019201329-2-27-2026-15-AS-HHUL-DSNT5F-20260330142528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019201329
Report Date: 02/27/2026
Date Signed: 02/27/2026 04:28:51 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/20/2025 and conducted by Evaluator Ardalan Gharachorloo

COMPLAINT CONTROL NUMBER: 15-AS-20251020095016

FACILITY NAME:	IVY PARK AT OAKLAND HILLS		FACILITY NUMBER:	019201329
ADMINISTRATOR:	HARRELL, YOLANDA		FACILITY TYPE:	740
ADDRESS:	11889 SKYLINE BOULEVARD		TELEPHONE:	(510) 531-7190
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	100	CENSUS: 93	DATE:	02/27/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Yolanda Harrell, Executive Director		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff restrict residents from having visitors at the facility
Staff do not ensure residents are spoken to in an appropriate manner

INVESTIGATION FINDINGS:

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On 02/27/2026 at 10:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to deliver findings in regard to the allegations above. LPA met Yolanda Harrell, Executive Director and explained the purpose of the visit.

Allegation: Staff restrict residents from having visitors at the facility - Unsubstantiated

During the investigation, LPA interviewed five staff members (S1–S5), two residents (R1 and R2), W1, and reviewed R1 and R2’s facility files including the Power of Attorney (POA) documents. Staff consistently stated that the facility does not restrict visitors unless there is a specific safety concern or requirement.

***CONTINUE ON 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

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 3

Control Number 15-AS-20251020095016

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: IVY PARK AT OAKLAND HILLS	FACILITY NUMBER: 019201329
	VISIT DATE: 02/27/2026

NARRATIVE

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***CONTINUE FROM 9099***

S1 stated, “Per the Parole Officer’s guidance, W1 was unable to meet on site; however, we arranged an outside space for the meet up.” S1 further stated that “the priority is the health and safety of all residents.” S2 stated, “We follow any legal or supervision requirements given to us. We don’t stop visits without a reason.” S1 further added, “If there are restrictions from a parole officer or court order, we must follow them, but we still try to accommodate visits in a safe way.” Review of records did not show documentation that the facility issued a blanket restriction on visits.

Staff interviews revealed that facility followed instructions provided by the Parole Officer while attempting to accommodate visitation in an alternate manner.

2- Allegation : Staff do not ensure residents are spoken to in an appropriate manner - Unsubstantiated

During the investigation, LPA interviewed five staff (S1-S5) members and four residents (R1- R4) regarding communication between staff and residents. Residents R1 and R2 both denied being spoken to in a threatening or inappropriate manner. R1 stated, “They talk to us normal. No one threatens me.” R2 stated, “Staff are respectful. If they remind us about rules, they explain why.” Staff interviews consistently indicated that they are trained to communicate respectfully and calmly. LPA reviewed five staff training records..” .No staff admitted to threatening statements, and residents interviews did not reveal that staff spoke to residents in an appropriate manner.

***CONTINUE ON 9099C***

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20251020095016

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: IVY PARK AT OAKLAND HILLS	FACILITY NUMBER: 019201329
	VISIT DATE: 02/27/2026

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	*CONTINUE FROM 9099C* This agency has investigated the allegations above. We have found that the allegations were 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, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2026

LIC9099 (FAS) - (06/04)

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