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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019201324
Report Date: 02/13/2025
Date Signed: 02/13/2025 12:01:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/28/2025 and conducted by Evaluator Ardalan Gharachorloo
COMPLAINT CONTROL NUMBER: 15-AS-20250128095758
FACILITY NAME:IVY PARK AT PLEASANTONFACILITY NUMBER:
019201324
ADMINISTRATOR:MARTINEZ, DIANE DIEMFACILITY TYPE:
740
ADDRESS:5700 PLEASANT HILL ROADTELEPHONE:
(925) 416-0238
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY:103CENSUS: 91DATE:
02/13/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Gilbert Castro- Executive DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff unlawfully evicted a resident
Phone not in service
INVESTIGATION FINDINGS:
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On 2/13/2025 at 10:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to deliver findings regarding the allegations above. LPA met with Executive Director (ED), Gilbert Castro and explained the purpose of the visit.

Allegation: Staff unlawfully evicted a resident.

Over the course of the investigation, LPA interviewed the Executive Director. ED stated that R1 currently resides in the facility. LPA toured R1's apartment with the Executive Director, and R1 was in the apartment. R1 stated that he is "doing fine". LPA also interviewed S1, S2, S3 and S4. They all stated that phone calls from outside agencies are handled by concierge during normal business hours. If it is outside business hours, it is routed to medication technicians. S1 further stated that "calls are answered in the order received" and "as quickly as possible" to facilitate the resident's return to the facility from the hospital.
***REPORT CONTINUE ON 9099C***





Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
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 15-AS-20250128095758
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: IVY PARK AT PLEASANTON
FACILITY NUMBER: 019201324
VISIT DATE: 02/13/2025
NARRATIVE
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***REPORT CONTINUE FROM 9099***

Allegation: Phone not in service

During the investigation, LPA checked the main phone line of the facility. The phone line was working and operational. LPA also interviewed R1, R2 and R3 and all stated that they have no issues with the phone lines at the facility. R1, R2, and R3 further stated that the facility provides them access to phone line to be able to make or receive calls.

This agency has investigated the complaint regarding allegations above. We have found that the complaints were unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Ardalan Gharachorloo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2