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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701234
Report Date: 07/30/2025
Date Signed: 07/30/2025 12:26:27 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
07/25/2025 and conducted by Evaluator Shakaricka Hughes
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250725164241
FACILITY NAME:IVY RIDGE ASSISTED LIVINGFACILITY NUMBER:
342701234
ADMINISTRATOR:LEZEL BELLOFACILITY TYPE:
740
ADDRESS:2030 23RD STTELEPHONE:
(916) 600-3309
CITY:SACRAMENTOSTATE: CAZIP CODE:
95818
CAPACITY:36CENSUS: 34DATE:
07/30/2025
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Administrator: Lezel BelloTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not allow residents access to phone.
INVESTIGATION FINDINGS:
1
2
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5
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7
8
9
10
11
12
13
On 07/30/2025 at 9:00 AM Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced facility visit to open a complaint investigation. LPA met with direct care staff Tanisha and administrator Lezel, and explained the purpose of today's visit. The census is 34 with 11 facility staff. Administrator was present during today’s visit.

Allegation: Staff do not allow residents access to the phone.
It was alleged that staff do not allow residents access to the phone. Staff are only allowing a few residents to use the phone and won’t assist anyone (residents) with making calls to family. The investigation consisted of interviews with staff and residents in care and facility observations. On 7/30/2025 LPA Hughes conducted an unannounced visit to the facility, and interviewed 3 out of 3 facility staff, S1 stated that the facility has two landlines, and residents can use the phone whenever they are available.

Continuation 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
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-20250725164241
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: 07/30/2025
NARRATIVE
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32
 S1 stated that residents are given the phone whenever calls are received for the residents. S1 stated that there are only 2 residents in care who frequently use the phone, Residents R1 and R3. Additional interviews with facility staff indicated that staff assist residents with calls, including allowing residents to use their personal phones, and leaving messages for their family members. Interviews with 4 out of 4 residents in care reflected that 3 out of 4 residents have no issues with using the phone, stating they can use the phone whenever the phones are available. LPA Hughes observed residents in care using the phones with and without assistance from facility staff. LPA Hughes observed resident (R1) come into the administrator’s office to use the phone without any issue. The administrator assisted the resident with making the call. There is no evidence that supports the allegation; therefore, the allegation cannot be corroborated at this time.

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: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2