Inspection Reports for Ivy Park at Laguna Woods

This unannounced case management visit was conducted to follow up on an incident reported to Community Care Licensing involving a resident's severe chest pain and breathing difficulty after a fall.

The facility acted appropriately and in a timely manner to address the incident, with no immediate or safety risks observed. No deficiencies were noted during the visit per Title 22 Division 6 of the California Code of Regulations.

The visit was triggered by a self-reported incident on August 25, 2025, regarding a resident's severe chest pain and breathing difficulty on August 15, 2025, following a fall on August 13, 2025. The complaint was found to be unsubstantiated as the facility responded appropriately.

The visit was conducted to investigate a complaint alleging that staff were not following residents' dietary plans.

The investigation found that eight out of nine residents interviewed agreed that staff were following or accommodating most of their diet plans and restrictions. One resident's allegation was unsubstantiated due to lack of documented diet restrictions on file. No deficiencies were cited.

The complaint was received on 2025-02-06 and investigated with an unannounced visit on 2025-07-17. The allegation that staff were not following residents' dietary plans was determined to be unsubstantiated.

The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Ruth Martinez to evaluate compliance with licensing requirements.

The inspection found no deficiencies in the areas inspected, including physical plant, medication storage, resident apartments, safety equipment, and recordkeeping. All required components and safety measures were observed to be in place and operational.

The visit was an unannounced case management follow-up on an incident report received by the department regarding a theft at a resident's apartment.

The Executive Director received a report of a staff member rummaging through a resident's apartment and holding the resident's belongings. The staff member was identified and suspended pending investigation. The resident decided to move out and requested a refund, which the facility agreed to process. The Executive Director is awaiting further information from the OC Sheriff.

The complaint involved a theft incident reported by a resident's family, substantiated by video footage. The staff member involved was suspended pending investigation, and the resident moved out of the facility.

The visit was an unannounced case management follow-up on an incident report received by the department regarding a dispute between two residents on 04/02/2025.

The investigation found that Resident R2 slapped Resident R1 during dinner, with no physical injuries noted on R1. Law enforcement was called, and R2 was removed from the premises and later moved to a memory care unit. R1 remained at the facility with no further issues.

The complaint involved a physical altercation between two residents who are husband and wife. The complaint was substantiated with no injuries to the victim and appropriate actions taken including law enforcement involvement and removal of the aggressor resident.

The visit was an unannounced complaint investigation triggered by allegations received on 2025-02-03 regarding staff leaving a resident in soiled diapers/linen for an extended period, not providing water to a resident, and not taking universal precautions to prevent the spread of illness.

The investigation included resident and facility file reviews, physical plant tour, and interviews. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. Observations showed adequate water supply, proper infection control measures during an illness outbreak, and no evidence supporting the claim that a resident was left in soiled diapers.

The complaint was unsubstantiated. Allegations included staff leaving a resident in soiled diapers/linen, not providing water, and failing to take universal precautions. The investigation found no evidence to prove or refute these allegations.

The visit was an unannounced complaint investigation following a complaint received on 10/29/2024 regarding the facility's failure to issue a refund.

The allegation that the facility failed to issue a refund was substantiated. It was found that the admission agreement for residents R1 and R2 was not signed by a facility representative within seven days of admission, and the residents never physically moved into their unit. One violation of California Code of Regulations Title 22 was cited.

The complaint was substantiated. Residents R1 and R2 signed admission agreements but the facility did not have a binding agreement signed by a representative within seven days. The residents never physically moved in and were charged fees improperly. The investigation included record reviews and staff interviews.

The inspection was conducted as a complaint investigation following allegations received on 09/18/2024 regarding failure to seek timely medical attention, failure to follow physician's orders, and failure to provide quality meals at the facility.

The investigation substantiated that facility staff did not seek timely medical attention for a resident, with a response time of 26 minutes leading to the resident calling 911 and hospitalization. The allegation that staff did not follow physician's orders was unsubstantiated due to lack of evidence. The complaint regarding poor quality meals was unfounded, with observations and resident interviews confirming adequate food quality and variety.

The complaint investigation was triggered by allegations received on 09/18/2024. The first allegation regarding failure to seek timely medical attention was substantiated. The second allegation regarding failure to follow physician's orders was unsubstantiated. The third allegation regarding poor quality meals was unfounded.

This unannounced visit was conducted to complete an annual required inspection of the facility.

The inspection found no deficiencies in the areas inspected. The facility was observed to be well maintained with adequate food supply, proper medication storage, functional safety equipment, and compliant resident and staff documentation.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility did not accept a resident back after hospitalization and did not issue a refund for rent.

The investigation substantiated that the facility did not accept Resident 1 back after hospitalization due to medication management needs and failure to provide the new care plan to the responsible party. The allegation that the facility did not issue a refund for June 2024 was unsubstantiated as the facility is processing the refund within the allowed timeframe. A deficiency was cited for failure to provide a 30-day eviction notice to the resident.

The complaint investigation was substantiated regarding the facility not accepting Resident 1 back after hospitalization due to medication management assessment. The allegation that the facility did not issue a refund was unsubstantiated. The responsible party disagreed with the medication management assessment and was not provided a copy of the new care plan. The facility did not take action to provide the care plan or contact the resident or responsible party.

Licensing Program Analyst Ruth Martinez conducted an announced visit to the facility for the purpose of a pre-licensing evaluation to assess readiness for licensure as an Adult Residential Facility for the Elderly.

The facility was found to be ready for licensure in the areas inspected, with adequate structure, safety systems, supplies, and operational readiness. No deficiencies were noted in the report.

The visit was an office type evaluation related to a Change of Ownership (CHOW) application for the facility.

The applicant/administrator participated in a COMP II telephone interview to verify identification and confirm understanding of community care facility licensing laws, including facility operation, admission policies, staffing requirements, restrictive health conditions, and general provisions.