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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701234
Report Date: 03/24/2025
Date Signed: 03/24/2025 02:47:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/06/2025 and conducted by Evaluator Pang Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250206150202
FACILITY NAME:IVY RIDGE ASSISTED LIVINGFACILITY NUMBER:
342701234
ADMINISTRATOR:HONG TRINH (ZOE)FACILITY TYPE:
740
ADDRESS:2030 23RD STTELEPHONE:
(916) 600-3309
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY:36CENSUS: 33DATE:
03/24/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Hong Trinh and Lezel BelloTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Facility staff do not maintain facility free from malodors
Facility staff do not maintain facility free from pests
INVESTIGATION FINDINGS:
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On 03/24/25, Licensing Program Analysts (LPAs) Pang Lee and Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPAs met with Assistant Administrator Lezel Bello and Administrator Hong Trinh and explained the purpose of the visit. The purpose of this visit is to deliver complaint finding for the allegations above. The current census is 33.

It was alleged that facility staff do not maintain the facility free from malodors and facility staff do not maintained facility free from pests. This investigation included interviews with staff, residents, and an outside agency (OA), as well as observations and record reviews.

LPA Lee interviewed 8 out of 8 residents, all of whom denied the allegations and expressed no concerns.

Continued LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
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 27-AS-20250206150202
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: IVY RIDGE ASSISTED LIVING
FACILITY NUMBER: 342701234
VISIT DATE: 03/24/2025
NARRATIVE
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LPA Lee also interviewed 4 out of 4 facility staff, all of whom denied the allegations. In an interview with 1 out of 1 OA, they reported no concerns and had not observed any pests or incontinence odors in the facility. Based on observations on 02/12/25, LPA toured residents’ rooms in the main building (#1-6) and found no evidence of roaches and malodors. LPA continued the inspection in rooms #7-12 of the wall building, where no pests or malodors were observed. LPA then inspected rooms #13-27, again finding no roaches and malodors. The TV room in Terrace Hall was also inspected, and no pests or malodors were observed.
A review of the facility’s records confirmed that the facility has maintained an active contract with All-in-One Pest Control Inc. since 10/10/22, with no gaps in service. The facility receives bi-monthly treatments for both the interior and exterior of the building, including resident bedrooms, as indicated in treatment logs from 11/28/22 through 02/11/25. Invoices provided show services were rendered from 01/04/24 to 02/01/25, detailing the type and dates of service. Additionally, the facility’s maintenance staff, Carl, conducts its own pest control treatments on top of the services provided by the pest control company. Moreover, based on the resident shower, laundry, and incontinence logs, residents are receiving showers, laundry services, and incontinence care at least 2 to 3 times per week. Based on interviews, observations, and record reviews during the investigation, LPA Lee was unable to corroborate the allegations.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2