Inspection Reports for Ivy Park at La Palma
5321 La Palma Avenue La Palma, CA 90623, CA, 90623
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on August 1, 2025, which was clean and found the facility in compliance with all requirements. Earlier reports noted two isolated deficiencies: one in July 2024 related to incomplete fire clearance documentation for delayed egress devices in the memory care unit, and another in September 2024 where a staff member was cited for violating a resident’s personal rights by physically covering their mouth; this incident led to administrative leave and pending termination of the staff involved, with authorities notified. Several complaint investigations were unsubstantiated except for the September 2024 incident. There were no fines, license actions, or severe harm-level findings listed in the available reports. The facility appears to have addressed prior issues, showing improvement by the latest inspection.
Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 70
Capacity: 80
Deficiencies: 0
Aug 1, 2025
Visit Reason
The inspection was an unannounced required annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with no deficiencies noted during the inspection. The physical plant, safety equipment, medication administration records, and personnel files were all reviewed and found satisfactory.
Report Facts
Fire extinguishers observed: 8
Hospice residents present: 5
Units in facility: 59
Fire drill date: Jul 18, 2025
Fire inspection date: Mar 5, 2025
Liability insurance effective dates: 2025-05-01 to 2026-05-01
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Munoz | Executive Director | Met with Licensing Program Analysts during inspection and assisted with facility inspection |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection visit |
| Eboni Bentley | Licensing Program Analyst | Conducted the inspection visit |
| Lourdes Montoya | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 80
Deficiencies: 1
Sep 26, 2024
Visit Reason
The visit was conducted as a case management follow-up on a special incident report submitted regarding an incident where a staff member physically placed their hand over a resident's mouth in Memory Care.
Findings
No general health and safety issues were observed during the visit, and the facility was found to be clean and organized. However, a deficiency was cited for violation of residents' personal rights due to the incident where staff physically covered a resident's mouth to subdue their reaction.
Complaint Details
The complaint involved an incident reported on September 13, 2024, where Staff 2 placed their hand over Resident 1's mouth. The incident was reported by Staff 1, investigated internally by the Executive Director and Memory Care Director, and resulted in Staff 2 being placed on administrative leave pending termination. The ombudsman and local law enforcement were notified.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff violated personal rights of resident by physically covering the mouth of the resident with their hand in order to subdue resident's reaction. | Type A |
Report Facts
Capacity: 80
Census: 68
Deficiency count: 1
Plan of Correction Due Date: Sep 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Munoz | Executive Director | Conducted internal investigation and assisted during the visit |
| Michael Tea | Licensing Program Analyst | Conducted the case management visit and investigation |
| Samantha Shashkin | Memory Care Director | Interviewed during investigation and involved in staff interviews |
| Jeremai Soto | Executive Chef | Greeted Licensing Program Analyst at facility entrance |
Inspection Report
Original Licensing
Census: 69
Capacity: 80
Deficiencies: 1
Jul 17, 2024
Visit Reason
The visit was a scheduled pre-licensing inspection to follow up on the initial pre-licensing visit conducted on May 17, 2024, related to a change of ownership with residents in care present.
Findings
The facility was toured and found to be clean, in good repair, and equipped with necessary safety features including a functional call system, fire clearance, carbon monoxide detectors, and evacuation chairs. However, the fire clearance did not explicitly mention approval of delayed egress devices for the memory care unit, requiring an update to the fire clearance for licensing approval.
Deficiencies (1)
| Description |
|---|
| Fire clearance does not include explicit mention of approval of delayed egress devices for the memory care unit. |
Report Facts
Residents present: 69
Total capacity: 80
Memory care residents: 22
Units in facility: 59
Fire clearance date: Nov 30, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Munoz | Executive Director | Present to assist with the visit and named in the report |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection visit |
| Sheila Santos | Licensing Program Manager | Named in the report as Licensing Program Manager |
Loading inspection reports...
