306006402-5-13-2026-22-AS-APAO-DU96V8-20260519210819

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006402
Report Date: 05/13/2026
Date Signed: 05/13/2026 03:30:09 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
08/26/2025 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20250826120248

FACILITY NAME:	IVY PARK AT SEAL BEACH		FACILITY NUMBER:	306006402
ADMINISTRATOR:	TAMI OJWANG		FACILITY TYPE:	740
ADDRESS:	3850 AND 3840 LAMPSON AVE		TELEPHONE:	(562) 594-5788
CITY:	SEAL BEACH	STATE: CA	ZIP CODE:	90740
CAPACITY:	261	CENSUS: 182	DATE:	05/13/2026
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Administrator- Tami Ojwang		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Licensee is not ensuring that communications to staff from resident's representative are answered promptly.

INVESTIGATION FINDINGS:

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On May 13, 2026, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced subsequent complaint visit at the facility for the above allegation. LPA Kim met with Administrator Tami Ojwang and explained the purpose of the visit.

The investigation consisted of the following: LPA Kim conducted a physical plant tour inside and outside of the facility and no concerns were observed. LPA Kim reviewed one resident record, which include: Admission Agreement, Identification and Emergency Information, Physician's Report, Needs and Services Plans/Reappraisal, email correspondence, and other pertinent records.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

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-20250826120248

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 SEAL BEACH	FACILITY NUMBER: 306006402
	VISIT DATE: 05/13/2026

NARRATIVE

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Allegation: Licensee is not ensuring that communications to staff from resident's representative are answered promptly.
It is alleged the facility lacked communication by not informing resident or resident’s responsible party of when medications ran out or when doses were missed. Ivy Park did not answer phone calls or have not responded to inquiries and questions.

Based on interviews, LPA interviewed two staff and attempted to interview additional three staff. Staff #1 (S1) and S2 stated that whenever a staff member is contacted directly through email or over the phone it can take up to 72 hours for response based on their schedule. When they are working and receive a phone call or email, they will respond in a timely manner. S1 and S2 stated that they have not heard complaints from residents, resident’s family, and others about the lack of communication and about not responding in a timely manner for phone calls and email. S1 and S2 stated that staff notify resident, resident’s family, and/or responsible party if the resident’s medication is about to run out or if there is a medication error.

Based on record review, email correspondence from Witness #1 (W1) to S1 were done in a timely manner. In an email correspondence dated March 11, 2025, S1 responded on the same day. On March 12, 2025, S1 responded to the email sent by W1 on the same day. In an email correspondence dated from July 29, 2025, S1 responded on the same day. An email correspondence dated August 24, 2025, to August 27, 2025, S1 responded to each email within the same day. An email correspondence dated November 4, 2025, S1 responded to the email the same day. LPA requested the facility for a call log, but the facility does not contain a call log record.

Based on the information gathered, there is no sufficient evidence to confirm the above allegation.

Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegation Licensee is not ensuring that communications to staff from resident's representative are answered promptly. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Tami Ojwang.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2026

LIC9099 (FAS) - (06/04)

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