Senior Care Records.

Complaint Investigation Report

Ivy Park at San Ramon, San Ramon06/13/2024Licence 079201116

Census155
Date signed06/13/2024 03:02:54 PM
The inspector’s account

079201116-6-13-2024-15-AS-YFLS-D6VU4M-20240705151519

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/03/2024 and conducted by Evaluator Alona Gomez

COMPLAINT CONTROL NUMBER: 15-AS-20240603145326

Director of Transitions & Acquisitions, Michael Fountain

On 6/13/2024 at 12:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct an initial 10 day complaint visit and deliver findings. LPA explained the purpose of the visit to Director of Transitions & Acquisitions, Michael Fountain

LPA toured the facility with Director including but not limited to stairwells, common areas, and kitchen. During tour LPA observed a shampoo machine to be blocking fire exit located in 1st floor stairwell behind door 6. During the 10-day complaint visit LPA obtained a copy of facility map. The department also received a photo showing the same carpet shampooer located in the stairwell behind door 6 on a different occasion.

Based on LPAs observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction