195850423-9-27-2025-29-AS-DPEA-DLYTTY-20250929150130

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 195850423
Report Date: 09/27/2025
Date Signed: 09/27/2025 03:20:01 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
06/02/2025 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20250602091623

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: 75	DATE:	09/27/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Aurora Israelson, Business Office Director		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff does not ensure medications are kept centrally stored and secured at all times
Licensee allows unqualified staff to dispense medication to residents in care
Staff do not ensure spoiled medication is properly discarded
Staff do not ensure sanitary practices are followed while dispensing medications to residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding regarding above allegations. Upon arrival LPA met with Aurora Israelson, Busines Office Director. The reason for the visit was explained.

On 06/02/2025, Community Care Licensing Division received the above allegations. On 06/03/2025, LPA Chochian conducted the initial complaint visit and conducted interviews with seven (7) staff members and seven (7) residents from approximately 11:15am-2:30pm. Also, LPA reviewed medication procedures and policy with staff. During the annual visit on 07/24/2025, staff training records were reviewed.

Following is a summary of the allegations and investigation finding:
Regarding allegation “Staff does not ensure medications are kept centrally stored and secured at all times”. It was also stated that medications are dropped on the floor and left outside the residents doors.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2025

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-20250602091623

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: 09/27/2025

NARRATIVE

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It was reported that med-techs leave the residents medications out in the caregiver office with the door open. Staff interviewed reported that if any medication is found on the floor it is picked up and taken to the medication room to report, record and properly disposed. Staff interviewed did not report any issues with missing medications. Two randomly selected residents medication was audited and found to be accurate in remaining quantity during initial visit. Seven (7) out of seven (7) residents interviewed reported that the medication room is kept lock and never unattended. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff does not ensure medications are kept centrally stored and secured at all times” is deemed UNSUBSTANTIATED at this time.

Regarding allegation “Licensee allows unqualified staff to dispense medication to residents in care”:
Information was received that caregivers who are not qualified and trained are asked to dispense medications to the residents. LPA reviewed staff training records and observed that the designated staff handling residents medication have completed the required training to assist residents with medication. Staff interviewed reported that only the med-techs and nurses prepare and assist residents with medication. Medtech staff interviewed denied ever asking caregivers to pass medication to residents. Residents interviewed confirmed that the med-techs provide their medication and not a caregiver. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Licensee allows unqualified staff to dispense medication to residents in care” is deemed UNSUBSTANTIATED at this time.

Regarding allegations “Staff do not ensure spoiled medication is properly discarded and Staff do not ensure sanitary practices are followed while dispensing medications to residents in care”. It was reported that medications are not properly discarded and the med-techs have unsafe and careless methods of dispensing residents medications. It was reported that the med-techs will stop and use the restroom and will bring the medication tray into the restroom with them. Staff interviewed reported that medication destruction procedures are followed accordingly. Staff reported that expired medication and discontinued medications are stored in the medication room in a bin and secured in a cabinet until it is picked up by the company. Regarding med-techs practicing unsafe and careless methods of dispensing medication – Staff interviewed denied taking medication trays in the bathroom. Residents interviewed reported that they have not seen med-techs take medication into the restrooms.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 29-AS-20250602091623

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: 09/27/2025

NARRATIVE

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Residents reported that medtech and caregiver staff have gloves on when providing assistance with care and medications. Based on the above information gathered although the allegations may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegations “Staff do not ensure spoiled medication is properly discarded” and “Staff do not ensure sanitary practices are followed while dispensing medications to residents in care” is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2025

LIC9099 (FAS) - (06/04)

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