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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608478
Report Date: 03/27/2024
Date Signed: 03/27/2024 02:51:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
03/21/2024 and conducted by Evaluator Teresa Camara
PUBLIC
COMPLAINT CONTROL NUMBER: 29-AS-20240321133538
FACILITY NAME:IVY PARK AT WOODLAND HILLSFACILITY NUMBER:
197608478
ADMINISTRATOR:PATRICE O'GRADYFACILITY TYPE:
740
ADDRESS:20461 VENTURA BLVDTELEPHONE:
(818) 346-9046
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:127CENSUS: 72DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Patrice O'GradyTIME COMPLETED:
02:25 PM
ALLEGATION(S):
1
2
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5
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7
8
9
Staff are not following general food services sanitation practices
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
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12
13
Licensing Program Analyst (LPA) Teresa Camara conducted a complaint investigation regarding the above noted allegation. LPA met with executive director (ED) Patrice O'Grady and explained the reason for the visit.

LPA interviewed staff at 10:07 a.m., 11:18 a.m.,11:36 a.m., 11:49 a.m., and 12:28 p.m. LPA interviewed residents at 11:57 a.m. and 12:57 a.m. LPA inspected the kitchen and dining room at 11:44 a.m. and inspected a resident room at 1:10 p.m. LPA reviewed and obtained documents at 10:55 a.m. Residents had no complaints about the facility or staff; they denied ever observing staff handle food/drinks incorrectly. LPA did not find any other witnesses to the above noted allegation. The facility management was aware of this allegation prior to LPA's visit and did not find wrongdoing in their review of the alleged incident. The alleged staff has been trained in food handling and has not received any complaints. Based on interviews and records reviewed, the above noted allegation is deemed Unsubstantiated at this time. Exit interview conducted and a copy of the report issued.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Desaree PereraTELEPHONE: (818) 593-4347
LICENSING EVALUATOR NAME: Teresa CamaraTELEPHONE: 818-326-4019
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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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