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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 277209411
Report Date: 08/22/2026
Date Signed: 08/22/2026 06:34:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/01/2026 and conducted by Evaluator Vadim Gorban
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20260601161141
FACILITY NAME:IVY PARK OF MONTEREYFACILITY NUMBER:
277209411
ADMINISTRATOR:ANDREA RAMIREZFACILITY TYPE:
740
ADDRESS:1110 CASS STREETTELEPHONE:
(818) 643-2400
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:112CENSUS: 99DATE:
08/22/2026
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Maria Bonilla, Health Services DirectorTIME COMPLETED:
04:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left residents soiled for a long period of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/22/2026 Licensing Program Analyst (LPA) Gorban unannounced conducting subsequent visit to the facility regarding complaint investigation and deliver findings. LPA introduced self, stated the purpose of the visit and was allowed entry.
LPA met with health service director who assisted LPA wit hteh visit. Administrator Andrea Ramirez was notified.
Allegation: Staff left residents soiled for a long period of time. During this investigation, LPA interviewed administrator, staff and reviewed facility records. Based on interviews conducted with, administrator and staff as well as reveiwing available documentation, there was insufficient evidence to support the allegation. 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

Exit interview conducted, report signed and copy of this report provided for facility records.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Shawna Doucette
LICENSING EVALUATOR NAME: Vadim Gorban
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2026
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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