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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604757
Report Date: 04/10/2025
Date Signed: 04/10/2025 10:44:17 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/09/2025 and conducted by Evaluator Ramon Serrano
COMPLAINT CONTROL NUMBER: 08-AS-20250409111516
FACILITY NAME:IVY PARK AT BONITAFACILITY NUMBER:
374604757
ADMINISTRATOR:NEWTON, RANDALFACILITY TYPE:
740
ADDRESS:3302 BONITA ROADTELEPHONE:
(619) 470-2220
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:96CENSUS: 60DATE:
04/10/2025
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Randal NewtonTIME COMPLETED:
10:51 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect resulted in rib fractures
Staff did not administer medications as prescribed
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Ramon Serrano, conducted an unannounced Complaint Visit. LPA introduced himself and discussed the purpose of the visit with Executive Director (ED) Randal Newton.

During today's visit, a records review revealed the alleged victim; Resident 1 (R1) does not reside at the facility. LPA reviewed a current resident roster dated April 10, 2025 for both the assisted living and memory care units. LPA also reviewed "move in" and "move out" rosters dated January 1, 2025 through today's date. LPA interviewed ED who stated that R1 is not a resident of the facility. LPA investigation determined that R1 is not a resident of this facility, therefore the above allegations are determined to be Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted with Randal Newton. A copy of this report along with licensee rights was provided to Randal Newton whose signature below verifies receipt of these rights.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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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