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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006456
Report Date: 10/01/2025
Date Signed: 10/01/2025 02:18:52 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, 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
09/09/2025 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20250909100744
FACILITY NAME:IVY PARK AT HUNTINGTON BEACHFACILITY NUMBER:
306006456
ADMINISTRATOR:REAMER-YU, BRYANFACILITY TYPE:
740
ADDRESS:7401 & 7351 YORKTOWN AVE.TELEPHONE:
(714) 536-3032
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:142CENSUS: 114DATE:
10/01/2025
UNANNOUNCEDTIME BEGAN:
09:49 AM
MET WITH:Bryan Reamer-YuTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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The signal system did not produce an auditory signal for staff causing a delay
Staff did not provide care to residents in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the investigation, LPA toured the facility, activated emergency pull cords and interviewed staff. Regarding the allegations that the signal system did not produce an auditory signal for staff causing a delay and staff did not provide care to residents in a timely manner, the investigation revealed the following: LPA observed the signal system during the investigation. The system has a central base and emits to pagers on the caregivers. Pager goes off approximately every 5 minutes if not reset with an escalation to all management after 15 minutes. LPA pulled the emergency cord two different times and staff responded within 1 minute. Six out of six staff state they are provided with pagers and walkie talkies. Sometimes the pagers are in need of batteries and work once the battery is replaced. Facility management stated that there was a need to order more pagers and staff state currently working with new pagers. LPA reviewed the call response log CONTINUED ON LIC 9099C DATED 10/01/2025
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
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 22-AS-20250909100744
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: IVY PARK AT HUNTINGTON BEACH
FACILITY NUMBER: 306006456
VISIT DATE: 10/01/2025
NARRATIVE
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LPA observed 12 response times over 19 minutes out of 319 responses reviewed and none were in the memory care unit. Six out of six staff state resident needs are being met and responses to the emergency pull are timely. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator and a copy of this report was provided to facility.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2025
LIC9099 (FAS) - (06/04)
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