198320242-4-30-2025-11-AS-RORN-DGMURW-20250513154925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320242
Report Date: 04/30/2025
Date Signed: 04/30/2025 04:10:15 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
03/11/2025 and conducted by Evaluator Elvira Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250311102958

FACILITY NAME:	IVY PARK AT CULVER CITY		FACILITY NUMBER:	198320242
ADMINISTRATOR:	BRITTNEY BUCHANNAN		FACILITY TYPE:	740
ADDRESS:	4061 GRAND VIEW BLVD.		TELEPHONE:	(949) 744-5200
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY:	150; 150	CENSUS: 83	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	10:21 AM
MET WITH:	Armida Uchiyama, Business Office Director		TIME COMPLETED:	04:25 PM

ALLEGATION(S):

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Facility staff handles residents in a rough manner.

INVESTIGATION FINDINGS:

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On 04/29/25, Licensing Program Analyst (LPA) Elvira Gonzalez conducted a subsequent unannounced complaint visit to further investigate the above-mentioned allegation and deliver findings. LPA met with Business Office Director, Armida Uchiyama, and the purpose of the visit was explained. LPA was granted access into the facility.

The investigation consisted of the following: On 03/19/25, LPA received the following documents: staff roster, resident roster, and conducted interviews with staff #1-#5 (S1-S5). On 04/29/25, LPA conducted interviews with residents #1-#6 (R2-R6) and attempted to interview resident #7 (R7). Furthermore, LPA conducted a tour of the facility.

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

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 11-AS-20250311102958

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: 04/30/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Facility staff handles residents in a rough manner. It is being alleged that a staff member handled a resident in a rough manner and hurt them. It is also being alleged that other staff members are afraid of this staff member, and that management is aware as it has been reported to them. On 03/19/25, between 02:30 PM and 04:00 PM, LPA interviewed S1-S5. Based on interviews conducted, 4 out of 5 staff interviewed denied the allegation. 4 out of 5 staff interviewed stated that they are not aware of any staff member being afraid of a staff member. 5 out of 5 staff interviewed stated that they are not aware of any rough handling of a resident. 5 out of 5 staff interviewed stated they treat all residents with dignity and respect.

On 04/29/25 between 11:30 AM and 02:20 PM, LPA interviewed R1-R6 and attempted to interview resident #7 (R7). Based on interviews conducted, 5 out of 6 residents interviewed stated that staff has never handled or treated them in a rough manner, 1 out of 6 residents interviewed stated that staff has handled or treated them in a rough manner, and LPA was unable to interview R7. 6 out of 6 residents interviewed stated that staff treat them with dignity and respect, and LPA was unable to interview R7. 6 out of 6 residents interviewed stated that they are satisfied with the services being provided to them at this facility.

Based on interviews, file review and observation during the investigation, the above allegation is found to be Unsubstantiated. 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.

No deficiencies were cited during this investigation.

An exit interview was conducted with Executive Director,Tierre Thornton, and a copy of the report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Elvira Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

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