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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320431
Report Date: 09/30/2026
Date Signed: 09/30/2026 01:08:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2026 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260814100024
FACILITY NAME:IVY PARK AT PALOS VERDESFACILITY NUMBER:
198320431
ADMINISTRATOR:JOE SALDANAFACILITY TYPE:
740
ADDRESS:25535 HAWTHORNE BLVD.TELEPHONE:
(310) 377-7425
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:115CENSUS: 78DATE:
09/30/2026
UNANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Herandy RamirezTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Resident sustained multiple bruises due to staff neglect or physical abuse.
INVESTIGATION FINDINGS:
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On 09/30/2026, at 10:00am, the department conducted an unannounced subsequent complaint visit to the facility and met with Herandy Ramirez, Business Office Director, and Markeith McGrew, Memory Care Director. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview residents, and deliver findings for the allegation mentioned above.
On 8/21/26, at 1:20pm, the department conducted an initial complaint visit to the facility and was greeted by Brenda Myers, Executive Director. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegation mentioned above.

The investigation consisted of the following: The department interviewed staff (S1-S5) and resident (R2) and attempted to interview resident R1. However, resident (R1) could not participate in the interview process due to cognitive difficulties. On 09/30/26, the department interviewed residents (R3-R7). The department requested and received the following documents from the facility: Resident Roster (Dated: 08/21/2026), Personnel Report, Identification and Emergency Information (Dated: 08/21/2026)....

Report Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
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 11-AS-20260814100024
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: IVY PARK AT PALOS VERDES
FACILITY NUMBER: 198320431
VISIT DATE: 09/30/2026
NARRATIVE
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Admission Agreement (Dated: 06/09/2023), Medical Assessment (Dated: 05/27/2026), Charting Notes (Dated: 08/02/2026-08/21/2026), Individualized Service Plan (Dated: 07/20/2026), Hospice Progress Notes (Dated: 07/31/2026, 08/12/2026, 08/13/2026, 08/14/2026, 08/17/2026), Physician’s Orders (Dated: 08/21/2026), Hospice Plan Of Care (Dated: 12/02/2025), and Oakmont Private Companion Services (Dated: 08/26/2025).

The investigation revealed the following: Allegation- Resident sustained multiple bruises due to staff neglect or physical abuse.

The details of the complaint alleged that the resident sustained multiple bruises due to staff neglect or physical abuse. On 8/21/2026, from 1:30pm-3:00pm, the department interviewed staff (S1-S5) and resident (R2) and attempted to interview resident R1. However, resident (R1) could not participate in the interview process due to cognitive difficulties. On 09/30/26, the department interviewed residents (R3-R7). 5 of 5 staff denied any type of abuse or staff neglect. All staff stated that they saw bruises and redness on resident (R1) but did not know how the bruising occurred. They stated once they saw the bruises and redness on the resident, they informed hospice and the family. Staff also stated that the resident has a history of having sensitive skin and when the bruises were found they were documented in the charting notes for the resident.

The department interviewed residents (R2-R7) about the allegation and 6 of 6 residents that were interviewed could not corroborate the allegation. The majority of the residents stated that they have not witnessed or been a victim of staff neglect or physical abuse. They stated that they feel they are getting good care from the staff. Resident (R1) could not participate in the interview process due to cognitive difficulties.

The department reviewed the Charting Notes (Dated: 08/02/2026-08/21/2026) and observed that on 08/07/26 that the resident was noted with discoloration under their left arm and on 08/10/26 a caregiver observed the resident to have discoloration on their leg and noted the resident had no pain or discomfort. The department reviewed the Physician’s Orders (Dated: 08/21/2026) and observed that the resident is on medications that may cause a skin rash, redness, and unusual bruising of the skin. The department also reviewed the Medical Assessment (Dated: 05/27/2026) and observed the resident has a history of skin condition or breakdown. The department did not find a preponderance of evidence to suggest physical abuse or staff neglect.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Resident sustained multiple bruises due to staff neglect or physical abuse. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with Herandy Ramirez, Business Office Director, and a hard copy of this Complaint Investigation Report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
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