Ava answers the door and Luke Spencer introduces himself. Ava reveals that she is the mother of Lauren Jerome and tells Luke the story of she and Franco met and he had a charming side. After they knew that she was pregnant, she realized that Franco had a darker side and wanted to keep Lauren away from it. Luke wants Ava to hand over the proxy statement to Lauren. Luke leaves and it looks like Morgan Corinthos walks down the staircase. Ava had been talking to Morgan online and went to her when the people who he owed money threathened to come after him. Her daughter Kiki (later revealed to be short for Lauren Katherine Jerome), is seen after Morgan sneaks out of the hospital. Ava and Kiki talk about the situation with Morgan Corinthos. Ava convinces Kiki to go to Port Charles to be with Morgan and she soon comes too.
Ava tells Kiki that her father is the serial killer Robert "Franco" Frank and that he is the twin brother of Jason Morgan and also the grandson of late Edward Quartermaine, which entitles Kiki to a piece of the shares of the company ELQ. Ava tries to get Kiki to sign over her shares, but Kiki angrily disagrees to sign. Ava also meets Duke Lavery, when Ava goes to ELQ to talk to AJ and they have a conversation about her surname of Jerome. Duke has a past with a mob family with the same surname. It is revealed that there was at least two shooters during the shooting of Olivia Falconeri. Shawn Butler, mobster Sonny Corinthos' new enforcer was the main suspect in the investigation, but evidence proved that Shawn didn't actually shoot Olivia. It is highly implied that Ava was the second shooter and shot Olivia, also trying to kill Franco. Franco, Ava, and Kiki eventually all decide to reside in the Quartermaine Mansion. Since the attempts on Franco's life was unsuccessful, Ava decides to try another approach in getting ELQ. Ava agrees to pretend with Franco to act like they are back together.
Ava spots Dr. Silas Clay when she goes to find her daughter Kiki and Ava gets Silas to agree to go get some coffee. The coffee conversation doesn't end well, with Silas leaving Kelly's and Ava storming out soon after. It is revealed that Ava and Silas had a romantic relationship and Silas is the true father of her daughter, Kiki. Ava tries to keep Silas from finding out that Kiki is his daughter, but Silas is testing Kiki's DNA (from the bone marrow test Kiki had taken). Ava is the mysterious person on the other end of Derek Wells' numerous interrupted phone calls. Ava goes to Derek's office (which is Connie Falconeri's office at Crimson) and calls him Julian (possibly alluding to him being connected to the Jerome mob family).