Ivy Park at Huntington Beach.

Resident 1 (R1) is schedule to shower on Mondays and Thursdays. LPA also reviewed the Ivy Park at Huntington Beach Resident Care notes dated December 9, 2025, for R1. Per Resident Care notes, it states while trying to give R1 a shower, R1 became very violent and began hitting staff. During the interviews with residents, R1-R3 reported that staff are meeting their needs and/or stated that they have not developed a Urinary Tract Infection (UTI). During the interviews with staff, S1 reported that the facility has enough staff to meet the resident' needs. Per S2, sometimes R1 refuses to shower and stated that staff change the residents' diapers as needed. Regarding the allegation that facility is billing for services not rendered, the following was revealed: During the investigation LPA reviewed the Ivy Park at Huntington Beach Resident Assessment dated December 11, 2025, for R1. Per Resident Assessment, R1's Assessment Total is 178 points. LPA also reviewed the Fees for Additional Items and Services, Care Points and Levels of Care. Per Fees for Additional Items and Services, Care Points and Levels of Care, the fee for Level 2 (130-204 points) is $3,730.00 per month. LPA reviewed the Ivy Park at Huntington Beach billing statement dated January 19, 2026, February 18, 2026, and March 18, 2026, for R1. Per billing statement the Care Fees due for R1 is $3,730.00. During the interviews with staff, S1-S2 reported that the facility is only billing for services being provided. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with ED Reamer-Yu, and a copy of this report was provided to the facility.

It was alleged that on April 24, 2026, R1 had an unwitnessed fall around 1:00AM and did not receive medical attention until 9:30AM when they arrived at an emergency room and were noted to have asymmetric pupils. LPA inspected the facility, conducted health and safety checks on residents including R1, and observed no health and safety issues. LPA interviewed R1 who raised no concerns with the care they are receiving at the facility. LPA interviewed AD who stated that R1 was sent to the hospital on April 24, 2026, due to a bruise on their right eye, returned to the facility the same day, and has been on more frequent checks since then. LPA reviewed R1’s Physician’s Report dated February 2, 2026, which indicates R1 has dementia, uses a walker, and is non-ambulatory. LPA reviewed R1’s Individualized Service Plan dated December 11, 2025, which indicates R1 is a fall risk. LPA interviewed HSD who stated that R1 is a fall risk based only on having dementia and using a walker, but R1 does not have a history of frequent falls. LPA reviewed R1’s Facility Care Notes which do not document any previous falls for R1. Per HSD, on April 24, 2026, during the overnight shift between 1:30AM and 2:00AM, R1 was noted to have redness under their eye, but the redness did not appear concerning, R1 did not complain of pain, and there was no evidence that R1 had had a fall so it is unknown what caused the redness. HSD stated that during the morning shift between 7:00AM and 7:30AM, R1 was observed with darker bruising under their right eye, did not complain of pain, paramedics were called, and although R1 did not complain of pain, the paramedics took R1 to the hospital because R1 was on blood thinners. Per HSD, R1 returned to the facility later that same day with no fractures and the only concern noted by the hospital was that one of R1’s pupils is larger than the other, but this has been the case since R1 was young due to an accident. LPA reviewed R1’s Hospital Medical Records dated April 24, 2026, which indicate R1 had no fractures or injuries other than a bruise on their right eye. LPA interviewed R1’s responsible party who confirmed R1 has had different sized pupils since before they moved into the facility and reported no concerns with how the facility handled R1’s eye injury. Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.

W1 stated that he contacted the facility to return the cashiers check since it was not made by P1's authorized representative and since he had no intention of moving P1 into the facility. W1 confirmed that the facility did not deposit the cashiers check and confirmed that the cashiers check was returned to him by the facility on March 27, 2025. W1 also confirmed that P1 was never admitted into the facility and that an admission agreement was never signed by either party. The Department conducted an interview with the ED for this allegation. The ED confirmed that the facility did receive a cashiers check for P1 as a deposit for her to move in the facility. The ED stated that once they were informed that the cashiers check was not made by P1's authorized representative, it was not deposited and it was returned to W1 on March 27, 2025. The ED confirmed that P1 was never admitted to the facility and that an admission agreement was never signed by either party. Regarding the allegation, Licensee not responding to responsible party, the following has been concluded: It was alleged that the Licensee did not respond to P1's responsible party. The Department conducted an interview with P1's responsible party, W1. W1 confirmed that P1 was never admitted into the facility and that an admission agreement was never signed by either party. The Department also conducted an interview with the ED. The ED also confirmed that P1 was never admitted into the facility and that an admission agreement was never signed by either party. Since P1 was never admitted into the facility and since an admission agreement was not signed by either party, P1 is not considered to have ever been a resident at the facility. Since P1 was never a resident at the facility, the Licensee is able to respond to general inquiries by the public at their own discretion. Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Executive Director Bryan Reamer-Yu and a copy of the report was provided.

assist with cueing and maintaining a safe environment in the resident’s room as well as adequate lighting and proper footwear. Additionally, it was noted under “Behaviors” for staff to keep the resident with them during daytime hours and encourage activities. All staff interviewed indicated R1 was either in the common area with staff or checked at least every two hours if not in common area. Medical records obtained following R1’s hospitalization on September 09,2025, revealed they sustained a scalp laceration which was repaired with one staple. Imaging revealed no evidence of an acute traumatic injury. On September 12, 2025, after sustaining their second fall, medical records obtained revealed a small volume left frontal subarachnoid hemorrhage and an acute minimally displaced fracture of the left zygomatic arch. Upon return from the hospital additional fall preventions were put in place for R1 including a lowered bed; wheelchair; and a nighttime one on one care companion from the period of September 14, 2025, through September 23, 2025, for the hours of 10PM to 8AM. Staff interviewed reported that since the resident started utilizing the lower bed, there have been no other falls. The review of Huntington Beach Fire Department records showed staff called 911 to request medical assistance for both unwitnessed falls. The resident had three prior falls at the facility resulting in no injury for the dates of September 03, 2025; September 05, 2025; and September 08, 2025. Based on record review and interviews conducted, the Department is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator, and a copy of this report and confidential names list was provided to facili ty

On the above-noted date, Licensing Program Analyst (LPA) Samer Haddadin conducted a required annual inspection of the facility. Upon arrival, LPA was greeted by Executive Director (ED) Bryan Reamer-Yu and explained the purpose of the visit. LPA, accompanied by Health Services Director (HSD) Rebecca Cassela, Maintenance Director (MD) Eddie Lopez, and the ED, toured the interior and exterior areas of the facility and observed the following: The facility is a two-story building that consists of forty-eight (48) apartment units designated for assisted living and forty-seven (47) apartment units within the memory care section. The memory care program operates across three neighborhoods located on the first and second floors of the main building, as well as in “The Cottage,” a separate building directly across from the main facility. The facility features four dining rooms, a bistro area, a television room, an activities room, a salon, and multiple outdoor patio areas available for residents’ use. During the inspection, LPA observed that all resident bathrooms were equipped with operational toilets and wash basins, and each contained appropriate safety features, including grab bars and non-skid surfaces in the showers. Common areas, including living rooms and dining rooms, were adequately furnished, provided sufficient seating, and appeared clean and well maintained. Water temperature measurements were taken throughout resident bathrooms and were observed to range between 107.4 and 119.9 degrees Fahrenheit, which is within the required regulatory range under Title 22. { ***CONTINUE 809C***} 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The facility’s fire alarm system was last inspected by a third-party contractor, Telgian, on June 27, 2025. Fire extinguishers were serviced and tagged by Fire Master on September 3, 2025. Documentation confirmed that an emergency drill was conducted on October 11, 2025. Emergency food and water supplies were reviewed and found to be fully stocked in compliance with Title 22 requirements, including a seven-day supply of nonperishable food and a two-day supply of perishable food items. LPA reviewed the emergency disaster plan and confirmed that the facility has submitted an updated Infection Control Plan as required. Medications are stored securely in locked medication carts, and the first aid kit was observed to contain all required items. Resident and personnel files are maintained in a locked and secure location. LPA reviewed five (5) resident files and five (5) staff files during the visit. All files were complete, containing the required documentation and signatures. LPA also observed reading materials, activity calendars, and recreational equipment in multiple locations throughout the facility, indicating an active program of daily engagement for residents. Outdoor areas were inspected and found to be shaded, well maintained, and easily accessible to residents in both assisted living and memory care areas. Based on observations made during the visit, the facility appeared to be in substantial compliance with applicable Title 22 regulations at the time of inspection. An exit interview was conducted with Executive Director (ED) Bryan Reamer-Yu, during which the findings of the inspection were reviewed and discussed. No deficiencies were cited during this visit. A copy of this report was provided to the Executive Director for the facility’s records.

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit to gather additional information regarding complaint #22-AS-20250728145508. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA interviewed staff as well as reviewed and obtained pertinent documentation such as progress notes for Resident 1. Exit interview conducted and a copy of this report was left at the facility.

LPA observed 12 response times over 19 minutes out of 319 responses reviewed and none were in the memory care unit. Staff confirm response times are timely. Based on interviews conducted and records reviewed, LPA is unable to corroborate the allegations. Therefore, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Administrator and a copy of this report was provided to facility.

Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a health and safety check of the residents at the facility. LPA was greeted and granted entry by staff. LPA met with Administrator Bryan Reamer and Director of Wellness Rebecca Casella and explained the reason for the visit. LPA and staff toured the facility. LPA observed resident rooms have the required furnishings. LPA observed resident rooms are clean and organized. LPA observed resident bathrooms are clean and operational. Hot water measured between 111.5 and 112.8 degrees Fahrenheit. LPA observed the kitchen is clean and organized. LPA observed no obstacles or hazards in the outdoor area. LPA observed residents participating in activities. LPA reviewed Resident 1 (R1)'s file. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report was provided.

Licensing Program Analyst (LPA) Jenifer Tirre made an announced pre-licensing visit. LPA identified themselves and discussed the purpose of the visit with Executive Director Bryan Reamer-Yu. An initial application to operate a Residential Facility Care for the Elderly was submitted to CCL on 08/13/2024. There are 96 residents in care during today's visit. LPA observed facility is following infection control guidelines. LPA Tirre along with Executive Director Brian Reamer-Yu toured the facility at 7:55 AM and observed the following: Structure: Facility is a two story building housing 48 apartment units in the assisted living and 47 apartment units in the Memory care. Memory care has three neighborhood's on first and second floor of main building as well as The Cottage building directly across from main building. Facility offers four dining rooms, a bistro area, A Television room, activities room, and salon as well as outside patio areas. Living Room/ Dining Room : There is adequate seating and appropriately furnished areas for relaxation in Living room areas and adequate seating available in each dining room areas. Bedrooms Residents: All rooms toured are equipped with appropriate lighting, chair, night stand and ample closet space for resident belongings. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars and non-skid surface in the shower. Emergency Phone Numbers and Exit Plan: Posted near entrance of facility. Food Service: Facility has ample perishable and non perishable food supplies. LPA observed posted menus throughout facility with multiple choices for residents. Smoke Detectors: Carbon monoxide detectors and Smoke detectors are tested in-house and documentation was provided by Johnson Controls. Documentation shows that 263 Smoke Detectors were tested operational and passed on last inspection date 12/18/2023. LPA observed 8 Fire extinguishers which were fully charged and accompanied by emergency flashlight. Toxins : Secured and inaccessible to residents in care. Water Temperature: Tested and recorded between 105.2 and 117.5 degrees F tested in both resident and common area bathrooms. Eight restrooms were tested during inspection visit Emergency Supplies: LPA observed ample emergency food and water stored on site in facility storage. CONTINUED ON LIC 809C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA observed the emergency disaster plan and facility has submitted infection control plan as well. Medications, First-Aid Kit & Book: LPA observed first aid kit contained required elements. Medications are stored in locked medication carts. Facility has secured location for resident and personnel files Resident & Staff File: LPA reviewed 5 staff and 5 resident files during the visit. All files had completed documents. Reading Material, Games, and Equipment: LPA observed multiple activities calendars in multiple locations. Outside areas : LPA observed outside shaded areas for residents. Outside areas are easily accessible to residents in both assisted living and in memory care areas. Fire Clearance: Approved for 134 non-ambulatory residents and 8 bedridden residents on 8/12/2024. LPA observed the emergency chair adjacent to the staircase located on second floor. Facility has liability insurance on file for 5/1/2024 to 5/1/2025. Administrator's Certificate on file for Bryan Reamer-Yu Expiring 8/25/2026. The facility is ready to be licensed. Component III not conducted during visit due to facility Executive Director currently operating licensed facilities for the past twelve years. An exit interview was conducted with Executive Director and a copy of this report was left at the facility.