Inspection Reports for Ivy Park at Cerritos

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The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements and regulatory standards for the facility.

The facility was found to have several deficiencies including retaining one bedridden resident without appropriate fire clearance, staff lacking valid first aid training and missing TB test results, and a resident with dementia lacking an updated medical assessment. An immediate civil penalty of $500 was issued due to the bedridden resident issue.

The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements for the facility.

The inspection found no deficiencies during the visit. The facility demonstrated compliance with infection control, physical plant safety, resident rights, food service, medical and dental care, and disaster preparedness requirements.

An unannounced complaint investigation visit was conducted to address allegations including staff not responding to resident call buttons in a timely manner and the facility not issuing a refund to a resident's responsible party.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, record reviews, and facility tours did not corroborate the complaints, resulting in an unsubstantiated determination.

The complaint investigation was unsubstantiated. Allegations included delayed staff response to resident call pendants and failure to issue a refund to a resident's responsible party. Interviews with residents and staff, as well as record reviews, did not support the allegations. Specific delays in call pendant response were noted on two dates but were explained by staff. The refund issue was clarified with staff stating the family would receive a refund of $628.10 and that a 30-day termination notice was required for refunds.

The visit was an unannounced complaint investigation regarding an allegation that staff retaliated against a resident by issuing a 30-day eviction notice after the resident expressed safety concerns to the city council.

The investigation included interviews, record reviews, and a physical tour. Findings showed that the eviction notice was issued due to the resident's aggressive behavior and violation of house rules. There was insufficient evidence to substantiate the retaliation allegation, and the complaint was determined to be unsubstantiated.

Allegation: Staff retaliates against resident by issuing a 30-day eviction notice after the resident raised safety concerns. Investigation found multiple incidents of aggressive behavior by the resident and no evidence of retaliation. The allegation was unsubstantiated.

An unannounced complaint investigation visit was conducted in response to allegations received on 2025-01-08 regarding staff not observing residents for changes in condition, not assisting with grooming, delayed response to call buttons, lack of housekeeping services, and failure to safeguard residents' personal belongings.

The investigation included interviews with staff and residents, file reviews, and physical plant tours. All allegations were found to be unsubstantiated due to lack of preponderance of evidence, with staff and residents denying the claims and documentation supporting appropriate care and services.

The complaint investigation was unsubstantiated. Allegations included failure to observe residents for changes in condition, grooming assistance, timely response to call buttons, housekeeping services, and safeguarding personal belongings. Interviews with 7 staff and 10 residents, file reviews, and observations did not corroborate the allegations.

Unannounced case management visit to follow up on the incident report submitted by the licensee dated 09/16/2024 regarding a staff and a resident.

No deficiencies were cited during the visit. Staff #1 was terminated due to actions not following company protocols, and the facility plans to conduct in-service training for current staff.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 2024-08-01 regarding sexual abuse of a resident and staff not ensuring resident privacy.

The investigation found insufficient evidence to substantiate the allegations of sexual abuse and lack of privacy. Interviews, observations, and file reviews indicated conflicting statements and no preponderance of evidence to prove the alleged violations occurred.

The complaint involved allegations that a resident (R1) was sexually abused by another resident (R2) and that staff did not ensure resident privacy. The investigation included interviews with residents, staff, and review of police and medical records. The allegations were determined to be unsubstantiated.

An unannounced case management visit was conducted to follow up on an incident report and SOC 341 submitted by the Executive Director regarding a resident altercation.

The visit confirmed that on 08/02/2024, a resident exhibited aggressive behavior towards two other residents, resulting in a scratch. Staff intervened and no ambulance or police were contacted. The resident involved was scheduled to move to a higher level of care facility, and no current issues were reported by the facility.

The inspection was an unannounced required annual inspection to evaluate compliance with licensing regulations for the facility.

The facility was found to have appropriate infection control practices, sufficient staffing, proper physical plant and environmental safety, and compliance with personnel record and training requirements. However, deficiencies were cited related to personnel health screenings and TB test results missing from staff files.

An unannounced complaint investigation was conducted regarding an allegation that staff did not ensure residents were served food free from contamination, which reportedly caused illness among residents and staff.

The investigation found that a norovirus outbreak occurred affecting 32 residents and 18 staff, but there was no evidence that the facility's food caused the outbreak. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not ensure residents were served food free from contamination, resulting in over twenty residents and three staff becoming sick. The investigation concluded the outbreak was norovirus-related, but the source was undetermined and not linked to the facility's food. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations including failure to follow a resident's care plan resulting in a prohibited health condition, resident falls resulting in injury, and inadequate assistance with oral hygiene and dressing.

The investigation substantiated that staff did not follow Resident #1's care plan, leading to a Stage III pressure wound. Other allegations regarding multiple falls resulting in a hip fracture, leaving a resident unattended on the floor, failure to transfer the resident routinely, and inadequate assistance with oral hygiene and dressing were found to be unsubstantiated due to insufficient evidence.

The complaint investigation was triggered by allegations that staff did not follow Resident #1's care plan, resulting in a prohibited health condition (pressure wound). Additional allegations included multiple falls resulting in a hip fracture, resident left unattended on the floor, failure to transfer resident routinely, and inadequate assistance with oral hygiene and dressing. The allegation regarding failure to follow the care plan was substantiated, while the others were unsubstantiated due to lack of evidence.

The visit was an unannounced case management inspection conducted to investigate a complaint dated 2023-01-30 regarding resident falls and care deficiencies.

The facility failed to update the care plan for Resident #1 to reflect the resident's increased fall risk after multiple falls, resulting in continued falls and inadequate supervision. The deficiency was related to failure to update the physician's report and care plan to address the resident's changed condition.

The investigation was triggered by a complaint dated 2023-01-30 concerning Resident #1 who sustained multiple falls after a hip fracture and surgery. Staff acknowledged knowledge of the resident's increased agitation and fall risk, but the facility failed to update the care plan accordingly.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-06-23 regarding allegations that the licensee did not ensure pre-admission appraisal was done correctly and that the facility did not issue the correct refund amount.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff, as well as document reviews, indicated that the facility completed the required pre-admission appraisal and provided an appropriate refund amount to the resident's family. Therefore, the allegations were determined to be unsubstantiated.

The complaint involved two allegations: 1) The licensee did not ensure pre-admission appraisal was done correctly, and 2) The facility did not issue the correct refund amount. After investigation, including interviews and document review, the allegations were found unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation was conducted regarding an allegation that staff do not maintain the facility at a comfortable temperature for residents.

The investigation found no evidence to substantiate the allegation. Temperature measurements throughout the facility were within regulatory range, staff and residents denied the allegation, and the thermostat in the concerned resident's room was functioning properly.

The allegation was that a resident did not have heat for over a week and that the temperature in the resident's room was 69 degrees F. The investigation included interviews with staff and residents, temperature measurements, review of work orders and physician reports, and observation. The allegation was determined to be unsubstantiated due to lack of evidence.

The inspection was an unannounced complaint investigation conducted in response to an allegation that staff were not maintaining a comfortable room temperature for residents.

The investigation found that although some residents reported issues with their A/C units, the Executive Director and staff denied the allegations, and documentation showed the A/C units were operational. There was insufficient evidence to substantiate the complaint, resulting in an unsubstantiated finding.

The complaint alleged that staff were not maintaining a comfortable room temperature for residents. The investigation included interviews with residents and staff, review of maintenance records and A/C service reports, and observations. The allegation was unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not assist residents with activities of daily living (ADLs) and did not meet residents' needs.

The investigation found that the allegations were unsubstantiated. Interviews with facility staff and residents indicated that most residents reported receiving assistance with ADLs and that their needs were met. There was insufficient evidence to prove the alleged violations occurred.

The complaint alleged that staff did not assist residents with ADLs and did not meet residents' needs. The investigation included interviews with the Executive Director, Resident Care Director, staff, residents, a former resident, family members, and hospice agency representatives. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by complaints received on 03/07/2023 regarding allegations that the facility failed to provide a safe environment for residents, failed to provide a comfortable temperature, and had insufficient staffing to meet residents' needs.

The investigation substantiated the allegation of insufficient staffing, finding that 8 out of 10 residents reported waiting an hour or more for food due to lack of staff. The allegations regarding unsafe environment and uncomfortable temperature were unsubstantiated based on interviews, observations, and file review.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Jewel Baptiste. Allegations included failure to provide a safe environment, comfortable temperature, and sufficient staffing. The insufficient staffing allegation was substantiated; others were unsubstantiated.

An unannounced Annual Continuation visit was conducted to evaluate compliance with licensing requirements at Ivy Park Cerritos.

The inspection found that PRN medications for residents R1 through R5 were missing without discontinued orders, posing an immediate health, safety, or personal rights risk to persons in care. The administrator certificate was expired but processing and pending.

An unannounced annual/required inspection was conducted at Ivy Park Cerritos to evaluate compliance with licensing regulations and assess the facility's physical plant, food supply, safety equipment, and resident accommodations.

The inspection found the facility to be well-maintained with functioning smoke and carbon monoxide detectors, fully charged fire extinguishers, a well-stocked kitchen and pantry meeting Title 22 guidelines, and clean and sanitary conditions throughout. Resident rooms were properly furnished and bathrooms equipped with necessary safety features.

The visit was an unannounced complaint investigation conducted in response to allegations received on 06/22/2021 regarding failure to provide resident medical records, charging for unneeded services, refusal to accept resident after hospitalization, and illegal eviction.

The investigation found insufficient evidence to substantiate the allegations. Staff and administrators interviewed were unable to provide information or recall the resident involved due to management changes and missing records. Therefore, the allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. The allegations included failure to provide medical records, charging for unnecessary services, refusal to readmit a resident after hospitalization, and illegal eviction. Interviews with current and former staff and administrators were inconclusive due to staff turnover and missing resident files.

An unannounced complaint investigation visit was conducted following a complaint received on 2022-02-11 regarding multiple allegations including disrepair of air conditioner, untimely food service, chemicals in water, and toaster disrepair.

The investigation included interviews with staff and residents, inspection of physical plant and documents, and observation of facility operations. All allegations were denied by staff and most residents, and observations and documentation supported that the facility was functioning properly. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included residents' air conditioner in disrepair, staff not serving food timely, staff putting chemicals in water used by residents, and facility toaster in disrepair. Interviews and observations did not support these allegations.

This was an unannounced complaint investigation visit triggered by multiple allegations received on 01/14/2021 regarding resident care issues including lack of resident rotation resulting in pressure injuries, medication administration failures, unmet diapering needs, and dietary noncompliance.

The investigation substantiated all allegations: Resident #1 was not rotated regularly causing worsening pressure injuries; medication (insulin injections) was not consistently administered as ordered; diapering needs were not met with soiled diapers observed; and dietary instructions were not followed, with the resident given orange juice despite dietary restrictions. A $500 civil penalty was issued.

The complaint investigation was substantiated. Allegations included failure to rotate resident causing pressure injuries, failure to administer medication properly, unmet diapering needs, and failure to follow dietary restrictions. Evidence included interviews, medical and hospice records, and observations. A civil penalty of $500 was issued.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not dispense correct medications to residents and did not provide care to residents.

The investigation included interviews with residents, staff, and review of records. Residents denied the allegations regarding medication and care, and staff reported no complaints. Medication management was found to be proper. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint investigation was unsubstantiated based on interviews with 13 residents and staff, and review of medication management for 6 residents. No evidence supported the allegations that staff failed to dispense correct medications or provide care.

The visit was an unannounced complaint investigation regarding allegations that staff were not maintaining a comfortable room temperature for residents.

The investigation found that 12 out of 13 residents reported comfortable temperatures and functioning air/heating units. Staff addressed complaints from one resident (R1) and maintenance records showed the unit was working correctly. Temperature readings were within regulatory limits. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were not maintaining a comfortable room temperature for residents. The allegation was unsubstantiated after interviews, observations, and record reviews showed compliance with temperature regulations and proper maintenance.

An unannounced complaint investigation was conducted in response to allegations that staff mismanaged a resident's medication and did not prevent inappropriate interactions between residents.

The investigation found that the medication mismanagement allegation was unsubstantiated as the resident only received one medication as prescribed, with two others discontinued. The allegation regarding inappropriate interactions between residents was also unsubstantiated due to lack of evidence and conflicting statements.

The complaint investigation was unsubstantiated. Allegations included staff mismanaging resident medication and failure to prevent inappropriate resident interactions. Interviews and document reviews did not provide sufficient evidence to substantiate the allegations.

An unannounced annual visit was conducted using the Infection Control Evaluation Tool to evaluate the facility's compliance with regulations.

The facility was toured including common areas and resident rooms. No deficiencies were observed. Safety features, medication storage, food supply, and infection control measures were all found to be in compliance.

An unannounced complaint investigation visit was conducted regarding an allegation that a resident was being intimidated while in care.

The investigation included interviews with staff and residents, review of records, and a facility tour. No evidence was found to substantiate the allegation, with staff and most residents denying any intimidation. The allegation was determined to be unsubstantiated due to insufficient evidence.

The complaint alleged that a male staff member intimidated residents by staring at them intensely during dinner. Interviews with 5 staff members and 11 residents found no corroboration. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-01-14 regarding resident care issues including pressure injuries due to lack of rotation, unmet diapering needs, and dietary noncompliance.

The investigation substantiated that Resident #1 was not rotated regularly resulting in worsening pressure injuries, diapering needs were not consistently met leading to soiled diapers and wound contamination, and dietary instructions were not followed as orange juice was given despite contraindications. However, the allegation that Resident #1's medication was not administered was unsubstantiated as the resident self-administered insulin until unable, after which hospice staff administered it.

The complaint investigation was substantiated for allegations related to resident rotation, diapering, and dietary needs. The medication administration allegation was unsubstantiated. A $500 civil penalty was issued related to the substantiated findings.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-11-04 alleging that staff did not seek medical attention for a resident in a timely manner.

The investigation found that Resident #1 had a change of condition on 2021-10-24 and staff did not call 911 immediately because the resident regularly refused medication and care. The allegation was determined to be unsubstantiated due to insufficient evidence to prove a violation.

The complaint alleged that staff failed to seek timely medical attention for Resident #1 after a change of condition on 2021-10-24. The investigation included interviews with staff and residents, review of resident records, and found that the resident refused insulin and meals regularly. Staff did not call 911 immediately on 10/24/21 because it was not unusual for the resident to refuse care. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-02-03 regarding inadequate food service and lack of resident privacy at the facility.

The investigation found that the allegations of inadequate food service and lack of resident privacy were unsubstantiated. Interviews with residents, staff, and the Business Manager indicated that food service was adequate and residents were provided privacy with staff knocking before entering rooms.

The complaint investigation was unsubstantiated. Allegations included inadequate food service and residents not being provided privacy. Interviews and evidence did not corroborate these allegations.

An unannounced complaint investigation visit was conducted in response to an allegation received on 2020-11-20 that food services at the facility were inadequate.

The investigation included interviews with staff and residents, and a tour of the kitchen and food supply. Residents and staff consistently stated that food service was adequate, with sufficient portions and options, and extra food available if requested. The food supply was sufficient for the residents. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that food services were inadequate. After investigation, including interviews with staff and residents and inspection of food supply, the allegation was found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by complaints received on 2021-07-08 regarding the facility not sharing CCLD information with residents and staff not ensuring resident safety.

The investigation substantiated that the facility did not provide Provider Information Notices (PINs) to residents and that staff did not respond timely to emergency pendants, with 31 instances of response times of 20 minutes or more. Another allegation regarding facility disrepair and fire alarm functionality was unsubstantiated.

The complaint investigation was substantiated for allegations that the facility did not share CCLD information with residents and that staff did not ensure the safety of residents, specifically regarding emergency pendant response times. The allegation of facility disrepair was unsubstantiated.

The inspection was an unannounced visit conducted for the purpose of the required annual inspection of the facility.

The inspection found no deficiencies. The facility was in compliance with California Code of Regulations, Title 22, and California Health and Safety Code. The facility was well maintained with required furniture, clean bathrooms with grab bars, unobstructed exits, and proper infection control practices.

The inspection was conducted to investigate a complaint alleging that staff denied resident visitation at the facility.

The investigation found that the facility had a Coronavirus Visitation Policy allowing essential visitors while restricting non-essential visits. Interviews with staff and residents indicated no denial of visitation to essential workers. The allegation was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that on 01/27/2020, an individual was denied visitation by a staff member. The investigation included interviews with staff and residents, review of visitation policies, and concluded the allegation was unsubstantiated.