Inspection Reports for Ivy Park at Burbank
2721 Willow Street Burbank, CA 91505, CA, 91505
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, some reports cited issues with staffing shortages that posed immediate risks to residents, including a substantiated complaint in July 2024 where staff shortages led to residents waiting for care and staff walking out. Medication management problems were noted in April 2025, resulting in termination of a staff member due to repeated medication errors. The most recent report from October 17, 2025, cited a minor deficiency related to kitchen cleanliness but found no serious health or safety hazards. Overall, the facility appears to have improved in some areas, though occasional isolated issues with staffing and environment have been noted over time.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 81
Capacity: 130
Deficiencies: 1
Oct 17, 2025
Visit Reason
Unannounced site visit continuation of the required annual inspection to observe, review, and inspect remaining inspection domains including medications, resident records, and staff records.
Findings
The facility was found to have secure medication storage with no discrepancies in medication administration records. Resident and staff records were complete and current. One Type B deficiency was cited related to cleanliness and maintenance of kitchen floors, walls, doors, and appliances posing a potential health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility kitchen floors, walls, doors, and kitchen appliances such as industrial oven were not clean, posing a potential health, safety, or personal rights risk to persons in care. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Oct 31, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Smith | Executive Director/Administrator | Met with Licensing Program Analyst during inspection |
| Nadia Shahbazian | Licensing Program Analyst | Conducted the inspection and signed the report |
| Troy Agard | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 81
Capacity: 130
Deficiencies: 0
Oct 16, 2025
Visit Reason
The inspection was a required one-year unannounced visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was toured and observed to be clean, well-maintained, and appropriately furnished. Safety features such as fire sprinklers, smoke detectors, and fire extinguishers were in place and up to date. Some signal pull cords took 4-6 minutes for staff to respond. The kitchen and common areas were secure and properly stocked. Due to time constraints, the annual visit was not completed and will be continued at a later date.
Report Facts
Residents on hospice care: 4
Non-ambulatory capacity: 100
Bedridden capacity: 30
Hospice waiver capacity: 12
Fire drill last conducted: Oct 3, 2025
Fire extinguisher last serviced: Jul 14, 2025
Rooms visited: 10
Bathrooms visited: 10
Food supply days - perishable: 2
Food supply days - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Smith | Executive Director/Administrator | Met with Licensing Program Analyst during inspection and involved in facility operations |
| Nadia Shahbazian | Licensing Program Analyst | Conducted the inspection visit |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 84
Capacity: 130
Deficiencies: 0
May 6, 2025
Visit Reason
An unannounced Case Management visit was conducted to confirm the admission of Resident #1 (R1) to the facility.
Findings
The admission of Resident #1 was confirmed with documentation including LIC 500 and Resident Roster. LIC 809 was signed and a copy provided. An exit interview was conducted.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nadia Shahbazian | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Fabiola Moreno | Memory Care Director | Met with Licensing Program Analyst during the visit. |
| Brittney Buchannan | Administrator/Director | Named as facility administrator/director. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 1
Apr 17, 2025
Visit Reason
The visit was a Case Management - Incident visit conducted to follow up on two incident reports involving medication errors dated 2025-03-15 and 2025-04-04.
Findings
The investigation concluded that Staff #1 failed to comply with the facility's medication policy, resulting in repeated medication errors. Staff #1 was terminated due to these repeated errors. A citation was issued and appeal rights were provided.
Complaint Details
The visit was triggered by two incident reports involving medication errors. The complaint was substantiated as Staff #1 was found to have repeatedly failed to comply with medication policies.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff #1 did not comply with the facility's medication policy, resulting in repeated medication errors posing an immediate health and safety risk to persons in care. | Type A |
Report Facts
Incident reports: 2
Capacity: 130
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Buchannan | Executive Director | Met during the inspection and provided information regarding the medication errors |
| Eva Miller | Licensing Program Manager | Conducted the inspection and issued the citation |
| Nadia Shahbazian | Licensing Program Analyst | Conducted the inspection and involved in the case management visit |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 130
Deficiencies: 0
Feb 19, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 12/06/2024 regarding inadequate supervision, failure to seek medical attention, unsafe environment, and failure to notify responsible parties of incidents at the facility.
Findings
The investigation found all allegations to be unsubstantiated based on interviews with staff, residents, and review of documentation including a police report. No evidence was found to support claims of inadequate supervision, failure to provide medical attention, unsafe environment, or failure to notify responsible parties.
Complaint Details
The complaint involved allegations that staff did not provide adequate supervision resulting in resident altercations, did not seek medical attention for a resident, did not provide a safe environment, and did not notify responsible parties of incidents. After investigation including interviews with Executive Director, Health Services Director, Resident Care Coordinator, staff, residents, and review of a police report, all allegations were deemed unsubstantiated.
Report Facts
Capacity: 130
Census: 88
Complaint control number: 31
Number of staff interviewed: 4
Number of residents interviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Panushkina | Licensing Program Analyst | Conducted the complaint investigation |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
| Dawn Smith | Administrator | Facility administrator involved in interviews |
| Brittney Buchannan | Executive Director | Met with investigators and interviewed during investigation |
| Eva Miller | Licensing Program Manager | Participated in unannounced complaint visit |
| Nadia Shahbaziana | Licensing Program Analyst | Participated in unannounced complaint visit |
| Mariana Agban | Licensing Program Analyst | Participated in unannounced complaint visit |
| Leslie Ngo-Castaneda | Licensing Program Analyst | Participated in unannounced complaint visit |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 130
Deficiencies: 0
Nov 21, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility retained a resident with a prohibited health condition (MRSA) and did not prevent an MRSA outbreak.
Findings
The investigation found that the resident tested positive for MRSA on 2024-02-23 and was isolated and transferred to another care center on 2024-02-27 per physician's orders. Based on interviews and record review, there was insufficient evidence to substantiate the allegation. No health and safety hazards were noted during the visit.
Complaint Details
The complaint alleged that the facility retained a resident with MRSA and failed to prevent an MRSA outbreak. The allegation was found to be unsubstantiated after investigation.
Report Facts
Complaint Control Number: 31
Capacity: 130
Census: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation |
| Brittney Buchannan | Executive Director | Met with Licensing Program Analysts during the visit |
| Naira Margaryan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 130
Deficiencies: 0
Nov 6, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that facility staff were not responding to residents setting off the beeper system, were not responding to calls for assistance in a timely manner, and that staff were not qualified.
Findings
The investigation included physical plant tours, staff interviews, and record reviews. Observations and interviews showed staff responded to alarms and calls within reasonable timeframes, and the manager had all required training. Therefore, all allegations were unsubstantiated and no health or safety hazards were noted.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not responding to beeper alarms at the main entrance, delayed response to resident calls for assistance, and unqualified staff. Observations showed average response times of 15 seconds for alarms and 5 minutes for call buttons. Staff interviews confirmed timely responses. Manager qualifications were verified through record review.
Report Facts
Facility capacity: 130
Resident census: 85
Alarm response time (seconds): 15
Memory care residents: 17
Call button response time (minutes): 5
Staff interviewed: 4
Rooms tested: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Dawn Smith | Administrator | Facility administrator named in the report |
| Beatriz Martinez | Facility staff member met with during the investigation | |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 76
Capacity: 130
Deficiencies: 3
Oct 5, 2024
Visit Reason
The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, deficiencies were cited related to personnel response times to alarms, food service hygiene practices, and annual medical assessments for residents with dementia.
Deficiencies (3)
| Description |
|---|
| Staff took 30 minutes to clear an alarm from a resident's bathroom, posing a potential health, safety, or personal rights risk. |
| Kitchen and service staff were observed not wearing hairnets while inside the kitchen, posing a potential health, safety, or personal rights risk. |
| A resident with dementia/alzheimer's as primary diagnosis did not have a recent annual medical evaluation, posing a potential health, safety, or personal rights risk. |
Report Facts
Capacity: 130
Census: 76
Deficiency count: 3
POC Due Date: Oct 21, 2024
Fire/Disaster Drill Date: Mar 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Supervisor overseeing the inspection |
| Beatriz Martinez | Health Services Director | Met with Licensing Program Analyst during inspection |
| Dawn Smith | Administrator/Director | Facility Administrator named in the report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 130
Deficiencies: 1
Jul 23, 2024
Visit Reason
An unannounced complaint investigation was conducted due to allegations that staff were not able to meet residents' needs because of inadequate staffing.
Findings
The investigation substantiated the allegation that staffing was insufficient, resulting in residents waiting over 30 minutes for assistance on multiple occasions, including a specific incident on July 17, 2024, when two caregivers threatened to walk out and did so without providing care. Staffing shortages posed an immediate health, safety, and personal rights risk to residents.
Complaint Details
The complaint alleged inadequate staffing over the past 30 to 40 days, leading to inability to meet residents' needs. The allegation was substantiated based on interviews with staff and residents, documentation review, and observation of a specific incident where staff threatened to walk out and did so, leaving residents without care for a period of time.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel shall at all times be sufficient in numbers to ensure provision of personal assistance and care as required. This requirement was not met. | Type A |
Report Facts
Number of residents requiring assistance on assignment sheets: 31
Number of caregivers per shift: 3
Number of med-techs per shift: 2
Number of residents interviewed: 8
Number of staff interviewed: 8
Date of specific staffing incident: 17
Plan of Correction due date: 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Administrator | Named as facility administrator. |
| Beatriz Martinez | Health Services Director | Met with Licensing Program Analyst during investigation and corroborated staffing incident. |
| Evelin Rios | Licensing Program Analyst | Conducted the complaint investigation. |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Britney Buchannan | Executive Director | Interviewed during investigation regarding staffing and facility operations. |
| Ethan Reid | Memory Care Director | Interviewed and assisted during physical plant tour. |
| Leigh Ikeda | Business Director | Interviewed during entrance interview. |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 130
Deficiencies: 0
May 16, 2024
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including unsanitary conditions in the memory care unit, shortage of cleaning supplies, insufficient staffing, and presence of roaches.
Findings
All allegations were found to be unsubstantiated based on observations, staff interviews, and physical plant tours. No health and safety hazards were noted during the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unsanitary conditions in the memory care unit, shortage of cleaning supplies, insufficient staffing to meet residents' needs, and presence of roaches. Investigations included physical plant tours and staff interviews, which did not verify any of the allegations.
Report Facts
Residents assigned per caregiver: 6
Residents scheduled for showering: 1.5
Residents requiring assistance with ADLs: 4.5
Caregivers per shift: 3
MedTech per shift: 1
Inspection start time: 1014
Inspection end time: 1515
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Abeye Duguma | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Ethan Reid | Memory Care Director | Met with the Licensing Program Analyst during the investigation. |
| Dawn Smith | Administrator | Facility administrator named in the report. |
| Naira Margaryan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Annual Inspection
Census: 88
Capacity: 130
Deficiencies: 0
Oct 14, 2023
Visit Reason
The inspection was a required one-year unannounced visit to evaluate the facility's compliance with regulatory standards and infection control measures.
Findings
The facility was found to have no deficiencies cited. All observed areas including bedrooms, bathrooms, laundry rooms, medication storage, common areas, and fire safety equipment were compliant with regulations. The fire protection system passed inspection and infection control signage and supplies were appropriately maintained.
Report Facts
Fire clearance capacity: 100
Hospice waiver capacity: 12
Fire extinguisher service date: Jan 5, 2023
Fire drill date: Sep 3, 2023
Water temperature range: 113.7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Administrator | Facility Administrator present during inspection |
| Krista Cheshire | Activity Director | Activity Director met with LPAs and participated in the inspection |
| Antonia Alvizar | Licensing Program Analyst | Conducted the inspection |
| Gary Tan | Licensing Program Analyst | Conducted the inspection |
| Keith Bernabe | Participated in physical plant tour during inspection | |
| Naira Margaryan | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 0
Mar 27, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff allowed a resident to engage in unsanitary behavior.
Findings
The investigation included interviews with staff and residents and a physical plant tour. Two of seven staff confirmed the allegation, but no residents confirmed it. No residents were observed covered in fecal matter, and the facility did not smell of fecal matter. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that a resident frequently roamed the facility covered in fecal material. Interviews with staff and residents, as well as observations, did not substantiate the allegation. The complaint was found unsubstantiated.
Report Facts
Staff interviewed: 7
Residents interviewed: 8
Capacity: 130
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Agard | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Dawn Smith | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
| Angela J Kendrick | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 86
Capacity: 130
Deficiencies: 1
Jan 19, 2023
Visit Reason
An unannounced case management visit was conducted to assess deficiencies and perform a Covid risk assessment. The visit was also prompted by a report of false advertising and name confusion regarding the facility's license.
Findings
No immediate health and safety hazards were observed. One deficiency was cited related to false claims regarding the facility's name and advertising, which posed a potential health and safety risk to residents.
Deficiencies (1)
| Description |
|---|
| False Claims 87207 - The facility changed the name on the building and website and is advertising under a different name than licensed without prior approval, posing a potential health and safety risk to residents. |
Report Facts
Residents bedridden: 1
Residents on hospice: 7
Deficiencies cited: 1
Plan of Correction due date: Jan 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Administrator | Met with Licensing Program Analyst during inspection |
| Troy Agard | Licensing Program Analyst | Conducted the inspection and authored the report |
| Angela J Kendrick | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 0
Jan 6, 2023
Visit Reason
An unannounced complaint investigation was conducted to investigate an allegation that the facility heater unit was in disrepair.
Findings
The investigation found that the air conditioning/heater unit was working properly and appeared to be new. Interviews with a resident and the maintenance director confirmed that the unit was recently replaced. The allegation was deemed unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on the investigation findings.
Report Facts
Capacity: 130
Census: 87
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jose Gary Tan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Dawn Smith | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 87
Capacity: 130
Deficiencies: 2
Dec 22, 2022
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 06/16/2020 regarding allegations of insufficient staffing, retention of a resident requiring a higher level of care, chemical restraint, multiple falls including fracture, failure to seek timely medical attention, and mismanagement of resident records.
Findings
The investigation substantiated two allegations: the facility did not have sufficient staff to meet residents' needs and retained a resident requiring a higher level of care. Four other allegations regarding chemical restraint, multiple falls including fracture, failure to seek timely medical attention, and mismanagement of resident records were found unsubstantiated based on interviews and record reviews.
Complaint Details
The complaint investigation was substantiated for allegations that the facility did not have sufficient staff to meet residents' needs and retained a resident requiring a higher level of care. Other allegations including chemical restraint, multiple falls including fracture, failure to seek timely medical attention, and mismanagement of resident records were unsubstantiated.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. The facility failed to meet residents needs by not providing assistance to R1, who had prior falls that the facility was aware of. | Type A |
| Residents in privately operated residential care facilities for the elderly shall have the right to care, supervision, and services that meet their individual needs and are delivered by staff sufficient in numbers, qualifications, and competency. The facility failed to assist R1 in obtaining a higher level of care than the facility could provide to prevent further falls. | Type A |
Report Facts
Capacity: 130
Census: 87
Deficiencies cited: 2
Plan of Correction Due Date: Dec 23, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kruz Long | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Fernando Fierros | Licensing Program Manager | Oversaw the complaint investigation |
| Milca Osorio | Director of Assisted Living | Facility representative met during the investigation and exit interview |
| Dawn Smith | Administrator | Facility administrator involved in initial Facetime health and safety check |
Inspection Report
Annual Inspection
Census: 85
Capacity: 130
Deficiencies: 0
Oct 14, 2022
Visit Reason
Licensing Program Analyst Alberto Lopez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices.
Findings
The inspection found that COVID-19 infection control practices were properly observed throughout the facility, including signage, PPE supplies, hand sanitizer availability, and staff mask usage. No deficiencies were cited during the visit.
Report Facts
Apartments: 106
Residents medication reviewed: 6
Water temperature range: 115.9
Water temperature range: 119.7
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Executive Director | Met with Licensing Program Analyst during the inspection and received the report |
| Alberto Lopez | Licensing Program Analyst | Conducted the unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices |
Inspection Report
Census: 85
Capacity: 130
Deficiencies: 0
Oct 14, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report dated 2022-10-02 regarding an unwitnessed fall of a resident that resulted in a hip fracture.
Findings
The Executive Director reported the resident pulled the call cord and was found on the bathroom floor by a Med Tech. The resident initially refused hospital transport but was later admitted to St Joseph Hospital due to a left hip fracture. A tour of the facility found no health and safety issues.
Report Facts
Incident report date: Oct 2, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Executive Director | Provided information about the resident fall incident |
| Hadrian Torres | Med Tech | Found resident on the floor after fall |
| ReIna Rubi | LVN | Informed resident's daughter about resident's pain and hospital admission |
Inspection Report
Annual Inspection
Census: 83
Capacity: 130
Deficiencies: 0
Oct 25, 2021
Visit Reason
An unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices was conducted to evaluate compliance with infection control measures.
Findings
The facility was observed to have COVID-19 infection control practices in place including signage, hand sanitizer dispensers, PPE supplies, and social distancing. Residents have private apartments and vaccination rates were reported as 87% for residents and 97% for staff. Medication was reviewed for six residents and sufficient food supplies were observed.
Report Facts
Residents reviewed for medication: 6
Resident vaccination rate: 87
Staff vaccination rate: 97
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the inspection and authored the report |
| Dawn Smith | Administrator | Facility Administrator met during the inspection |
| Christine Yee | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 130
Deficiencies: 1
Oct 8, 2021
Visit Reason
The inspection was conducted as an unannounced complaint investigation following an allegation that staff left a resident on the toilet seat for an extended amount of time resulting in bruising.
Findings
The investigation substantiated the allegation based on interviews with staff and review of medical records showing evidence of bruising and deep tissue pressure injury consistent with prolonged sitting on the toilet. The licensee was cited for failure to protect residents' personal rights and agreed to provide staff training and develop a medical reassessment plan.
Complaint Details
The complaint was substantiated. The allegation was that staff left a resident on the toilet seat for an extended amount of time resulting in bruising. Interviews and medical record reviews corroborated the allegation.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure residents are free from punishment, humiliation, intimidation, abuse, or other punitive actions as evidenced by a resident being left on the toilet for an extended period resulting in bruising. | Type B |
Report Facts
Capacity: 130
Census: 80
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Administrator | Met with during investigation and named in findings |
| Don Senaha | Licensing Program Analyst | Conducted complaint investigation and signed report |
| Angela J Kendrick | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 78
Capacity: 130
Deficiencies: 0
Aug 4, 2021
Visit Reason
Licensing Program Analyst Cynthia Chan conducted a case management visit for the purpose of serving an Immediate Exclusion letter for Staff #1.
Findings
The Immediate Exclusion letter was hand delivered to the Executive Director, Dawn Smith. A copy of the report was provided to the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dawn Smith | Executive Director | Met with Licensing Program Analyst during case management visit and recipient of Immediate Exclusion letter. |
| Cynthia Chan | Licensing Program Analyst | Conducted the case management visit and served the Immediate Exclusion letter. |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report. |
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