435202744-3-5-2026-26-AS-RMAO-DS4QRG-20260312122355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202744
Report Date: 03/05/2026
Date Signed: 03/05/2026 04:11:58 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2025 and conducted by Evaluator Chihhsien Chang

COMPLAINT CONTROL NUMBER: 26-AS-20251229093034

FACILITY NAME:	IVY PARK AT MILPITAS		FACILITY NUMBER:	435202744
ADMINISTRATOR:	MEGHIAN GEUL		FACILITY TYPE:	740
ADDRESS:	80 CEDAR WAY		TELEPHONE:	(408) 770-9575
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	225	CENSUS: 193	DATE:	03/05/2026
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Meghian Geul		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Staff did not implement a proper facility emergency plan.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Executive Director (ED) Meghian Geul.

On 12/29/2025, the Department received a complaint with the allegation that the facility staff did not implement a proper facility emergency plan.

On 01/06/2026, the Department conducted an initial investigation visit.

LPA interviewed ED, 6 staff and 4 residents.

LPA reviewed the facility Emergency Plan Package with ED. LPA obtained a copy of the Emergency and Disaster plan and facility utility outage plan.
Continue on LIC9099-C. Page 1 of 3.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 26-AS-20251229093034

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: IVY PARK AT MILPITAS	FACILITY NUMBER: 435202744
	VISIT DATE: 03/05/2026

NARRATIVE

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On 12/29/2025, the Department received an incident report from the facility. The incident report stated that on 12/26/2025 around 3:00AM there was a loud noise outside the facility, the power box on the street had a bad parts and needed to be repaired. A power outage happened at the facility due to PG&E. The facility contacted PG&E and PG&E stated the power would be back at 2:45PM on 12/26/2025 then later changed to 9:00PM on 12/26/2025. The power was restored at 11:00PM on 12/26/2025.

The facility notified the residents and staff about the power outage incident. The facility culinary team was starting to prepare all meals to deliver to resident rooms. Staff were asked to station at the 3 exit doors in memory care unit until power was restored to make sure memory care residents to stay in memory care unit. Staff conducted hourly checks and head counts on all residents. Residents that needed to come down to first floor or to go upstairs were helped by the facility staff to use evacuation chairs. Residents were provided with flashlights and extra blankets if needed. The residents families were informed and a mass email was sent to families on 12/27/2025.

On 01/06/2026, LPA interviewed Executive Director (ED) Meghian Geul. ED stated the power outage was an unplanned and non announced incident from PG&E. ED stated the power outage started around 2:45AM on 12/26/2025 and the power restored at 11:00PM 12/26/2025. ED stated there were emergency lighting in the walkway for 90 minutes, then battery lamps were placed at the walkways.

ED stated Memory Care residents were checked every 30 minutes and Assisted Living residents were checked every hour. MD stated all meals (breakfast, lunch, and dinner) were delivered to resident rooms. ED stated some residents wanted to leave the facility during the power outage period, the staff helped the residents to use the evacuation chairs to go to the first floor. ED stated the facility staff delivered extra blankets and flashlights to residents if needed. ED stated staff were at the exit doors of the memory care unit to make sure memory care residents to stay in memory care unit. ED stated the facility kept all memory care residents at the activity room in the memory care unit during the day time and provided activity to residents.

LPA interviewed Maintenance Director (MD). MD stated the power outage on 12/26/2025 is an unannounced power outage. MD stated The facility has a backup power for 90 minutes. MD stated the facility will rent a generator if the power outage more than 24 hours. MD stated the hallways and stairs were provided emergency lighting.
Continue on LIC9099-C. Page 2 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20251229093034

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: IVY PARK AT MILPITAS	FACILITY NUMBER: 435202744
	VISIT DATE: 03/05/2026

NARRATIVE

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MD stated staff helped residents to go downstair by using evacuation chairs at stairs. MD stated all meals were delivered to resident rooms. MD stated residents were provided flashlight and blankets. MD stated power was restored at 11:00PM on 12/26/2025.

LPA interviewed 4 staff. 4 Out of 4 staff stated residents were regularly checked and monitored during the power outage. 4 Out of 4 staff stated all meals were delivered to resident rooms, flashlights and blankets were provided to residents during the power outage.

LPA interviewed 4 residents. 4 Out of 4 residents stated they did not have any issue during the power outage. 4 Out of 4 residents stated meals, flashlights and blankets were provided. 3 Out of 4 residents stated they did not have compliant. 1 Out of 4 residents stated he/she did not have complaint but some other residents might have complaints.

Based on the review of the facility emergency plan dated 9/20/2025, the plan including the following but not limit to, "each stair has an evacuation chair to use as needed, to communicate with emergency service agencies, responding to individual resident's needs and checking residents every 15 minutes until power restores, resident using oxygen concentrator will have appropriate backup oxygen tank available, communication with residents and families, assisting resident for administering medications, storage and preservation of medications, Identifying residents with special needs such as hospice care".

Based on the review of the facility Utility Outage plan document, the plan has the procedures for "Prepare for Power Outage", "During a Power Outage", and "After the Power Outage".

Based on the interview and record review, the facility has a proper facility emergency plan, and staff conducted and followed the emergency plan for the incident.

The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

Exit interview was conducted with ED. The report was provided to ED for review. A copy of the report was provided to ED. Page 3 of 3.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3