198320242-8-21-2025-11-AS-JHAD-DKXTZD-20250827151010

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320242
Report Date: 08/21/2025
Date Signed: 08/21/2025 03:38:01 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
08/19/2025 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250819081451

FACILITY NAME:	IVY PARK AT CULVER CITY		FACILITY NUMBER:	198320242
ADMINISTRATOR:	BRITTNEY BUCHANNAN		FACILITY TYPE:	740
ADDRESS:	4061 GRAND VIEW BLVD.		TELEPHONE:	(310) 390-0565
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90066
CAPACITY:	150	CENSUS: 83	DATE:	08/21/2025
		UNANNOUNCED	TIME BEGAN:	11:51 AM
MET WITH:	Tierre Thorton		TIME COMPLETED:	02:22 PM

ALLEGATION(S):

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Facility is malodorous.
Staff do not ensure the facility is clean and sanitary.

INVESTIGATION FINDINGS:

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On August 21, 2025, the California Department of Social Services/Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced complaint visit. Tierre Thorton, Executive Director, greeted the LPA. (LPA) explained that the purpose of the visit is to investigate the allegations mentioned above.

The investigation included interviews, a collection of records, and a tour of the facility. Interviews were conducted with Resident #1 through Resident #8 (R1-R8), Staff #1 through Staff #6 (S1-S6). The Department reviewed several documents, including the Facility Resident Roster (dated 08/20/25), Personnel Report LIC 500 (dated 08/01/25), and Facility Floor Plan, as well as other pertinent records associated with this complaint.

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

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-20250819081451

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: 08/21/2025

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Facility is malodorous.

The complaint details that the facility is malodorous. It is reported that the facility has a strong and pervasive unpleasant odor noticeable in the hallway and throughout the facility. No further details have been provided on this matter.

On August 20, 2025, between 11:30 AM and 02:30 PM, the Department interviewed residents identified as Resident #1 through Resident #8 (R1-R8). Six (6) out of the eight (8) residents could not support this claim. (R1-R6) reported that they had never experienced any unpleasant odors while receiving care at this facility. (R7-R9) mentioned that they have encountered an unpleasant smell, but it occurs only occasionally and is promptly addressed. Overall, (R1-R8) expressed general satisfaction with the facility's condition, providing positive feedback. They appreciate the cleanliness of the facility and indicated that they would report any issues to the staff if they arose.

On August 20, 2025, between 10:00 AM and 11:15 AM, the Department interviewed staff members identified as Staff #1 through Staff #5 (S1-S5). Three (3) out of the five (5) staff members are not able to corroborate this claim. No one reported this issue, nor were they made aware that it was a concern, according to (S1-S5). (S4-S5) indicated that unpleasant odors have been noticed in the hallways of the memory care unit after residents after meals. They mentioned that these odors are not constant; they vary over time and usually occur only after mealtimes, particularly when residents are being assisted with incontinence care. According to (S5), there is no shortage of staff to assist with incontinence care. The facility has three caregivers for the morning shift, four caregivers for the afternoon shift, and three for the evening shift to assist with incontinence care. (S3) stated that housekeeping staff are responsible for managing a total of 10 rooms daily, as well as common areas. Ensuring that no malodorous odors are present is a crucial aspect of the housekeeping duties.

The Department inspected the facility on August 20 and 21, 2025. The inspection covered three floors of assisted living and memory care units, focusing on the maintenance and cleanliness of the environment. The facility was free of any unpleasant odors, and both housekeeping and maintenance staff were observed actively engaged in their responsibilities.
(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 11-AS-20250819081451

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: 08/21/2025

NARRATIVE

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A review of the facility’s Personnel Report LIC 500 (dated 08/01/25) confirmed the number of care staff, housekeeping, and maintenance available for each shift. Further review of the Communication Work Orders, (dated 07/01/25 to 08/21/25), reveals that there were no reports of unpleasant odors during this period.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Allegation #2: Staff do not ensure the facility is clean and sanitary.

The complaint details that the facility is not maintained in a clean and sanitary condition. It is reported that the dining area is filthy, with food on the chairs, tables, and floor, which need to be cleaned. No further details have been provided on this matter.

On August 20, 2025, between 11:30 AM and 02:30 PM, the Department interviewed residents identified as Resident #1 through Resident #8 (R1-R8). Eight (8) out of the eight (8) resident members could not validate this claim. (R1-R8) reported to have no issues or concerns about this matter. (R1-R8) indicated a favorable assessment of the facility's condition, especially regarding the main dining area. They specifically noted the commendable cleanliness of the space. Furthermore, they expressed a readiness to report any issues to the staff if they were to occur.

On August 20, 2025, between 10:00 AM and 11:15 AM, the Department interviewed staff members identified as Staff #1 through Staff #5 (S1-S5). Five (5) out of the five (5) staff members are not able to corroborate this claim. It appears that nobody had raised this issue, nor were they informed that it was a problem, as indicated by (S1-S5). (S3-S4) suggested that the dining areas in the assisted living and memory care sections are thoroughly cleaned after each meal. The cleaning process includes several steps: wiping down tables and chairs with a disinfectant cleaner, sweeping and mopping the floors, checking for spills or spots, and emptying the trash bins. These tasks are essential daily activities that help maintain a safe and healthy environment.

The Department inspected the facility on August 20 and 21, 2025, with a focus on the dining areas of the assisted living and memory care units. The purpose was to assess the overall maintenance and cleanliness of these environments. During the inspection, the Department identified that the dining chairs, tables, and floors were well-maintained and met cleanliness and sanitation standards.
(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 11-AS-20250819081451

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: 08/21/2025

NARRATIVE

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A review of the facility’s Personnel Report LIC 500 (dated 08/01/25) confirmed the number of servers, and kitchen staff for each shift. Further examination of the Communication Work Orders (dated 07/01/25 to 08/21/25) showed no reports of issues in the dining room areas of both assisted living and memory care.

Based on the information gathered, there is not enough evidence to support the allegations mentioned above. Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are Unsubstantiated.

No deficiencies were cited

An exit interview was conducted with Tierre Thorton, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025

LIC9099 (FAS) - (06/04)

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