306006402-5-19-2026-22-AS-LMOA-DUU5QB-20260607200917

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006402
Report Date: 05/19/2026
Date Signed: 05/19/2026 04:57:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2025 and conducted by Evaluator Edward Kim

COMPLAINT CONTROL NUMBER: 22-AS-20250725093607

FACILITY NAME:	IVY PARK AT SEAL BEACH		FACILITY NUMBER:	306006402
ADMINISTRATOR:	TAMI OJWANG		FACILITY TYPE:	740
ADDRESS:	3850 AND 3840 LAMPSON AVE		TELEPHONE:	(562) 594-5788
CITY:	SEAL BEACH	STATE: CA	ZIP CODE:	90740
CAPACITY:	261	CENSUS: 182	DATE:	05/19/2026
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Administrator- Tami Ojwang		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff are screaming at the residents.
Staff mishandles the residents.
Staff do not provide adequate care and supervision to the residents.
Staff do not respond timely to the residents alerts.

INVESTIGATION FINDINGS:

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On May 19, 2026, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced subsequent complaint visit to deliver findings at the facility for the above allegations. LPA Kim met with Administrator Tami Ojwang and explained the purpose of the visit.

The investigation consisted of the following: LPA Kim conducted a physical plant tour inside and outside of the facility and no concerns were observed. LPA Kim reviewed twelve resident record, which include: Admission Agreement, Identification and Emergency Information, Physician's Report, Needs and Services Plans/Reappraisal, and other pertinent records.

The investigation revealed the following:

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

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 4

Control Number 22-AS-20250725093607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: IVY PARK AT SEAL BEACH	FACILITY NUMBER: 306006402
	VISIT DATE: 05/19/2026

NARRATIVE

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Allegation: Staff are screaming at the residents.
It is alleged that care providers are screaming at residents in the residents’ rooms. It is alleged that staff #1 (S1) and staff #2 (S2) are screaming at residents.

Based on interviews conducted, twelve out of twelve residents interviewed stated they do not recall any staff that screamed at a resident in their room or in the facility. They stated they do not recall S1 and S2 are yelling at any residents. All staff stated they have not observed any staff yelling at any resident inside of the facility. Based on observations, on July 31, 2025, August, 28, 2025, and May 19, 2026, LPA did not observe any staff yelling at any residents in their rooms or in common areas. Based on record review, LPA requested records from the facility about disciplinary actions or any incidents where staff yelled at residents, but the facility did not have any record of such incidents.

Based on the information gathered, there is no sufficient evidence to confirm the above allegation.

Allegation: Staff mishandles the residents.
It is alleged that S3 is being too rough with residents. It is alleged residents are abandoned at the dining room and the residents are crying in pain.

Based on interviews conducted, twelve of twelve residents and five out of five staff denied the allegation. All
residents and all staff stated they do not recall S3 being too rough with residents. Residents did not observed or hear about a time they were ignored and abandoned in the dining room. Staff stated they have not heard or observed a time where residents were left abandoned and ignored in the dining room. Based on observation on July 31, 2025, August 28, 2025, and May 19, 2026, LPA did not observe any staff being too rough with any residents. LPA did not observe any staff abandon or ignore residents in the dining room. When residents needed assistance to be escorted up, staff were available and took the residents back to their rooms. Based on record review, LPA requested from the facility of any disciplinary actions or any incidents where staff were being too rough with residents, ignoring residents requests for help, or abandoning residents in the dining room. The facility did not have any record of any incidents or disciplinary actions in regard to being too rough, abandoning residents in the facility, or ignoring residents requests for help.
Based on the information gathered, there is no sufficient evidence to confirm the above allegation.
Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 22-AS-20250725093607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: IVY PARK AT SEAL BEACH	FACILITY NUMBER: 306006402
	VISIT DATE: 05/19/2026

NARRATIVE

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Allegation: Staff do not provide adequate care and supervision to the residents.
It is alleged staff are on their phone and ignoring residents when the residents ask for help. It is alleged residents are being abandoned in the dining rooms and crying in pain because they are not being escorted back to their rooms.

Based on interviews conducted, twelve out of twelve residents and five out of five staff denied the allegation. All staff and resident stated they had not observed or heard a situation where the staff were ignoring residents requests for help while using their phones. Residents stated the staff provide care and supervision to help them with their daily needs. Residents do not recall a time where they were not escorted back or crying in plain because they are not being escorted back to their rooms. Staff stated they have not observed staff ignoring residents or abandoning residents in the dining room. Based on observations on July 31, 2025, August 28, 2025, and May 19, 2026, LPA Kim did not observe staff abandon or ignore residents when they needed assistance or requested for any help. Based on record review, LPA requested a record of any incidents or disciplinary actions from staff for ignoring residents request for help, not escorting residents to their rooms, or abandoning residents. Facility did not have any records of any of this happening.

Based on the information gathered, there is no sufficient evidence to confirm the above allegation.

Allegation: Staff do not respond timely to the residents alerts.
It is alleged that staff are instructed not to click pendants for pickup by care providers because it red flags the location if there are too many pendant clicks. It is alleged a pull cord is being pulled and it takes staff 45 minutes to respond.

Based on interviews conducted, twelve out of twelve residents and five out five staff denied the allegation. All staff stated they were never instructed by management to not click pendants for pickup because it red flags the location. Staff stated that whenever a pendant is pressed, they get paged to what resident’s room number requested the help. They will respond within 5 to 10 minutes. Whether it is the pull cord or the pendant, the staff will reset the pull cord or the pendant once the resident’s request is met. All residents stated the facility staff respond in a timely manner. All staff and residents stated they will respond within 10 minutes and have not face a situation where they have waited over 20 minutes.

Continued on LIC9099C

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 22-AS-20250725093607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: IVY PARK AT SEAL BEACH	FACILITY NUMBER: 306006402
	VISIT DATE: 05/19/2026

NARRATIVE

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Based on record review, LPA requested a record log for residents, but the facility was not able to provide one at the time of the visit. Based on observations on August 28, 2025, LPA tested and recorded the time the resident’s pull cord and pendant call button in the following rooms: staff arrived to Building B Room 109 in five minutes and forty-two seconds, Building B Room 219 in three minutes, Building B Room 325 in five minutes and fifty-six seconds, Building A Room 126 in one minute and eighteen seconds, and Building A Room 114 in one minute and thirty-four seconds.

Based on the information gathered, there is no sufficient evidence to confirm the above allegation.

Based on observations, interviews, and records review, LPA did not find sufficient evidence to support the above allegations Staff are screaming at the residents, Staff mishandles the residents, Staff do not provide adequate care and supervision to the residents, and Staff do not respond timely to the residents alerts. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Tami Ojwang.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026

LIC9099 (FAS) - (06/04)

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