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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 157209257
Report Date: 01/15/2025
Date Signed: 01/15/2025 03:51:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2024 and conducted by Evaluator Mai Yang
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20241213083504
FACILITY NAME:IVY PARK AT SEVEN OAKSFACILITY NUMBER:
157209257
ADMINISTRATOR:BRADLEY, PAMELAFACILITY TYPE:
740
ADDRESS:4301 AND 4225 BUENA VISTA ROADTELEPHONE:
(661) 837-1337
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:164CENSUS: 100DATE:
01/15/2025
UNANNOUNCEDTIME BEGAN:
03:09 PM
MET WITH:Administrator Pamela Bradley and Memory Care Director Mikayla Goulart TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff neglected resident resulting in resident developing pressure injuries.
Staff does not ensure resident's diapering needs were being met.
Staff did not seek medical attention to resident in a timely manner.
INVESTIGATION FINDINGS:
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On 01/15/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Administrator Pamela Bradley and Memory Care Director Mikayla Goulart .

During the course of the investigation, records were received, interviews were conducted, and facility was toured. Interviews conducted with residents who confirms staff provided care for residents. Staff changes resident’s brief when needed. Based on records review and interviews conducted, there was insufficient evidence to prove or disprove that staff did not seek medical attention to resident in a timely matter. Therefore, preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
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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