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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496804017
Report Date: 12/18/2025
Date Signed: 12/18/2025 12:10:49 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/12/2025 and conducted by Evaluator Robert Frank
COMPLAINT CONTROL NUMBER: 21-AS-20251212112334
FACILITY NAME:IVY PARK AT SANTA ROSAFACILITY NUMBER:
496804017
ADMINISTRATOR:STEPHANIE LIMBERGFACILITY TYPE:
740
ADDRESS:4225 WAYVERN DRIVETELEPHONE:
(707) 538-2590
CITY:SANTA ROSASTATE: CAZIP CODE:
95409
CAPACITY:114CENSUS: 101DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Stephanie Limeberg, AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not giving resident medications as prescribed

Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At approximately 11:35 AM, Licensing Program Analyst (LPA) Robert Frank conducted an unannounced visit and met with Administrator Stephanie Limeberg. LPA came to the facility to investigate complaint allegations listed above.

During today's visit, LPA learned that involved parties including resident does not reside and never have been present at the facility. LPA was unable to identify any deficiencies at this facility. The allegation about personal rights and staff are not giving resident medications as prescribed are UNFOUNDED. An allegation that is UNFOUNDED, means that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficiencies cited during visit. Exit interview conducted with Administrator Limeberg and copy of this report was given.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Robert Frank
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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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