306006456-1-16-2026-22-AS-AORZ-DQKMHA-20260122083709

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006456
Report Date: 01/16/2026
Date Signed: 01/16/2026 11:32:52 AM

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-20250909171225

FACILITY NAME:	IVY PARK AT HUNTINGTON BEACH		FACILITY NUMBER:	306006456
ADMINISTRATOR:	REAMER-YU, BRYAN		FACILITY TYPE:	740
ADDRESS:	7401 & 7351 YORKTOWN AVE.		TELEPHONE:	(714) 536-3032
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	142	CENSUS: 117	DATE:	01/16/2026
		UNANNOUNCED	TIME BEGAN:	11:08 AM
MET WITH:	Bryan Reamer-Yu		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Neglect/lack of care and supervision resulting in resident sustaining a head injury

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, the Department interviewed staff as well as reviewed and obtained documentation such as UCI Hospital medical records. Regarding the allegation that Neglect/lack of care and supervision resulting in resident sustaining a head injury, the investigation revealed the following:

Resident 1 (R1) was admitted into the facility on August 04, 2025, and was hospitalized twice for unwitnessed falls on September 09, 2025, and September 12, 2025. Facility assessments of R1 were conducted on August 03, 2025, and again on August 28, 2025, showing resident was a fall risk due to impaired vision but able to ambulate on their own. Individualized Service Plan dated August 08, 2025, lists R1 as a fall risk and advised staff to CONTINUED ON LIC 9099C DATED 01/16/2026

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

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-20250909171225

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: 01/16/2026

NARRATIVE

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assist with cueing and maintaining a safe environment in the resident’s room as well as adequate lighting and proper footwear. Additionally, it was noted under “Behaviors” for staff to keep the resident with them during daytime hours and encourage activities. All staff interviewed indicated R1 was either in the common area with staff or checked at least every two hours if not in common area. Medical records obtained following R1’s hospitalization on September 09,2025, revealed they sustained a scalp laceration which was repaired with one staple. Imaging revealed no evidence of an acute traumatic injury. On September 12, 2025, after sustaining their second fall, medical records obtained revealed a small volume left frontal subarachnoid hemorrhage and an acute minimally displaced fracture of the left zygomatic arch.

Upon return from the hospital additional fall preventions were put in place for R1 including a lowered bed; wheelchair; and a nighttime one on one care companion from the period of September 14, 2025, through September 23, 2025, for the hours of 10PM to 8AM. Staff interviewed reported that since the resident started utilizing the lower bed, there have been no other falls.

The review of Huntington Beach Fire Department records showed staff called 911 to request medical assistance for both unwitnessed falls. The resident had three prior falls at the facility resulting in no injury for the dates of September 03, 2025; September 05, 2025; and September 08, 2025.
Based on record review and interviews conducted, the Department is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Administrator, and a copy of this report and confidential names list was provided to facility

SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2026

LIC9099 (FAS) - (06/04)

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