197610520-10-6-2025-31-AS-TAGD-DNHQUP-20251117112905

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610520
Report Date: 10/06/2025
Date Signed: 10/06/2025 01:00:57 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
09/12/2025 and conducted by Evaluator Nadia Shahbazian

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20250912114435

FACILITY NAME:	IVY PARK AT STUDIO CITY		FACILITY NUMBER:	197610520
ADMINISTRATOR:	KASHANI, FARAZ		FACILITY TYPE:	740
ADDRESS:	4610 COLDWATER CANYON		TELEPHONE:	(818) 505-8484
CITY:	STUDIO CITY	STATE: CA	ZIP CODE:	91604
CAPACITY:	121	CENSUS: 76	DATE:	10/06/2025
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Maria Quizon/Executive Director		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Licensee does not ensure toilet paper is provided to residents in care

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA)s Nadia Shahbazian and Tuesday Cabiness conducted an unannounced subsequent complaint visit to the facility to conclude the investigation regarding the above allegation. LPAs met with the Executive Director/Administrator, Maria Quizon, and advised of the complaint. During the course of the investigation, interviews with staff and residents were held. A review of admission records for 8 residents and facility plan of operation was also conducted.

In regards to the allegation, it was reported that licensee does not provide personal supply of toilet paper to residents. On September 05, 2025, Administrator sent a reminder letter to all residents, stating that company’s long-lasting policy is for residents to supply their own personal supplies, although facility will provide some supplies in emergency situations. Based on the reminder letter, facility can assist residents to obtain supplies, at an extra cost or will assist with setting up delivery services, such as Amazon or Target.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

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-20250912114435

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 STUDIO CITY	FACILITY NUMBER: 197610520
	VISIT DATE: 10/06/2025

NARRATIVE

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Continued from LIC 9099

Based on interviews and the information obtained, several residents stated that they were not aware that toilet paper is not provided. Most residents were not concerned, since they were already purchasing their own personal supplies. Only two residents interviewed, mentioned that they have been provided toilet paper by the facility staff, upon asking and there should not be additional charges added to their rent. Based on review of admission records for residents, LPAs verified that personal supplies are listed as responsibility of residents, therefore, the allegation is deemed Unsubstantiated at this time.

An exit interview was conducted, and a copy of this report was given.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Nadia Shahbazian
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2025

LIC9099 (FAS) - (06/04)

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