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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209411
Report Date: 09/25/2025
Date Signed: 09/26/2025 01:13:59 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
09/17/2025 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20250917090319
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: 104DATE:
09/25/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:administrator Andrea RamirezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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9
Staff do not provide adequate laundry services.
Staff are not meeting residents' hygiene needs.
INVESTIGATION FINDINGS:
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7
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10
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13
On 09/25/2025, Licensing Program Analyst (LPA) V. Gorban conducted an unannounced 10-day complaint investigation. LPA explained the purpose of visit to administrator Andrea Ramirez.

The Department has investigated the allegations: Staff do not provide adequate laundry services. Based on observations during facility visits and records review, the laundry services provided to residents on the same day as shower scheduled day. Per staff interviews no reports of incompleted laundry documented. Regarding, Staff are not meeting residents' hygiene needs. Based on records reviews and interviews, hygiene provided to residents on regular basis, in the morning and after meals, hygiene refusal documented, reported to lead staff and re attempted once more on different shift. 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 and copy of this report provided to facility administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025
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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