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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004223
Report Date: 03/20/2025
Date Signed: 03/20/2025 02:28:27 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
03/17/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250317113455
FACILITY NAME:AMBITIONS - ALBURY AVENUEFACILITY NUMBER:
306004223
ADMINISTRATOR:SMITH, STEPHNIEFACILITY TYPE:
735
ADDRESS:3836 ALBURY AVETELEPHONE:
(562) 982-4128
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:3CENSUS: 3DATE:
03/20/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Stephanie SmithTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff verbally abused residents.
INVESTIGATION FINDINGS:
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On 3/20/25, at 9:30am, the department conducted a complaint visit to the facility and was greeted by Stephanie Smith, Administrator. The Department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegation mentioned above.

The investigation consisted of the following: An initial complaint visit was completed by the department on 03/17/2025 to obtain facility files. A subsequent visit was completed by the department on 03/20/2025. The Department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S5) and clients (C1-C3) from 10:00am-2:00pm. The Department received the following: Client Roster (Dated: 02/01/2024), Staff Roster (Dated: 10/08/2024), Pre-Placement Appraisals (Dated: 3/1/25,), ID/Emergency Information (Dated: 3/12/25, 4/1/24, 2/1/24), Client Development & Evaluation Reports (Dated: 11/29/23, 2/27/24, 3/21/24), Appraisal/Needs Service Plan (Dated: 04/01/24, 04/07/24)......

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
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 11-AS-20250317113455
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 - ALBURY AVENUE
FACILITY NUMBER: 306004223
VISIT DATE: 03/20/2025
NARRATIVE
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Incident Reports (Dated: 1/18/24, 03/22/24, 4/15/24, 5/5/24, 6/8/24, 6/7/24, 8/3/24) In-Service Training (Dated: 4/22/24-1/14/25), Physicians Reports (Dated: 03/06/25, 4/3/24, 4/4/24), and Personnel Records were obtained from the facility.

The investigation revealed the following: Allegation- Staff verbally abused residents.

The details of the complaint alleged that the staff in the facility verbally abuses its clients. On 3/20/25, from 10:00am-2:00pm, the department interviewed staff (S1-S5) and clients (C1-C3) regarding the allegation. Staff (S1-S5) denied the allegation that the facility Staff verbally abused residents. All Staff (S1-S5) stated that no one at the facility has ever verbally abused any of the clients they take care of at the facility. They state that they have no knowledge of any verbal abuse directed at the clients and that no client has said or given the impression that they were being verbally abused. S1 stated that all staff have the required training and knowledge to deal with a stressful situation if it should arise and can deal with it without raising their voice or traumatizing the clients in any way.

The Department interviewed clients (C1-C3) about the allegation and 1 of 3 clients that were interviewed denied the allegation that Staff verbally abused residents. The client stated that they have not been verbally abused by the staff and enjoyed living at the facility. Two of the three clients interviewed, were unresponsive and could not participate fully in the interview process.

The Department reviewed the Appraisal/Needs Service Plan (Dated: 04/01/24, 04/07/24), Incident Reports (Dated: 1/18/24, 03/22/24, 4/15/24, 5/5/24, 6/8/24, 6/7/24, 8/3/24), In-Service Training (Dated: 4/22/24-1/14/25), and Physicians Reports (Dated: 03/06/25, 4/3/24, 4/4/24). The department observed that the staff has the required training in Personal Rights, Abuse Reporting, Verbal De-escalation techniques, and CPI (Crisis Prevention Intervention).

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff verbally abused residents. 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 citations were issued.

An exit interview was conducted with Stephanie Smith, Administrator, and a hard copy of this Complaint Investigation Report was provided.

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SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC9099 (FAS) - (06/04)
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