<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320242
Report Date: 02/22/2024
Date Signed: 02/22/2024 02:20:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2023 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20230301103809
FACILITY NAME:IVY PARK AT CULVER CITYFACILITY NUMBER:
198320242
ADMINISTRATOR:BRITTNEY BUCHANNANFACILITY TYPE:
740
ADDRESS:4061 GRAND VIEW BLVD.TELEPHONE:
(949) 744-5200
CITY:LOS ANGELESSTATE: CAZIP CODE:
90066
CAPACITY:150CENSUS: 79DATE:
02/22/2024
UNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:Brittney BuchannanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff handle residents in an aggressive manner.
Facility staff leave residents soiled for an extended period of time.
Facility staff are not meeting residents' laundering needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/22/24, at 09:00am, Licensing Program Analyst (LPA) Perry Scott conducted a subsequent unannounced visit to the facility and was greeted by Brittney Buchannan, Director. LPA explained the purpose of this visit is to gather additional information and deliver findings for the allegations mentioned above.
The investigation consisted of the following: An initial complaint visit was completed by LPA Martessa Brown on 03/07/23. A subsequent visit was completed by LPA Perry Scott on 02/22/24. LPAs investigated the allegations mentioned in this complaint; and conducted interviews with residents and staff. Staff rosters, Resident rosters, laundry schedule, and Staff Trainings were obtained from the facility. A tour of the facility was conducted.

The investigation revealed the following: Allegation-Facility staff handle residents in an aggressive manner.

Report continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 11-AS-20230301103809
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: IVY PARK AT CULVER CITY
FACILITY NUMBER: 198320242
VISIT DATE: 02/22/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 02/22/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S5) and residents (R1-R8) regarding the allegation. The details of the complaint alleged that the facility staff members are handling residents in an aggressive manner. 5 of 5 staff denied the allegation that Facility staff handle residents in an aggressive manner. All staff (S1-S5) stated that they are trained through in-service and RELIAS trainings that teaches them how to care for residents and take care of their specific needs. LPA reviewed in-service trainings and verified that the trainings in resident care were completed. LPA interviewed R1-R8 about the allegation that Facility staff handle residents in an aggressive manner. 8 of 8 residents denied the allegation and stated that they are happy with the care and supervision the staff is giving them.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Facility staff handle residents in an aggressive manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Allegation # 2-Facility staff leave residents soiled for an extended period of time.

On 02/22/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S5) and residents (R1-R8) regarding the allegation. The details of the complaint alleged that the facility staff members are not attending to their hygiene needs by letting them sit in soiled and urine-stained clothing for an extended period. 5 of 5 staff denied the allegation that Facility staff leave residents soiled for an extended period of time. All staff (S1-S5) stated that they have no knowledge of residents being treated this way. They state that residents who are incontinent are changed on average, about every two hours. Those that are in Memory Care are checked on every hour. And if they have soiled themselves, they are changed, given a shower, and their bed linens and clothing are washed that day. LPA interviewed R1-R8 about the allegation that Facility staff leave residents soiled for an extended period of time. 8 of 8 residents denied the allegation and stated that they have no knowledge of anyone that this has happened to, and it has never happened to them.

Based on interviews, there is insufficient evidence to support the allegation that the Facility staff leave residents soiled for an extended period of time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

Report continued on LIC9099-C

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20230301103809
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: IVY PARK AT CULVER CITY
FACILITY NUMBER: 198320242
VISIT DATE: 02/22/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation # 3- Facility staff are not meeting residents' laundering needs.

On 02/22/24, from 09:00am-02:00pm, LPA interviewed staff (S1-S5) and residents (R1-R8) regarding the allegation. The details of the complaint alleged that the facility staff members are not meeting the laundering needs of the residents and are letting the residents clothing pile up without being laundered. 5 of 5 staff denied the allegation that Facility staff are not meeting residents' laundering needs. All staff (S1-S5) stated that there is a laundry schedule in the facility which is Monday, Tuesday, Wednesday, and Friday. They further state that those residents that are in Memory Care and have incontinence issues are washed more often. They state that if they have an accident and soil themselves, their clothing, or the bed linens, those items are laundered that day. LPA interviewed R1-R8 about the allegation that Facility staff are not meeting residents' laundering needs. 8 of 8 residents denied the allegation and stated that they do not have any issues with the laundry service in the facility.

Based on interviews, there is insufficient evidence to support the allegation that the Facility staff are not meeting residents' laundering needs. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were cited during this visit.

An exit interview was conducted, and a copy of this report was provided to, Director, Brittney Buchannan.

SUPERVISOR'S NAME: Janae HammondTELEPHONE: (424) 544-1027
LICENSING EVALUATOR NAME: Perry ScottTELEPHONE: (707) 849-2315
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3