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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209411
Report Date: 02/05/2025
Date Signed: 02/10/2025 10:33:48 AM

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
11/25/2024 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20241125121432
FACILITY NAME:IVY PARK OF MONTEREYFACILITY NUMBER:
277209411
ADMINISTRATOR:SHEARER, KELLIEFACILITY TYPE:
740
ADDRESS:1110 CASS STREETTELEPHONE:
(818) 643-2400
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:112CENSUS: 98DATE:
02/05/2025
UNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH:Administrator Christopher SchusterTIME COMPLETED:
12:39 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff behavior posed as risk to the residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/05/2025, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver complaint investigation findings. During this visit LPA met with facility administrator Christopher Schuster and stated the purpose of the visit. During this visit LPA toured the facility inside and out, performing safety checks and observed residents in care.

Allegation: Staff behavior posed as risk to the residents. Based on observation during both facility visits on November 27th and February fifth, records reviews and staff interviews the facility administrator was notified of staff (S1) in possession and consumption of alcoholic beverage while on the clock, S1 was immediately pulled out of shift, interviewed by administrator and dismissed from facility property at 8:40 PM. Facility called uber to provide transportation to C1 for safety purposes.

No deficiency was observed or cited during this visit. Exit interview conducted, report signed and copy of this report provide for facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
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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