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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 385600429
Report Date: 08/04/2026
Date Signed: 08/04/2026 01:47:27 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
06/01/2026 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 14-AS-20260601153300
FACILITY NAME:IVY PARK AT CATHEDRAL HILLFACILITY NUMBER:
385600429
ADMINISTRATOR:CHRIS SCHUSTERFACILITY TYPE:
740
ADDRESS:1550 SUTTER STREETTELEPHONE:
(415) 921-1552
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY:210CENSUS: 177DATE:
08/04/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Chris SchusterTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility did not provide proper notification to resident and/or their responsible party of charges relating to increase in care
Facility adds unknown charges to residents' bills
INVESTIGATION FINDINGS:
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On 8/4/2026, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director (ED) Chris Schuster and explained the purpose of the visit.

For the allegation of Facility did not provide proper notification to resident and/or their responsible party of charges relating to increase in care, LPA interviewed three residents. R3 mentioned that there have been charges regarding care fees that was not discussed. R3 stated that he/she lives in assisted living but require no care. However, R3 hasn’t paid any of the care fees and has constantly talked with the facility to remove charges.

LPA also spoke to the ED and mentioned that everything has been explained and settled with the residents having issues with billing.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
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 2
Control Number 14-AS-20260601153300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: IVY PARK AT CATHEDRAL HILL
FACILITY NUMBER: 385600429
VISIT DATE: 08/04/2026
NARRATIVE
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For the allegation of Facility adds unknown charges to residents' bills, R2 stated that there have been unknown charges in his/her billing statement. R2 hasn’t paid anything as he/she has discussed the charges. LPA also interviewed staff and S1 stated that they have explained the charges to the residents and that residents understood the breakdown of fees.

Based on interviews and records review, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Report is reviewed and copy is provided.
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2