Senior Care Records.

Facility Evaluation Report

Ambitions - Albury Avenue, Long Beach11/25/2024Licence 306004223

Capacity3
Census4
Date signed11/25/2024 10:07:25 AM
The inspector’s account

On 11/25/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced Case Management visit at Ambitions - Albury facility. The purpose of today’s visit is to serve an ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY for staff #1. LPA met with administrator Stephanie Smith in person. LPA explained the purpose of today’s visit.

An investigation conducted by the California Department of Social Services determined that staff #1 violated California Code of Regulations Title 22 for the client's personal rights. Government Code 11522 was also issued, informing the licensee that an excluded person may petition for reinstatement to the Department one year after the effective date of the exclusion order. LPA delivered copies of the immediate exclusion letters for the following facility to the administrator, Stephanie Smith.

Staff #1 (S1) was not present at the facility at the time of the visit and was provided with the Immediate Exclusion Order letter and Government Code 11522. The administrator, Stephanie Smith was read the Immediate Exclusion from Facility Order and stated she understood the immediate exclusion order and that she understands the mentioned staff is not allowed to be physically present in the facility.

An exit interview was conducted with Stephanie Smith and copies of Order to Licensee/Facility of Immediate Exclusion from Facility and Government Code 11522 were provided. The report was signed by administrator Administrator Stephanie Smith.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction