195850423-4-8-2025-29-AS-KLOZ-DG838L-20250429180142

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850423
Report Date: 04/08/2025
Date Signed: 04/08/2025 04:43:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2025 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20250402184729

FACILITY NAME:	IVY PARK AT WOODLAND HILLS		FACILITY NUMBER:	195850423
ADMINISTRATOR:	O'GRADY, PATRICE		FACILITY TYPE:	740
ADDRESS:	20461 VENTURA BLVD.		TELEPHONE:	(818) 346-9046
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	127	CENSUS: 72	DATE:	04/08/2025
		UNANNOUNCED	TIME BEGAN:	09:44 AM
MET WITH:	Terri Seifer		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff do not prepare and serve food in a safe and healthful manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian imitated a complaint visit regarding above allegation. Upon arrival LPA was greeted by the concierge staff. LPA met with Aurora Israelson, Business Office Director and Terri Seifer, Executive Director (ED) and informed them of the purpose for this visit.

On 04/02/2025, the department received information that the facility staff do not prepare and serve food in a safe and healthful manner; kitchen and dining staff do not wear gloves or hair nets when handling food.

At approximately 10am, LPA and ED toured the kitchen and dining area and observed the staff handling food to be wearing gloves and hair nets; LPA was informed that the back house kitchen staff (cooks) wear hair nets and gloves; front-line kitchen staff who place the orders, pick up and serve the residents meals are not required to wear a hair net or gloves unless they are touching/preparing food. From approximately 11am-12:30, LPA conducted interviews with three kitchen/dining staff and six (6) residents; additional four (4) resident interviews were conducted after lunch beginning at approximately 1:15pm. (Continue to Lic9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

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 29-AS-20250402184729

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: IVY PARK AT WOODLAND HILLS	FACILITY NUMBER: 195850423
	VISIT DATE: 04/08/2025

NARRATIVE

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Following records reviewed: Facility's March 2025 Dietitian Report did not reveal any food preparation and meal service issues. According to staff interviews the cooks and staff preparing/handling food items are to wear gloves and hair nets. LPA was informed that the servers that do not handle/prepare meals are not required to wear hair nets or gloves. LPA observed supply of gloves and hair nets stationed through out the kitchen in different areas. Staff interviewed confirmed that the cooks and any staff preparing meals is required to wear gloves and hair nets.

Interview conducted with ten (10) random residents revealed no issues or concern with the facility food service. Residents interviewed expressed being satisfied with the food service and meals. Ten (10) out of ten (10) residents interviewed were all satisfied with the culinary team. No health and safety issues or concerns reported. Based on the above information gathered, although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff do not prepare and serve food in a safe and healthful manner” is deemed unsubstantiated at this time.

Exit interview conducted and copy of report provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2025

LIC9099 (FAS) - (06/04)

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