306006069-5-29-2026-22-AS-LMOA-DUUNN6-20260608103613

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006069
Report Date: 05/29/2026
Date Signed: 05/29/2026 12:05:30 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
01/08/2026 and conducted by Evaluator Claudia Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20260108165946

FACILITY NAME:	IVY PARK AT BRADFORD		FACILITY NUMBER:	306006069
ADMINISTRATOR:	RUZICA CALABRESE		FACILITY TYPE:	740
ADDRESS:	1180 N BRADFORD AVE		TELEPHONE:	(714) 996-9292
CITY:	PLACENTIA	STATE: CA	ZIP CODE:	92870
CAPACITY:	136	CENSUS:	DATE:	05/29/2026
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Rose Calabrese		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff did not ensure that resident had their required mobility aid prior to leaving the facility

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Executive Director (ED) Rose Calabrese and explained the purpose of the inspection.

Complaint alleges Staff did not ensure that Resident 1 (R1) had their required mobility aid prior to leaving the facility.

During the course of the investigation, LPA conducted record review of R1’s Physician Report (LIC602) and Incident Report (LIC624). Per R1’s LIC602 dated November 22, 2024, R1 is ambulatory, independent with activities of daily living, and able to leave the facility unassisted. Per LIC624 dated January 5, 2026, on January 2, 2026 at 4:08 p.m., a local Hospital called the facility to inform them that R1 was at the Emergency Room and had arrived at 2:23 p.m. via ambulance, after falling outside of a phone store. (Cont. LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

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 22-AS-20260108165946

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: IVY PARK AT BRADFORD	FACILITY NUMBER: 306006069
	VISIT DATE: 05/29/2026

NARRATIVE

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During their interview, S1 stated that on January 2, 2026, it had been raining on and off and R1 was "insistent" on getting their girlfriend a phone. Per S1, R1 was able to leave the facility unassisted and did so from time to time. S1 stated shortly after R1 left to the cell phone store on foot, they received a call from the Hospital stating R1 had fallen outside of the cell phone store. Per S1, R1 did have a walker, however, R1 was able to ambulate without it and only used the walker occasionally. S1 stated they were unsure if R1 had their walker prior to leaving the facility or if R1 had been using the walker at the time of their fall. During their interview, R1’s responsible party, Witness 1 (W1) stated they were unsure if R1 had their walker prior to leaving the facility, however, stated R1 was able to ambulate without it, and often did so at their own discretion. During their interview, R1 was unable to confirm or deny if they had their walker prior to leaving the facility or if they been using the walker at the time of their fall.

Based on record review of R1’s LIC602 and LIC624, and due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff did not ensure that resident had their required mobility aid prior to leaving the facility. Although the above 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 at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2026

LIC9099 (FAS) - (06/04)

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