NUMBER: 198602558
VISIT DATE: 04/09/2025
NARRATIVE
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On 3/18/25, at approximately 12:00 PM, LPA Iniguez spoke with (W#1) and (W#2). Both stated that they have never witnessed (A#1) speaking in a dismissive way to (C#1) or any other client in care while visiting the facility.

Allegation: Staff did not treat resident with dignity and respect.

The details of the complaint alleged that facility staff makes fun of (C#1).



On April 9, 2025, at approximately 2:30 PM, during records review, LPA Iniguez observed (C#1) 's Individual Program Plan (IPP) from Westside Regional Center dated 6/11/24. LPA Iniguez noted no notes related to the allegation that facility staff did not treat (C#1) with dignity and respect. In addition, LPA Iniguez observed facility staff training logs; all facility staff have received training regarding clients' rights at least once a year.

On April 4, 2025, at approximately 9:30 AM, during an Interview with the Administrator (A#1), she stated that the facility staff receives training regarding clients personal rights every year. In addition, (A#1) stated that facility staff have never made fun of (C#1) or other client in care in the past.

LPA Iniguez has attempted to contact (C#1) via email three times: on 3/5/25, 3/13/25, and 3/24/25, but no response was received.

On April 9, 2025, at approximately 3:00 PM, during interviews with clients (C#2-C#3), (2) out of (2) stated that they think the facility staff is trained regarding client’s rights. In addition, (2) out of (2) clients in care stated that the facility staff has never made fun of them or other client in care in the past.



On April 4, 2025, at approximately 3:30 PM, during interviews with facility staff (S#1-S#2), (2) out of (2) stated that they received training regarding client’s rights every year. In addition, (2) out of (2) facility staff stated that they have never made fun of (C#1) or other client in care in the past.

Evaluation Report continues LIC 9099-C

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240729150511
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 - 2ND AVENUE
FACILITY NUMBER: 198602558
VISIT DATE: 04/09/2025
NARRATIVE
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On 3/18/25, at approximately 12:00 PM, LPA Iniguez spoke with (W#1) and (W#2); both stated that they had never witnessed facility staff making fun of (C#1) or another client in care while visiting the facility.

During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegation(s).

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.


An exit interview was conducted, and a copy of the Complaint Report was given to Cynthia richmond/DSP.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4