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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320242
Report Date: 07/24/2025
Date Signed: 07/24/2025 10:47:03 AM

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
07/09/2024 and conducted by Evaluator Troy Watson
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20240709100025
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: 83DATE:
07/24/2025
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Administrator - Tierre ThorntonTIME COMPLETED:
10:38 AM
ALLEGATION(S):
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Staff don't respond promptly to residents' calls.
Staff did not ensure that a doctor's appointment was scheduled for a resident.
Staff are not complying with residents' admission agreements.
Untrained staff.
INVESTIGATION FINDINGS:
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On 07/24/2025 Licensing Program Analyst's (LPA) Troy Watson conducted a subsequent visit to deliver findings regarding the above allegations(s). LPA met with the Administrator Tierre Thornton and the purpose of the visit was explained. LPA was granted entry to the facility.

Investigation consisted of the following:

CONTINUED ON LIC9099-C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
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 4
Control Number 11-AS-20240709100025
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: 07/24/2025
NARRATIVE
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On 12/18/24 LPA Watson reviewed and obtained copies of the Staff Roster and Resident Roster. On 07/17/25 LPA Watson obtained copies of the Relias Training Transcripts, and Admission Agreement. On 12/18/24, LPA conducted interviews with Residents #1- #6 (R1-R6), and Staff #1- #6 (S1-S6). On 07/16/25 LPA Watson interviewed the Administrator Tierre Thornton, Staff #7 (S7).LPA Watson toured the facility with the Business Office Director Armi Uchiyama.

Investigation revealed the following:

Allegation: Staff don't respond promptly to residents' calls

On 12/18/24 LPA Watson reviewed the facility files and found no incident reports relating to the allegation. On 12/18/24 between 9:30AM – 12:30PM, 7 out of 7 staff interviewed denied the allegation and 1 out of 7 stated that sometimes responses are delayed depending on the urgency of the call, but each call is addressed. On 12/18/24 between 1:30PM- 4:30PM, LPA Watson interviewed Residents #1- #6 (R1-R6). 5 out of 6 residents interviewed denied the above allegation. 1 out of 6 residents stated that there was a delayed response to their call. On 07/16/25 between 4:30PM – 5:00PM LPA Watson interviewed the Administrator Tierre Thornton Staff #7 (S7) and she stated that the facility did not have call logs or documentation of each call. Based on information gathered and records reviewed there is insufficient evidence to support the stated allegation.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240709100025
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: 07/24/2025
NARRATIVE
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On 12/18/24 between 9:30AM – 12:30PM LPA Watson interviewed Staff #1- #6 (S1-S6). On 07/16/25 between 4:30PM – 5:00PM LPA Watson interviewed the Administrator Tierre Thornton Staff #7 (S-7). 7 out of 7 staff interviewed denied the allegation. On 12/18/24 between 1:30PM-4:30PM LPA Watson interviewed Residents #1- #6 (R1-R6). 6 out of 6 residents interviewed denied the allegation. 6 out of 6 residents interviewed stated that they were responsible for scheduling their own doctors’ appointments. LPA Watson interviewed the Administrator Tierre Thorton and she stated that the residents and their families were responsible for scheduling their own appointments and could contact the wellness director if the clients needed to arrange for transportation to and from the hospital. Based on the information gathered and records reviewed there is insufficient evidence to support the stated allegation.

Allegation: Staff are not complying with residents' admission agreements

On 12/18/24 between 9:30AM – 12:30PM, LPA Watson interviewed Staff #1- #6 (S1-S6). On 07/16/25 between 4:30PM – 5:00PM LPA Watson interviewed the Administrator Tierre Thornton Staff #7 (S-7). 7 out of 7 staff interviewed denied the allegation. On 12/18/24 between 1:30PM-4:30PM LPA Watson interviewed Residents #1- #6 (R1-R6). 6 out of 6 residents interviewed denied the allegation. LPA Watson requested and obtained Admission Agreements for (R1) and observed that the facility followed the residents Admission Agreement. Based on the information gathered and records reviewed there is insufficient evidence to support the stated allegation.

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240709100025
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: 07/24/2025
NARRATIVE
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Allegation: Untrained staff

It is being alleged that staff are untrained and lack adequate knowledge of how to do their jobs. On 12/18/24 between 9:30AM – 12:30PM LPA Watson interviewed Staff #1- #6 (S1-S6). On 07/16/25 between 4:30PM – 5:00PM LPA Watson interviewed the Administrator Tierre Thornton Staff #7 (S7). 7 out of 7 staff interviewed denied the allegation. On 12/18/24 between 1:30PM-4:30PM LPA Watson interviewed Residents #1- #6 (R1-R6). 6 out of 6 residents interviewed denied the allegation. LPA Watson interviewed the Administrator Tierre Thornton, and she answered that all staff are required to take Relias training with a minimum passing score of 80%. The Administrator Tierre Thornton also stated that job shadowing is required of all employees before being officially installed into their positions. LPA obtained and reviewed Relias Transcripts for all employees interviewed, and it showed minimum scores of 80% and above for required employee training. Based on the information gathered and records reviewed there is insufficient evidence to support the stated allegation. 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.

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

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4