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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209411
Report Date: 07/01/2025
Date Signed: 07/03/2025 08:24:27 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
06/24/2025 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250624092008
FACILITY NAME:IVY PARK OF MONTEREYFACILITY NUMBER:
277209411
ADMINISTRATOR:ANDREA RAMIREZFACILITY TYPE:
740
ADDRESS:1110 CASS STREETTELEPHONE:
(818) 643-2400
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:112CENSUS: 70DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Karina Ramirez, Resident Care CoordinatorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not adequately trained
Inadequate staffing affecting resident care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/01/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced complaint investigation visit. LPA explained the purpose of visit to Resident Care Coordinator Karina Ramirez .
During the course of the investigation, LPA conducted a facility conducted a facility tour, interviewed residents, and reviewed records.
The Department has investigated the allegations: Staff are not adequately trained and Inadequate staffing affecting resident care. Based on observations during facility visits, staff interviews, and records review, staff training completed on monthly bases. Regarding inadequate staffing, records reviews and staff interviews reveal no interruptions while providing residents care. Although the allegations may have happened or valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

No deficiencies were cited during this visit. Exit interview conducted. Report signed on-site. A copy of this report provided to the facility records.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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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