Inspection Reports for
Ivy Park at San Juan Capistrano

The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The physical plant, medication management, fire safety systems, and emergency supplies were all observed to be adequate and well maintained.

The complaint alleged that staff were not criminally record cleared. The investigation determined the allegation was unfounded, meaning it was false or without reasonable basis.

The investigation found that all 16 staff members present were background cleared and associated with the facility. Interviews and staff roster review confirmed compliance. The allegation was deemed unfounded.

The complaint investigation was triggered by allegations regarding lighting, medication management, and room safety. The lighting and medication allegations were found to be unfounded, meaning false or without reasonable basis. The room setup allegation was unsubstantiated, meaning there was no preponderance of evidence to prove the violation occurred.

All allegations were investigated and determined to be either unfounded or unsubstantiated. The lighting allegation was unfounded as the resident's room had adequate lighting. The medication management allegation was unfounded after review of medication records and staff interviews. The room setup allegation was unsubstantiated due to conflicting information and lack of evidence of a violation.

The Health Services Director reported compliance with instructions from Orange County Health Care Agency, no issues to report, full staffing, and ample PPE supply. No deficiencies were cited during this visit.

The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, a deficiency was cited for not having criminal record clearances on file for 4 staff members, posing an immediate risk.

The facility was found to be in compliance with no deficiencies observed. The kitchen, resident rooms, bathrooms, medication storage, and safety equipment were all inspected and found to meet required standards. Staff files and resident records showed no discrepancies.

The complaint alleged that the facility did not issue a full refund. The investigation concluded the allegation was unfounded, meaning it was false or without reasonable basis.

The investigation found that the facility issued a full refund to the prospective resident as per the signed community fee receipt and final account statement, and the allegation was determined to be unfounded.

The complaint alleged that facility staff did not safeguard residents' belongings, specifically that Resident 1's belongings were damaged. Resident 1 reported a theft to the Orange County Sheriff, but no report number was provided and no action was taken. Resident 1 declined to have personal property inventoried and has moved out of the facility. The facility is not responsible for belongings not put in their care. The allegation was unsubstantiated.

The investigation found no evidence to support the allegation that facility staff failed to safeguard residents' belongings. The allegation was deemed unsubstantiated due to lack of evidence.

No deficiencies were observed during the visit. The facility meets Title 22 requirements, has adequate safety and operational measures in place, and is ready to be licensed. Fire clearance was approved for the full capacity.

The applicant/administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Identification was verified and required documentation was obtained.