Inspection Reports for
Ivy Park at Bonita

CA, 91910

Back to Facility Profile

Deficiencies (last 3 years)

Deficiencies (over 3 years) 1 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

75% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
2026

Census

Latest occupancy rate 69% occupied

Based on a January 2026 inspection.

Occupancy over time

40 60 80 100 120 Sep 2024 Feb 2025 Aug 2025 Oct 2025 Jan 2026

Inspection Report

Complaint Investigation
Census: 66 Capacity: 96 Deficiencies: 1 Date: Jan 15, 2026

Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that the facility was not clean.

Complaint Details
The complaint was substantiated. The facility was found to have significant drywall dust accumulation due to ongoing renovations that was not cleaned daily as expected, creating an unsanitary environment.
Findings
The investigation found that the facility was undergoing second-floor renovations which created drywall dust that was not cleaned promptly, resulting in an unsanitary environment. The allegation that the facility was not clean was substantiated based on interviews and observations.

Deficiencies (1)
The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.
Report Facts
Capacity: 96 Census: 66 Plan of Correction Due Date: Feb 13, 2026

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorFacility representative interviewed and present during exit interview
Ramon SerranoLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 66 Capacity: 96 Deficiencies: 2 Date: Jan 15, 2026

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations regarding non-working refrigerator/freezer, washer/dryer maintenance issues, and food warming equipment not working.

Complaint Details
The complaint investigation was substantiated for the refrigerator/freezer and washer/dryer allegations, but unsubstantiated for the food warming equipment allegation.
Findings
The investigation substantiated that the refrigerator/freezer were not consistently maintaining proper temperatures and washers/dryers were not maintained in good repair, posing potential health and safety risks. The allegation regarding food warming equipment was unsubstantiated as the equipment was observed to be functioning properly with alternative cooking methods available.

Deficiencies (2)
Freezers of adequate size were not maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators were not maintained at a maximum temperature of 40 degree F (4 degree C), with fluctuating thermostat temperatures.
Washers and dryers were not maintained in good repair; several machines were out of order including the facility’s only large industrial washer which had been broken for over a year.
Report Facts
Persons in care: 66 Total licensed capacity: 96 Deficiency due date: Feb 13, 2026

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorFacility representative met during inspection and named in findings
Ramon SerranoLicensing Program AnalystEvaluator who conducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 66 Capacity: 96 Deficiencies: 0 Date: Oct 23, 2025

Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff was abusive towards a resident.

Complaint Details
The complaint alleged that Staff 1 was abusive towards Resident 1. Resident 1 was confused and disoriented at times. Interviews with residents and staff, as well as an outside source, did not support the allegation. The complaint was determined to be unsubstantiated.
Findings
The investigation included interviews with residents, staff, and an outside source, as well as records review. The allegation of staff abuse was found to be unsubstantiated based on lack of evidence and conflicting statements.

Report Facts
Capacity: 96 Census: 66

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the investigation and named in the report
Ramon SerranoLicensing Program AnalystConducted the complaint investigation

Inspection Report

Annual Inspection
Census: 66 Capacity: 96 Deficiencies: 0 Date: Oct 23, 2025

Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and assess the facility's condition and operations.

Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All required safety equipment, furnishings, and supplies were present and in working order. Staff and resident records were reviewed and found to be compliant.

Report Facts
Maximum capacity: 96 Current census: 66 Non-ambulatory residents allowed: 88 Bedridden residents allowed: 8 Hospice waiver residents allowed: 25 Hot water temperature: 111 Ambient temperature: 76 Perishable food supply: 2 Non-perishable food supply: 7

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with during inspection and exit interview
Ramon SerranoLicensing Program AnalystConducted the inspection
Robyn ClarkLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 66 Capacity: 96 Deficiencies: 0 Date: Oct 23, 2025

Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.

Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All required safety equipment and licensing postings were present and functional. Staff and resident records were reviewed and found to be in order.

Report Facts
Maximum capacity: 96 Current census: 66 Non-ambulatory residents allowed: 88 Bedridden residents allowed: 8 Hospice waiver residents allowed: 25 Hot water temperature: 111 Ambient temperature: 76 Perishable food supply: 2 Non-perishable food supply: 7

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Ramon SerranoLicensing Program AnalystConducted the inspection and authored the report
Robyn ClarkLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Census: 65 Capacity: 96 Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
An unannounced Case Management Visit was conducted to deliver an amended complaint investigation report and discuss the purpose of the visit with the Executive Director.

Complaint Details
The visit involved delivery of an amended complaint investigation report, but no deficiencies were found.
Findings
No deficiencies were cited or observed during this visit. An exit interview was conducted and appeal rights were provided to the facility representative.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the visit and participated in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced Case Management Visit and delivered the amended complaint investigation report.
Robyn ClarkLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Census: 65 Capacity: 96 Deficiencies: 0 Date: Aug 19, 2025

Visit Reason
Licensing Program Analyst Ramon Serrano conducted an unannounced Case Management Visit to deliver an amended complaint investigation report and discuss the purpose of the visit with the Executive Director.

Complaint Details
The visit involved delivery of an amended complaint investigation report, but no deficiencies were found or cited.
Findings
No deficiencies were cited or observed during this visit. An exit interview was conducted and appeal rights were provided.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the visit and participated in exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced Case Management Visit and delivered the amended complaint investigation report.

Inspection Report

Complaint Investigation
Census: 60 Capacity: 96 Deficiencies: 0 Date: Aug 6, 2025

Visit Reason
The inspection was an unannounced complaint investigation triggered by an allegation that staff did not dispense medication as prescribed to Resident 1.

Complaint Details
The complaint alleged that staff did not dispense Resident 1's medication as prescribed, specifically that medications were found in pill packs or bottles despite instructions to dispense them several times a day. The investigation found that medications were dispensed as prescribed, with exceptions due to resident refusal, being out in the community, or medication unavailability. The allegation was unsubstantiated.
Findings
The investigation included interviews with staff and review of medication administration records, which found no evidence of medication errors or missed medications for Resident 1. The allegation was determined to be unsubstantiated based on a preponderance of evidence.

Report Facts
Facility capacity: 96 Census: 60 Medication count: 8 Medication count: 4 Staff experience: 10 Staff experience: 4 Average census: 40 Average census: 20

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorFacility administrator and participant in exit interview
Ramon SerranoLicensing Program AnalystInvestigator who conducted the complaint visit
Robyn ClarkSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 60 Capacity: 96 Deficiencies: 0 Date: Apr 10, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-04-09 regarding neglect resulting in rib fractures and failure to administer medications as prescribed.

Complaint Details
The complaint was investigated and determined to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.
Findings
The investigation determined that the alleged victim was not a resident of the facility, and therefore the allegations were found to be unfounded and dismissed.

Report Facts
Facility capacity: 96 Resident census: 60

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet during the investigation and participated in exit interview
Ramon SerranoLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 60 Capacity: 96 Deficiencies: 0 Date: Apr 10, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including neglect resulting in rib fractures and failure to administer medications as prescribed.

Complaint Details
The complaint was investigated and determined to be unfounded as the alleged victim was not a resident of the facility.
Findings
The investigation determined that the alleged victim was not a resident of the facility, and therefore the allegations were found to be unfounded and dismissed.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with during the investigation and provided information confirming the alleged victim was not a resident.
Ramon SerranoLicensing Program AnalystConducted the unannounced complaint investigation visit.

Inspection Report

Follow-Up
Census: 63 Capacity: 96 Deficiencies: 0 Date: Feb 24, 2025

Visit Reason
Licensing Program Analyst Ramon Serrano conducted an unannounced collateral visit as a follow-up for an unrelated complaint investigation for another facility.

Findings
During the visit, the analyst interacted with staff and residents and obtained facility records. An exit interview was conducted with the Executive Director, and licensing rights were provided.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet during the visit and participated in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced collateral visit.
Robyn ClarkSupervisorSupervisor overseeing the licensing evaluation.

Inspection Report

Follow-Up
Census: 63 Capacity: 96 Deficiencies: 0 Date: Feb 24, 2025

Visit Reason
An unannounced collateral visit was conducted as a follow-up for an unrelated complaint investigation for another facility.

Findings
During the visit, the Licensing Program Analyst interacted with staff and residents and obtained facility records. An exit interview was conducted with the Executive Director and a copy of the report along with Licensee Rights was provided.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet during the visit and participated in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced collateral visit.
Robyn ClarkLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 66 Capacity: 96 Deficiencies: 0 Date: Feb 3, 2025

Visit Reason
The visit was conducted in response to a self-reported medication error involving Resident 1, who was given Parkinson's disease medication instead of an antibiotic.

Complaint Details
The complaint involved a medication error where Resident 1 received the wrong medication. The physician was notified and instructed monitoring for side effects, but no adverse effects were expected.
Findings
The Licensing Program Analyst conducted an unannounced case management visit, reviewed records, interviewed staff, and completed a wellness check. No health or safety issues were identified, and no deficiencies were cited or observed.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the visit and involved in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced case management visit and evaluation.

Inspection Report

Complaint Investigation
Census: 66 Capacity: 96 Deficiencies: 0 Date: Feb 3, 2025

Visit Reason
The visit was conducted in response to a self-reported medication error involving Resident 1, where Parkinson's disease medication was given instead of an antibiotic.

Complaint Details
The complaint involved a medication error for Resident 1, which was self-reported on January 30, 2025. The physician was notified and instructed monitoring for side effects, but no side effects were expected.
Findings
The Licensing Program Analyst conducted a wellness check and staff interviews, finding no health or safety issues and no deficiencies cited or observed during the visit.

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the visit and involved in the exit interview.
Ramon SerranoLicensing Program AnalystConducted the unannounced Case Management Visit and investigation.

Inspection Report

Original Licensing
Census: 61 Capacity: 96 Deficiencies: 0 Date: Sep 17, 2024

Visit Reason
An announced Pre-Licensing inspection was conducted to evaluate the facility for licensing approval.

Findings
The facility was found to be clean, well-maintained, and compliant with all applicable regulations. No deficiencies were identified during the inspection.

Report Facts
Hot water temperature: 115 Ambient temperature: 74

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during the inspection and exit interview
Ramon SerranoLicensing Program AnalystConducted the announced Pre-Licensing inspection

Inspection Report

Original Licensing
Census: 61 Capacity: 96 Deficiencies: 0 Date: Sep 17, 2024

Visit Reason
The inspection was an announced Pre-Licensing visit conducted to evaluate the facility for licensing approval.

Findings
The facility was found to be clean, well-maintained, and in good condition with no deficiencies noted. Safety features such as smoke and carbon monoxide alarms were present, and hot water and ambient temperatures were within acceptable ranges.

Report Facts
Hot water temperature: 115 Ambient temperature: 74 Census: 61 Total capacity: 96

Employees mentioned
NameTitleContext
Randal NewtonExecutive DirectorMet with Licensing Program Analyst during inspection and exit interview
Ramon SerranoLicensing Program AnalystConducted the announced Pre-Licensing inspection

Viewing

Loading inspection reports...