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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385600429
Report Date: 07/01/2025
Date Signed: 07/01/2025 02:12:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/02/2025 and conducted by Evaluator Dominic Tobola
COMPLAINT CONTROL NUMBER: 14-AS-20250602135433
FACILITY NAME:IVY PARK AT CATHEDRAL HILLFACILITY NUMBER:
385600429
ADMINISTRATOR:ELLA FRICKFACILITY TYPE:
740
ADDRESS:1550 SUTTER STREETTELEPHONE:
(415) 921-1552
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:210CENSUS: 86DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Fili Igafo, Executive DirectorTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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9
Licensee is not ensuring that resident has hot water while in care
INVESTIGATION FINDINGS:
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On 7/1/2025, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Executive Director, Fili Igafo. LPA toured the facility, interviewed facility staff, outside parties and made observations during the course of the investigation.

Complaint alleges licensee is not ensuring that resident has hot water while in care. Upon tour of multiple resident bedrooms across several residential floors; LPA and staff tested water temperature dispensed from bathroom showers and found water temperature to be within approrpriate range. In addition, statement from reporting party provided contradicting information towards the allegation.

Due to a lack of corroborating evidence the allegation is found to be unsubstantiated.
No deficiencies cited during today's visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Dominic Tobola
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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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