Facility Evaluation Report

Ivy Park at Fullerton, Fullerton12/11/2025Licence 306006463

Capacity85
Census74
Date signed12/11/2025 12:30:41 PM
Name of licensing program analystEdward Kim
Name of licensing program managerLourdes Montoya
The inspector’s account

On December 11, 2025, Licensing Program Analyst (LPA) Edward Kim conducted a case management deficiency visit unrelated to an allegation of complaint # 22-AS-20251210151854.

LPA Kim conducted a health and safety check. LPA observed on the facility records the annual licensing fee was not paid as of December 11, 2025. The annual licensing fee was due on November 26, 2025.

A deficiency was cited during the visit per Title 22 Division 6 Chapter 8 of the California Code of Regulations. The annual licensing fee was due on November 26, 2025, and was not paid as of December 11, 2025.

An exit interview was conducted, and a copy of this report and appeal rights were provided to Interim Executive Director Samuel De Guzman.

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