306004564-9-21-2025-22-AS-LRIS-DLRLDB-20250922083941

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004564
Report Date: 09/21/2025
Date Signed: 09/21/2025 02:27:49 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2023 and conducted by Evaluator Arielle Pascua

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230713145249

FACILITY NAME:	IVY PARK AT HUNTINGTON BEACH		FACILITY NUMBER:	306004564
ADMINISTRATOR:	JANELLE ODISHOO		FACILITY TYPE:	740
ADDRESS:	7401 & 7351 YORKTOWN AVE		TELEPHONE:	(714) 536-3032
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	0	CENSUS: 0	DATE:	09/21/2025
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	N/A		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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9

Staff refused to help resident
Resident missed medical appointment
Staff failed to meet residents' needs

INVESTIGATION FINDINGS:

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On 09/21/2025, Licensing Program Analyst (LPA) Arielle Pascua delivered complaint findings via certified mail for the allegation above. Current census was 0.

LPA Pascua attempted to obtain addition information regarding these allegations, however the information related to the events in 2023 are not available.
5 residents and 4 staff members present at the time of this complaint deny the allegations.
As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.
There were no deficiencies observed or cited at this time.
An Exit Interview was conducted and a copy of this report was provided to the facility via email. A certified copy will be sent to the facility mailing address.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Emerita Curiel
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2025

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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