Inspection Reports for Ivy Park at La Palma

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

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.

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.

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.

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.

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.

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.