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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202953
Report Date: 06/04/2026
Date Signed: 06/04/2026 04:01:34 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
05/05/2026 and conducted by Evaluator Chihhsien Chang
COMPLAINT CONTROL NUMBER: 26-AS-20260505131604
FACILITY NAME:IVY PARK AT LOS GATOSFACILITY NUMBER:
435202953
ADMINISTRATOR:HOLTMAN, ERIKAFACILITY TYPE:
740
ADDRESS:400 BLOSSOM HILL ROADTELEPHONE:
(408) 560-9618
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY:150CENSUS: 37DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Caroline Frangieh, Operation SpecialistTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff financially abusing resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Operation Specialist (OS) Caroline Frangieh.

On May 1, 2026, the Department received a complaint with the allegation that Facility staff financially abusing a resident in care. It’s been alleged that resident R1 has been financially abused.

On May 6, 2026, the Department interviewed Health Service Director (HSD). HSD stated resident R1 moved out from the facility in September 2025. HSD stated she hasn’t been informed of this issue occurring at the facility.


Continue on LIC9099-C. Page 1 of 2.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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 2
Control Number 26-AS-20260505131604
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 LOS GATOS
FACILITY NUMBER: 435202953
VISIT DATE: 06/04/2026
NARRATIVE
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On May 19, 2026, the Department interviewed resident R1. R1 stated he/she does not currently live in the facility at Ivy Park at Los Gatos. R1 stated he/she currently resides in another residential care facility. R1 stated recently went to the hospital 4 weeks ago. R1 stated when he/she came back to his/her current residential care facility for the elderly, he/she noticed that his/her passport and credit cards were missing. R1 provided the name of the caregiver (CG1) who involved in the finical abuse, who works at the current residential care facility for the elderly (RCFE) where he/she resides.

R1 stated he/she informed the executive director where he/she currently resides about this incident.

On June 3, 2026, LPA interviewed the business director (BD) of the RCFE where R1 currently resides. BD stated CG1 is currently working for the RCFE where R1 resides and has been working since July 2023.

The Department reviewed CG1’s name on the Guardian background check system. CG1 is not associated with Ivy Park Los Gatos. CG1 is associated with the RCFE where R1 currently resides.

On June 3, 2026, LPA interviewed responsible party (RP) of R1. RP stated R1 only lived in Ivy Park Los Gatos for a couple months last year and moved to another RCFE. RP stated R1 told him/her about the allegation, but it did not occur at Ivy Park Los Gatos. RP stated he/she does not know if it is true because R1 has a neurocognitive disorder.

Based on interviews conducted and records reviewed, based on R1’s statements, the alleged financial abuse did not occur at Ivy Park Los Gatos, and has allegedly occurred at the facility where R1 currently resides.

The Department has investigated the above allegation to be unfounded meaning the allegations is false, could not have happened, and/or is without a reasonable basis. This report was reviewed with OS and a copy of the report was provided to OS.


Page 2 of 2.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2