079201116-7-28-2026-15-AS-BFOG-DWV3VM-20260811183522

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201116
Report Date: 07/28/2026
Date Signed: 07/28/2026 02:09:41 PM

Substantiated

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
06/09/2026 and conducted by Evaluator Alona Gomez

COMPLAINT CONTROL NUMBER: 15-AS-20260609132011

FACILITY NAME:	IVY PARK AT SAN RAMON		FACILITY NUMBER:	079201116
ADMINISTRATOR:	MORGAN, OREISHA		FACILITY TYPE:	740
ADDRESS:	9199 FIRCREST LANE		TELEPHONE:	(949) 744-5200
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94583
CAPACITY:	162	CENSUS: 159	DATE:	07/28/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Director Gilbert Castro		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Facility in disrepair

INVESTIGATION FINDINGS:

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On 07/28/2026 at 9:30 AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings regarding the allegation above. LPA met with Business Office Director Thaleana Jones and Executive Director Gilbert Castro and explained the purpose of the visit.

During the course of the investigation LPA spoke with ED who states that the elevator (2) located near main dining has been inoperable since approximately May 21 2026 therefore the allegation is Substanciated. LPA observed that on 7/21/2026 LPA D Doidge delivered substanciated findnings for complaint 15-AS-20260629220357 that the allegations are the same in nature and stem from the same timeframe therefore LPA will not recite for deficiencies.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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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
06/09/2026 and conducted by Evaluator Alona Gomez

COMPLAINT CONTROL NUMBER: 15-AS-20260609132011

FACILITY NAME:	IVY PARK AT SAN RAMON		FACILITY NUMBER:	079201116
ADMINISTRATOR:	MORGAN, OREISHA		FACILITY TYPE:	740
ADDRESS:	9199 FIRCREST LANE		TELEPHONE:	(949) 744-5200
CITY:	SAN RAMON	STATE:CA	ZIP CODE:	94583
CAPACITY:	162	CENSUS: 159	DATE:	07/28/2026
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Executive Director Gilbert Castro		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Staff did not provide adequate food accommodations to residents in care

INVESTIGATION FINDINGS:

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260609132011

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 SAN RAMON	FACILITY NUMBER: 079201116
	VISIT DATE: 07/28/2026

NARRATIVE

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On the allegation Staff did not provide adequate food accommodations to residents in care LPA observed the Lunch delivery service on 7/29/2026. LPA observed 5 meals delivered on the 3rd floor to Resident- R2, R3, R4, R5, R6. One tray was delivered to the second floor to R7. LPA felt the temperature of each meal delivered on the third floor and observed R2's meal was noticeably cold while all other meals delivered were either warm or hot. LPA observed that R2, R3, R4, R6, and R7 ordered the daily special which was tamales. R5 ordered a grilled cheese and soup. LPA also briefly spoke with R2-R7. R2, R6, and R7 each stated that their meals are typically delivered cold and have to be reheated upon LPA asking how the temperature of their meals are usually delivered. R3, R4, and R5 all stated that their meals temperature are usually fine when asked the same question. LPA also observed each residents meal ticket order an observed that the average time between the order being made and delivery of the tray to the rooms was approximately 10 minutes. LPA also spoke with the ED who states that there have been a few occasions where residents have complained of cold meals and that when that happens they send them a new tray. LPA observed that all residents rooms are equipped with microwaves for reheating food. Based on all observations made, regulatory expectations, and interviews the above allegation is Unsubstantiated.

* LPA did advise ED to prioritize meal tray services to ensure residents meals are delivered timely, fresh, and hot

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 deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC9099 (FAS) - (06/04)

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