197609362-8-11-2026-31-AS-MGFS-DY7VPH-20260923163645

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609362
Report Date: 08/11/2026
Date Signed: 08/11/2026 03:09:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/03/2026 and conducted by Evaluator Nadia Shahbazian

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20260803151015

FACILITY NAME:	IVY PARK AT BURBANK		FACILITY NUMBER:	197609362
ADMINISTRATOR:	ANGELA SMITH		FACILITY TYPE:	740
ADDRESS:	2721 WILLOW STREET		TELEPHONE:	(818) 954-9500
CITY:	BURBANK	STATE: CA	ZIP CODE:	91505
CAPACITY:	130	CENSUS: 99	DATE:	08/11/2026
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Angela Smith - Executive Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff does not ensure the facility is free of pests
Staff does not ensure the facility is free of rodents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced initial complaint visit at this facility to investigate the above allegations. LPA met with the Executive Director-Angela Smith and explained the reason for the visit.

At 10:30am, LPA requested resident roster, staff roster and pertinent information relevant to the investigation. Facility consists of ten (10) stories, including two levels of underground parking. At approximately 10:35am, LPA conducted a physical tour, including garage, common areas, kitchen, dining room, multiple activity rooms, hallways and patios. LPA also toured the walkways, inside and outside of the facility, as well as eighteen (18) rooms on all floors in random. No health and safety issues or infestations were observed.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026

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 31-AS-20260803151015

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: IVY PARK AT BURBANK	FACILITY NUMBER: 197609362
	VISIT DATE: 08/11/2026

NARRATIVE

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Regarding the allegation: Staff does not ensure the facility is free of pests. It was alleged that there are ants and roaches in a second floor apartment and hallway.
Regarding the allegation: Staff does not ensure the facility is free of rodents. It was alleged that a rat was observed in the kitchen.

To investigate the allegations, between 11:20am – 1:30pm, LPA conducted interviews with the Executive Director, twelve (12) staff, and four (10) residents. All resident interviewed denied seeing any insects, rats or droppings in their rooms or at the facility. Of the twelve (12) staff interviewed, three (3) mentioned that they were aware that a pest control company has come to treat but no evidence of roaches, ants or rats were found. Nine (9) staff had no knowledge and have not seen any dead or alive insects, rats or droppings. LPA interviewed the Executive Director who stated in April 2026 and August 2026, someone had contacted County of Los Angeles Public Health Department to report cockroaches and rodents in the kitchen. Inspectors from County of Los Angeles Public Health Department inspected the facility on 04/20/2026 and 08/05/2026 but no evidence of live or dead cockroaches were observed. In addition there were no evidence of rodent intrusion, gnawing marks, droppings were observed. Executive Director stated facility uses a professional pest control company called Ecolab Pest Elim, on a weekly basis, as a preventive measure. The pest control company has treated multiple areas but has not reported any infestation. Based on interviews and record review, it was revealed that the facility uses the pest control company as general maintenance and they have taken all measures to ensure there is no pest infestation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted. Copy of report provided.

SUPERVISORS NAME: Mary G Flores
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026

LIC9099 (FAS) - (06/04)

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