<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347005512
Report Date: 08/26/2026
Date Signed: 08/26/2026 12:33:08 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
12/31/2025 and conducted by Evaluator Kimberly Viarella
COMPLAINT CONTROL NUMBER: 27-AS-20251231100403
FACILITY NAME:IVY PARK AT LAGUNA CREEKFACILITY NUMBER:
347005512
ADMINISTRATOR:KARANDEEP BASSIFACILITY TYPE:
740
ADDRESS:6727 LAGUNA PARK DRTELEPHONE:
(916) 683-1881
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:108CENSUS: 89DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Karen Bassi, Executive DirectorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility did not repair broken plumbing in a timely manner.
Facility did not ensure resident receives a bath/shower.
Resident's room is in disrepair.
Residents heater is not operating in their room.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/26/26, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to complete and deliver the findings of the investigation into the above allegations. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator/Executive Director (ED). LPA met with ED Karen Bassi and a brief interview followed.

LPA interviewed the ED, the resident, R1,the Maintanance DIrcector, and reviewed the work orders provided by the Maintenance Director. A water leak in the ceiling of R1's bathroom was reported on 12/23/25 and a work order was created at 7:53 AM. On that day, the water to the cottage was turned off, the issue was assessed and plumbers were brought in to replace a 1/2 inch copper line valve. On 12/24/25, another work order was created to have a construction crew to fix the damage from the water line in R1's bathroom by dry walling the area. This left the ceiling wet with mud which needed time to dry before finishing the repairs. On 12/25/25, maintenance worker, (M1) stated that workers returned and painted the area to complete the job.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
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 3
Control Number 27-AS-20251231100403
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 PARK AT LAGUNA CREEK
FACILITY NUMBER: 347005512
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The broken water pipe and the damage it caused were repaired within a 3-day period.

The Department found the allegation, "Facility did not repair broken plumbing in a timely manner," unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

According to interviews with the ED, R1 and maintenance worker (M1), the facility offered R1 the opportunity to relocate to another room for the duration of the repairs. R1 declined. They also offered to provide R1 with access to the shower in the model room. R1 also declined that offer. The Department found the allegation, "Facility did not ensure resident receives a bath/shower," unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Through interviews with the ED and with R1, this LPA learned that R1 preferred things very organized and had them just the way they wanted them in their home. When urgent repairs were conducted in their bathroom, maintenance removed R1's personal items and put them outside of the bathroom so they could conduct the repairs. When they completed the work, housekeeping conducted a routine clean-up. R1 was not pleased and contacted management to have them do another cleaning. When this LPA asked what was not done by housekeeping, R1 said that everything was still all over the place and that they had not returned R1's personal items to their original locations. Some hygiene items were returned to the bathroom and others were still in R1's living area and not where they were supposed to be. LPA asked if the sink area, toilet, tub/shower and floors were clean. R1 said yes, they were, although "it was a bit dusty behind the toilet". The facility sent housekeeping in twice in an attempt to meet R1's standards. Regarding the allegation, "Resident's room is in disrepair," the Department found the allegation unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

LPA interviewed the ED, M1, R1 and reviewed a work order dated 12/29/25. This LPA learned that on 12/29/25, a work order was created at 8:49 AM. According to the work order, by 9:40 AM the problem had been resolved. The notes on the work order read," PTAC unit keeps tripping the main breaker. Was able to
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20251231100403
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 PARK AT LAGUNA CREEK
FACILITY NUMBER: 347005512
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
finally reset breakers. Unit is working at this time. Ordering another PTAC unit for this unit just in case unit keeps malfunctioning." Regarding the allegation, "Residents heater is not operating in their room," The Department found the allegation to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

LPA conducted a brief tour while at the facility. LPA observed that there was a Tour being conducted for potential residents. LPA also observed a group of 6 residents preparing to go on an outing to the Aviator Cafe.

According to the California Code of Regulations, Title 22, no deficiencies were observed or cited during today's visit. A copy of this report was provided and an exit interview was conducted with Bassi.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3