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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602608
Report Date: 03/19/2026
Date Signed: 03/19/2026 11:21:27 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20250711081001
FACILITY NAME:IVY PARK AT CERRITOSFACILITY NUMBER:
198602608
ADMINISTRATOR:LAURA RODRIGUEZFACILITY TYPE:
740
ADDRESS:11000 NEW FALCON WAYTELEPHONE:
(562) 865-9500
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY:163CENSUS: 141DATE:
03/19/2026
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Mark Padila - Executive DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Unlawful Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above-mentioned allegation. LPA met with Executive Director and explained the reason for visit.
The investigation consisted of the following: During the visits LPA obtained copies of Staff & Residents rosters, Interviewed Interim Executive Director, Staff 1 (S1), Staff 2 S (2), Staff 3(S3), Current Executive Director, Resident 1 to Resident 11 (R1 to R11). LPA reviewed and collected documents related to R1.

Continue 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
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 28-AS-20250711081001
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: IVY PARK AT CERRITOS
FACILITY NUMBER: 198602608
VISIT DATE: 03/19/2026
NARRATIVE
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Investigation revealed the following: in regards to the allegation “Unlawful Eviction”. It was alleged that R1 received 30-day notice and feels R1 is being retaliated against due to complaining about the facility.

Interviewed Interim Executive Director stated that Resident 1 (R1) was served an eviction notice due to multiple incidents over the years involving disrespectful behavior toward staff and other residents. Interviewed current Executive Director stated that they joined the Facility on 10/3/25 and was made aware that R1 had been served an Eviction Notice due to behavioral concerns and the concerns had reached a level that the previous leadership felt R1 needed to be removed from the community. However, the Executive Director stated they have developed a positive relationship with R1 and consider R1’s behavior to be manageable. They further indicated that through communication and ongoing relationship-building, the concerns have improved, and the eviction notice was rescinded on 12/01/2025. Interviewed S1 stated they were aware of process of R1’s eviction but new Executive Director established a rapport with R1 and believed he effectively manage R1’s behaviors. Interviewed S2 stated in the past, sometimes R1 could make a comment to the staff and residents, which made them feel uncomfortable. However, under new management, R1 significantly improved and there were no major recent issues. Interviewed S3 stated that R1 is nice, and they didn’t see any behavior from R1 that would make them or others uncomfortable. LPA interviewed 11 residents. R1 denied making negative or disrespectful comments and stated that the incidents listed in the eviction notice were either exaggerated or did not occur. R1 also expressed that the eviction notice may have been issued in response to their raising concerns to administration, such as ensuring doors are locked after hours and maintaining comfortable facility temperatures. (5) out of (10) Interviewed residents stated that they don’t know R1. (5) out of (10) residents stated that they don’t have any issues with R1. Review of the Eviction notice dated 06/25/2025 indicated R1 was served Eviction notice for noncompliance with community policies and house rules regarding disruptive or abusive behavior.

Continue 9099C

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 28-AS-20250711081001
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: IVY PARK AT CERRITOS
FACILITY NUMBER: 198602608
VISIT DATE: 03/19/2026
NARRATIVE
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The notice referenced a few incidents between 2022 and 2025 involving alleged negative or disrespectful comments. However, upon review of R1’s file, house rules, and eviction documentation, as well as observations and interviews conducted, the LPA did not find sufficient evidence that R1 engaged in behavior that disrupted the facility’s calm, peaceful environment or violated house rules to the extent described, and that R1’s actions violate general facility policies created for the purpose of making it possible for residents to live together as stated under regulation 87224(a)(3).

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview was held, and a copy of this report, appeal rights were provided.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 28-AS-20250711081001
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: IVY PARK AT CERRITOS
FACILITY NUMBER: 198602608
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
03/19/2026
Section Cited
CCR
87224(a)(3)
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The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5).Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5).(3)Failure of the resident to comply with general policies of the facility. Said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement.

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Cleared during visit. Eviction notice was rescinded on 12/01/25.
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This requirement is not met as evidenced by:
Eviction Notice dated 06/25/25 does not indicate how R1's actions violate general facility policies created for the purpose of making it possible for residents to live together.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4