385600429-7-9-2026-14-AS-BCHN-DWNUXD-20260805155807

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 385600429
Report Date: 07/09/2026
Date Signed: 07/09/2026 05:58:56 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
03/05/2026 and conducted by Evaluator Audrey Jeung

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20260305124533

FACILITY NAME:	IVY PARK AT CATHEDRAL HILL		FACILITY NUMBER:	385600429
ADMINISTRATOR:	CHRIS SCHUSTER		FACILITY TYPE:	740
ADDRESS:	1550 SUTTER STREET		TELEPHONE:	(415) 921-1552
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY:	210	CENSUS: 173	DATE:	07/09/2026
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Chris Schuster, Joel Diaz		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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- Staff did not prevent a resident from blocking another resident from leaving their room

- Staff did not prevent a resident from preventing another resident from speaking to health professionals

INVESTIGATION FINDINGS:

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LPA Jeung interviewed staff and residents and observed room of client #1, who appeared well groomed.

Based on review of facility records and interviews with residents and staff, this allegation is determined to be unsubstantiated. Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur.
On 2/25/26, case manager and MD arrived to see client #1 for a scheduled appointment. Client was with another resident in another room, and was unaware of the appointment. Client was confused and not able to recognize the case worker or MD, but reluctantly agreed to exit room with case worker. Occupant/resident wanted client #1 to remain in the room, and demanded that the case worker leave. Occupant blocked the door so client #1 could not get past him, and pushed case worker towards the door. Case worker and MD left without fulfilling the appointment due to the volatility of the situation. Staff were not present during this encounter, but monitor and document clients' behaviors and care in charting notes.
Client #1 stated to LPA during a prior meeting that she did not recall the incident in February. She also confirmed that she feels safe and is not being forced to do anything against her will.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Audrey Jeung
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026

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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