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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850299
Report Date: 03/20/2025
Date Signed: 03/20/2025 02:10:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/12/2025 and conducted by Evaluator Martha Arroyo
COMPLAINT CONTROL NUMBER: 29-AS-20250312151818
FACILITY NAME:IVY PARK AT SIMI VALLEYFACILITY NUMBER:
565850299
ADMINISTRATOR:BOGOYEVAC, LEAFACILITY TYPE:
740
ADDRESS:5300 E. LOS ANGELES AVE.TELEPHONE:
(805) 583-3500
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:175CENSUS: 140DATE:
03/20/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Lea BogoyevacTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not practicing proper hand hygiene.
Staff does not ensure kitchen is clean.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegations. The initial complaint visit was conducted on 03/14/2025 by LPA M. Arroyo. On today's visit, LPA Arroyo met with Executive Director (ED) Lea Bogoyevac. Entrance interview.

During the initial visit on 03/14/2025, the LPA conducted a plant tour starting at 2:56 p.m. and observed the kitchen/food service area and dining room, conducted interviews with four staff between 3:10 p.m. and 3:40 p.m., and obtained copies of pertinent documents.

Report Continued on LIC 809C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
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 29-AS-20250312151818
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: IVY PARK AT SIMI VALLEY
FACILITY NUMBER: 565850299
VISIT DATE: 03/20/2025
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
Report Continued from LIC 809...

It was alleged that staff are not practicing proper hand hygiene. It was reported that facility staff are not washing their hands after eating or handling other items. Records reviewed and interviews conducted revealed that all kitchen staff are required to complete and pass food handler training. In addition to the required training, in-service sessions are conducted monthly, focusing on specific topics. Interviews with staff indicated that the first thing they do when beginning their shift is wash their hands. Staff also mentioned that, while not everyone washes their hands as frequently as they do, they do observe other staff members washing their hands at appropriate times. Additionally, staff stated that when wearing gloves, the protocol is to wash their hands each time before putting on a new pair of gloves. Based on the information obtained and reviewed through records and interviews, the Department has insufficient evidence to support the allegation of “staff are not practicing proper hand hygiene”. Therefore, this allegation is deemed Unsubstantiated at this time.

It was also alleged that staff does not ensure kitchen is clean. It was reported that staff were not cleaning the kitchen and dining room areas after each meal service. During the plant tour on 03/14/2025, the LPA inspected the kitchen/food service area and observed that the kitchen was clean and sanitary, with no toxic substances in sight. The LPA noted staff present in the kitchen cooking upon arrival to the facility; however, the kitchen was clean. Staff interviews indicated that after each meal service, they clean the dining room area to prepare for the next meal service. Staff also stated that cleaning duties are assigned to each person to complete every day. These tasks include vacuuming the dining room, cleaning and setting up the tables for the next meal service, and maintaining the server's station in a clean state at all times. Based on observations and information obtained, the Department has insufficient evidence to support the allegation of “staff does not ensure kitchen is clean”. Therefore, this allegation is deemed Unsubstantiated at this time.

No citations issued. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2