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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202929
Report Date: 02/19/2026
Date Signed: 03/19/2026 01:32:38 PM

Unsubstantiated


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
12/02/2025 and conducted by Evaluator Yi Sam Jian
COMPLAINT CONTROL NUMBER: 26-AS-20251202141717
FACILITY NAME:IVY PARK AT PALO ALTOFACILITY NUMBER:
435202929
ADMINISTRATOR:BRICE, STEPHANIEFACILITY TYPE:
740
ADDRESS:2701 EL CAMINO ROADTELEPHONE:
(650) 326-1108
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:97CENSUS: 75DATE:
02/19/2026
UNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Stephanie BriceTIME COMPLETED:
03:03 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff do not receive training as required
Facility staff are mismanaging residents' medications
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
THIS IS AN AMENDED REPORT FROM AN ORIGINAL REPORT DATED 02/19/2026. On 2/19/2026, Licensing Program analyst (LPA) Yi Sam Jian conducted an unannounced complaint investigation visit. LPA met with the Executive Director, Stephanie Brice, and disclosed the purpose of the visit.
Regarding the allegation that facility staff do not receive training as required, the Department conducted investigation. Interviews with staff indicated that staff reported receiving training. A review of facility records showed documentation of staff training.
Regarding the allegation that facility staff are mismanaging residents’ medications, the Department conducted investigation. Medication Administration Records (MARs) for residents in care were reviewed and reflected medications being documented and administered according to facility procedures. Residents and staff interviewed reported that medications were received as prescribed.
Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove whether the allegations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed and a copy of this report is provided to the administrator.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026
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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