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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006074
Report Date: 11/18/2025
Date Signed: 11/18/2025 03:05:21 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/07/2024 and conducted by Evaluator RoseMarie Ruppert
COMPLAINT CONTROL NUMBER: 22-AS-20240807145438
FACILITY NAME:SUCCESSFUL PEOPLE LLC #5FACILITY NUMBER:
306006074
ADMINISTRATOR:SNODDY, FRANCESFACILITY TYPE:
735
ADDRESS:1774 W CHALET AVETELEPHONE:
(310) 902-4893
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:4CENSUS: 2DATE:
11/18/2025
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Feyifoluwa “Fey” Ojo, Direct Support ProfessionalTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Facility does not have sufficient staffing to meet the clients' needs.
Facility is not meeting the clients' needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to deliver findings for a complaint received in the Regional Office on August 7, 2024. LPA was greeted and granted entry at 2:45pm by staff and met with Fey Ojo, Direct Support Professional. LPA explained the purpose of the visit.

It was alleged that Facility does not have sufficient staffing to meet the clients' needs. On August 30, 2024 LPA Ruppert conducted a Case Management visit regarding staffing. On that visit, the facility was cited for 85078(a)(1): Responsibility for Providing Care and Supervision (a)...the following shall apply:(1) The licensee shall provide those services identified in the client's needs and services plan as necessary to meet the client's needs. A deficiency for this allegation has been given and a Plan of Correction was provided to the Department.

(continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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 22-AS-20240807145438
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SUCCESSFUL PEOPLE LLC #5
FACILITY NUMBER: 306006074
VISIT DATE: 11/18/2025
NARRATIVE
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(Continued from LIC 9099)

It was also alleged that Facility is not meeting the clients' needs. LPA interviewed two of two clients to ask if their needs were being met. One of two clients denied the allegation and one of two clients could not confirm, nor deny allegation. LPA interviewed four of four witnesses. Three of the four witnesses stated clients needs were being met. One of four witnesses stated the facility could improve on meeting client needs by offering more activities but did not feel that it affected care being provided.

LPA reviewed four of four client records and observed all client records contained Individual Behavior Support Plans (IBSP) for the month of August 2024. Thus, clients behavior consultations were completed and four of four clients' needs were met.

Based on LPA observations, file review and interviews, although the allegations may have happened, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore the allegation that Facility not meeting clients' needs is Unsubstantiated.

An exit interview was conducted with Fey Ojo, Direct Support Professional and a copy of this report and LIC 811 was provided to the facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: RoseMarie Ruppert
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2