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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602608
Report Date: 05/05/2026
Date Signed: 05/05/2026 04:45:13 PM

Unsubstantiated


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
04/28/2026 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20260428090637
FACILITY NAME:IVY PARK AT CERRITOSFACILITY NUMBER:
198602608
ADMINISTRATOR:MARK PADILLAFACILITY TYPE:
740
ADDRESS:11000 NEW FALCON WAYTELEPHONE:
(562) 865-9500
CITY:CERRITOSSTATE: CAZIP CODE:
90703
CAPACITY:163CENSUS: 140DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH:Administrator Mark Padilla TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff interacts inappropriately with resident
Staff speaks inappropriately to resident
INVESTIGATION FINDINGS:
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On 05/05/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted an initial complaint visit in conjunction with an annual inspection. Upon arrival, LPA met the Maintenance Director, Maria Gallegos. The Administrator, Mark Padilla, arrived at 9:30 a.m., and the LPA explained the purpose of the visit.

During the visit, LPA interviewed the Administrator and a total of five (5) staff members, who shall be referred to as Staff #1 through #5 (S1-S5). LPA also interviewed a total of fourteen (14) residents, who shall be referred to as residents #1-14 (R1-R14). LPA Baptiste obtained the staff roster, the resident roster, R1’s physician’s report, preplacement appraisal information, and the Resident Information Form.

Report continued on 9099c
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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 2
Control Number 28-AS-20260428090637
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: 05/05/2026
NARRATIVE
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The investigation reveals the following: Regarding “Staff interacts inappropriately with residents”. It is alleged that staff were taunting R1”. It was found that R1 was referring to the private staff they hired, not the facility staff. The administrator and all staff denied taunting the residents and further stated that none of the residents complained about staff taunting. All residents interviewed denied the allegation. R1 stated that the issues they are having are with the private care staff they hired.

The investigation reveals the following: Regarding “Staff speaks inappropriately to resident”. It is alleged that the staff was making fun of and calling R1 names. The administrator and all staff members denied making fun of or calling the residents names. All residents denied the allegation, stating that the staff is wonderful. R1 stated the facility staff is not the issue, but their private care staff is the problem.

Based on LPA's interviews, the investigation revealed: 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, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Executive Director Mark Padilla, and a copy of this record was provided.

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2