197610501-12-11-2025-31-AS-NGID-DTBRVA-20260420132109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610501
Report Date: 12/11/2025
Date Signed: 12/11/2025 01:10:34 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
04/11/2025 and conducted by Evaluator Perchui Khurshudyan

COMPLAINT CONTROL NUMBER: 31-AS-20250411152240

FACILITY NAME:	IVY PARK AT WEST HILLS		FACILITY NUMBER:	197610501
ADMINISTRATOR:	LIDIA CAUCHI		FACILITY TYPE:	740
ADDRESS:	9012 TOPANGA CANYON ROAD		TELEPHONE:	(818) 701-9550
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91304
CAPACITY:	90	CENSUS: 70	DATE:	12/11/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Lidia Cauchi - Executive Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff locked residents in their rooms.
Staff did not change residents in care.

INVESTIGATION FINDINGS:

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At 9:00am Licensing Program Analysts (LPAs) Perchui Milena Khurshudyan and Angela Panushkina conducted a subsequent visit to deliver final findings. Upon arrival, LPAs met with the Executive Director (ED) Lidia Cauchi and explained the reason for the visit.

During the initial visit conducted on 04/18/2025, at 09:05am, LPAs requested residents and staff rosters. LPAs also requested copies of pertinent information which include, but not limited to Mandated Reporting policy, Staff training log, Incontinent Plan of Operation, Staff work schedule for one week, Staff work daily log for one month. At approximately 09:25am, LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 9:30am – 11:10am, LPAs conducted interviews with the Executive Director, Memory Care Director, three (3) out of six (6) staff/caregivers, nine (9) out of ten (10) residents who were able to communicate and one (1) witness. Also, while interviewing a sample of ten (10) residents, LPAs also inspected four (4) resident door locks in a Memory Care Unit.
Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

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 31-AS-20250411152240

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 WEST HILLS	FACILITY NUMBER: 197610501
	VISIT DATE: 12/11/2025

NARRATIVE

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Allegation: Staff locked residents in their rooms.

It was alleged that residents in a Memory Care Unit are kept locked in their rooms. To investigate this allegation, LPAs conducted an interview with the Administrator and Memory Care Director. Both parties denied ever witnessing or hearing residents being locked in their rooms. LPAs were informed that the doors can only be locked from inside by the residents. However, all staff members have a master key and can easily gain access. Interview with three (3) staff members revealed that a Memory Care Unit currently has two (2) wandering residents. LPAs were also informed that when residents are out in common areas all residents’ doors are kept closed but not locked to prevent wandering residents from entering. Interview with staff also revealed that all Memory Care Unit residents’ doors are always unlocked when the resident is in the room, and the staff checks on them every hour. LPA visited four (4) random rooms and observed that the doors have no auto lock and can easily be opened. However, if the door is locked from the outside only a staff member with master key can gain access. Therefore, based on interviews, observation and record reviews, this allegation is deemed Unsubstantiated at this time.

Allegation: Staff did not change residents in care

To investigate this allegation, LPAs conducted an interview with the Administrator and Memory Care Director. Both parties denied the above allegation and informed LPAs that all incontinent residents are scheduled to be changed every two (2) hours or as needed. Three (3) staff members interviewed corroborated with the information provided by the Administrator and Memory Care Director. Additionally, LPAs conducted an interview with one (1) witness, who also denied the above allegation and stated that they visit their loved one twice a week and always witnessed staff changing residents frequently. Lastly, nine (9) out ten (10) residents interviewed also expressed no concern regarding the above allegations. During LPA's tour of the facility, there were no noticeable odors of incontinence and all residents were appropriately dressed and well taken care of. Based on information obtained through interviews and LPAs observation this allegation is deemed Unsubstantiated at this time.

No deficiency issued during today's visit.

Exit interview conducted, appeal rights explained and copy of this report delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Perchui Khurshudyan
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2025

LIC9099 (FAS) - (06/04)

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