275202849-8-26-2024-24-AS-BCHN-D8XQ72-20240909115421

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 275202849
Report Date: 07/26/2024
Date Signed: 08/26/2024 04:15:27 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2024 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20240531124314

FACILITY NAME:	IVY PARK AT SALINAS		FACILITY NUMBER:	275202849
ADMINISTRATOR:	POST, SARA		FACILITY TYPE:	740
ADDRESS:	1320 PADRE DRIVE		TELEPHONE:	(831) 754-5532
CITY:	SALINAS	STATE: CA	ZIP CODE:	93901
CAPACITY:	185	CENSUS: 150	DATE:	07/26/2024
		UNANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Facility Medication Technician, Jewel Sanchez		TIME COMPLETED:	06:30 PM

ALLEGATION(S):

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Staff do not provide daily activities for residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on July 26,2024 at 5:00 p.m. to investigate the above allegation. LPA met with Facility Medication Technician, Jewel Sanchez ,and explained the purpose for today’s visit.

Regarding the allegation staff do not provide daily activities. LPA Hurt spoke with four facility residents who all stated the facility has regular activities including on weekends. LPA Hurt observed several postings throughout the facility informing residents of acitvities being held. LPA Hurt observed a large activities calendar posted in the hallway during visits to the facility on 05/31/2024, and 07/26/2024. 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.

No deficincies cited today Per Title 22 Regulations.

Exit interview conducted with facility Facility Medication Technician, Jewel Sanchez , and copy of report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024

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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