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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 02:19:35 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
07/28/2025 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20250728145508
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:
12:16 PM
MET WITH:Bryan Reamer-YuTIME COMPLETED:
02:32 PM
ALLEGATION(S):
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Staff did not prevent residents from sustaining falls while in care
Facility did not ensure that there is adequate staffing to meet the needs of residents in care
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 course of the investigation, LPA toured the facility and interviewed staff. Regarding the allegations that staff did not prevent residents from sustaining falls while in care and facility did not ensure that there is adequate staffing to meet the needs of residents in care, the investigation revealed the following: Facility staffing runs 3 caregivers and a med tech for 1st and 2nd shift and 2 caregivers on NOC shift for each memory care area. LPA observed adequate staffing on two different occasions. Nine out of ten staff interviewed state resident needs are being met including all activities of daily living. Staff state showers are being given along with meal assistance in the dining room. LPA observed an order for liquid thickener for Resident 1 (R1). Staff state residents at a risk of falling are monitored carefully and each one has an individualized fall prevention plan including lighting and lower beds. 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-20250728145508
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. Staff confirm response times 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)
Page: 2 of 2