198320242-8-28-2025-11-AS-JHAD-DL5PMX-20250902112704

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320242
Report Date: 08/28/2025
Date Signed: 08/28/2025 12:40:14 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
08/26/2025 and conducted by Evaluator Ernand Dabuet

COMPLAINT CONTROL NUMBER: 11-AS-20250826161412

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:	08/28/2025
		UNANNOUNCED	TIME BEGAN:	10:37 AM
MET WITH:			TIME COMPLETED:	11:38 AM

ALLEGATION(S):

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Facility staff do not treat residents with dignity or respect.

INVESTIGATION FINDINGS:

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On August 28, 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 allegation mentioned above.

The investigation included interviews, a collection of records, and a tour of the facility. Interviews were conducted with Resident #1 through Resident #4 (R1-R4), Staff #1 through Staff #6 (S1-S6), and Witness #1 through #4 (W1-W4). The Department reviewed several documents, including the Facility Resident Roster (dated 08/27/25), Personnel Report LIC 500 (dated 08/01/25), and Relias Personnel Staff Training, 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: 08/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025

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-20250826161412

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: 08/28/2025

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Facility staff do not treat residents with dignity or respect.

The complaint alleges that the staff at the facility fail to maintain standards of dignity and respect in their treatment of residents in the memory care unit. While specific examples have not been provided, concerns have been raised about the interactions between staff members and residents. Reports indicate that staff members are rude and seem unwilling to assist, suggesting that residents may be experiencing neglect. No additional information about this situation was provided.

On August 27, 2025, between 11:30 AM and 03:30 PM, the Department interviewed staff members identified as Staff #1 through Staff #6. Six (6) of the six (6) staff members were unable to recount any incident between a staff member and a resident. All staff members confirmed that residents receive professional assistance, treatment, and services. Additionally, all staff are required to complete mandatory training every 30 days. This training includes topics such as personal care assistance, cognitive and emotional support, behavioral management, safety and supervision, health monitoring, communication, documentation, and resident rights.

On August 27, 2025, between 01:10 PM and 03:30 PM, the Department interviewed residents identified as Resident #1 through Resident #4 (R1-R4). Three (3) out of the four (4) residents could not support this claim. (R2-R4) commended all facility staff, noting that their interactions with the staff were amiable. They also stated that they had never witnessed any inappropriate behavior from any of the staff. (R1-R4) affirmed that the services delivered by staff were not only responsive but also fully adequate. Despite (R1) reporting unpleasant interaction with one staff member, (R1) was unable to provide specific details about the individual, raising concerns about the consistency and accountability of staff interactions.

On August 27, 2025, and August 28, 2025, between 10:00 AM and 04:00 PM, the Department interviewed family representatives identified as Witness #1 through Witness #4 (W1-W4). Four (4) out of the four (4) witness members are not able to validate this claim. All four witness members have reported not having observed any inappropriate behavior during their visits to the facility. (W1-W4) determined that the care services provided to residents are satisfactory and indicate that residents are not being neglected.

On August 27, 2025, the Department conducted a thorough inspection of the facility, with particular emphasis placed on the memory care unit.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20250826161412

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: 08/28/2025

NARRATIVE

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The inspection involved observing staff interactions with residents and examining how caregivers approached their responsibilities. The Department monitored the quality of communication, the appropriateness of activities, and the overall atmosphere within the unit to assess the level of care provided to each resident. The Department observed a staff member professionally interacting with residents.

During the visit, the Department identified that the facility promotes the rights of its residents. Posters outlining Resident Rights, Personal Rights, and the California Residential Care Facilities for the Elderly Complaint Poster were displayed prominently throughout the facility. This helps residents know their rights, which supports their well-being.

A review of staff training records confirmed that personnel staff had completed the mandatory Workplace Sensitivity Training Courses, including ADLs and Behaviors, Psychosocial Needs, Challenging Behaviors, Essentials, Person-Centered Care, and Medication Management, Recognizing and Reporting Abuse, Essential Resident Rights, Resident Rights in Assisted Living, Communication and People with Dementia, and Respecting Diversity: Residents, Staff, and Families are some of topics are essential for mandated training.

Based on the information gathered, there is not enough evidence to support the allegation 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 allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

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: 08/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2025

LIC9099 (FAS) - (06/04)

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