Inspection Reports for Ivy Park at Mission Viejo

An unannounced visit was conducted to investigate complaints alleging staff provided unknown medication causing residents to choke, staff harassment of a resident, and failure to inform responsible parties of incidents.

The investigation found no evidence to substantiate the allegations. Medication was properly prescribed and labeled, no harassment was reported by the resident or witnesses, and incidents were adequately documented and reported to responsible parties.

The complaint investigation was unsubstantiated. Allegations included unknown medication causing choking, staff harassment, and failure to inform responsible parties. Evidence did not support these claims.

The visit was an unannounced annual required inspection to evaluate compliance with licensing regulations at Ivy Park at Mission Viejo.

The facility was found to be in full compliance with no deficiencies cited. The physical plant, resident rooms, emergency preparedness, medication administration, and staff and resident files were all reviewed and found satisfactory.

The visit was an unannounced complaint investigation conducted in response to an allegation of lack of staff at the facility.

The investigation found that the facility had sufficient staffing levels across all shifts, including caregivers, nurses, and medtechs, with schedules reflecting adequate coverage. The allegation of lack of staff was deemed unsubstantiated due to insufficient evidence to prove or refute the claim.

The complaint alleged a lack of staff in the memory care unit. The investigation included interviews, document reviews, and observations. The allegation was found unsubstantiated as there was no preponderance of evidence to confirm the claim.

An unannounced complaint investigation was conducted in response to an allegation that facility staff did not seek timely medical attention for a resident.

The investigation found that the facility did seek timely medical treatment for the resident, and the allegation was determined to be unfounded.

The allegation that facility staff did not seek timely medical attention for a resident was investigated and found to be unfounded.

The visit was an unannounced case management follow-up on incident reports dated 04/24/2024 and 04/28/2024 involving alleged staff abuse of a resident.

The investigation found that Staff 2 was witnessed punching Resident 1 in the stomach multiple times, though the resident was assessed to have no injuries. The investigation remains ongoing, and Staff 2 was suspended pending further action.

The complaint involved allegations that Staff 2 punched Resident 1 three times in the stomach. One out of three staff interviewed confirmed the incident. The resident was assessed with no injuries. The Orange County Sheriff was notified with case numbers #24-014481 and 24-014879. The investigation is ongoing.

Licensing Program Analysts conducted an unannounced required annual inspection of the facility to evaluate compliance with licensing regulations.

The facility was found to be clean, organized, and compliant with all regulatory requirements. No deficiencies were cited during the inspection. Resident rooms, medication administration, staff training, and safety systems were all in order.

An unannounced complaint investigation was conducted regarding an allegation that staff did not issue a proper eviction notice to a resident in care.

The investigation found that the eviction notice was properly issued to the resident following documented inappropriate behaviors. The allegation was determined to be unfounded.

The complaint alleged improper issuance of an eviction notice. After interviews with staff, the administrator, and the resident, and review of documentation, the allegation was found to be unfounded.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was retaining a resident who required a higher level of care.

The investigation found that the resident did not require assistance with oxygen administration or medication management according to the physician's report and care plan. Staff interviews confirmed the resident could not operate oxygen equipment unassisted, and the facility assisted accordingly. The allegation was deemed unsubstantiated as there was no evidence that the facility retained a resident requiring a higher level of care.

The complaint alleged that the facility was retaining a resident who required a higher level of care because they needed staff to operate oxygen concentrator and CPAP machine. The allegation was found unsubstantiated based on interviews, record reviews, and the resident no longer residing at the facility.

Unannounced case management visit to follow up on incident reports submitted to Community Care Licensing regarding resident elopement incidents.

The facility failed to ensure basic services were provided to Resident 1, who eloped three times from the facility, posing an immediate health and safety risk to residents in care. The resident was assessed to have no injuries after each incident, and the facility conducts weekly elopement drills and activities to keep residents engaged.

Unannounced case management visit to follow up on incident reports submitted to Community Care Licensing.

Two incidents were reviewed involving residents with dementia; one resident exited the memory care unit but was safely redirected, and another resident showed agitation and slapped another resident with no injuries noted. No deficiencies were found during the visit.

An unannounced complaint investigation visit was conducted in response to allegations that a staff member was verbally abusive and handled residents in a rough manner.

The investigation found that the staff member in question was taken off the schedule pending investigation and subsequently resigned. No injuries were found, and most staff and residents interviewed denied witnessing abusive behavior. The allegations were deemed unsubstantiated due to insufficient evidence.

The complaint involved allegations of verbal abuse and rough handling of residents by a staff member. The investigation was unannounced and included interviews and facility tour. The allegations were found unsubstantiated.

An unannounced case management visit was conducted to follow up on incident reports received by Community Care Licensing regarding resident safety incidents.

The facility failed to ensure adequate care and supervision for Resident 1 who eloped from the memory care unit and was found about a mile away, posing an immediate health and safety risk. Resident 2 was found with a fractured hip after a fall and was hospitalized and transferred to a skilled nursing facility.

The visit was triggered by incident reports involving Resident 1 eloping from the memory care unit and Resident 2 sustaining a fractured hip after a fall. Resident 1 has a diagnosis of Dementia and history of wandering; Resident 2 has Mild Cognitive Impairment and was on Hospice care.

An unannounced health and safety case management visit was conducted to assess the facility's compliance and resident well-being.

The Licensing Program Analyst observed residents participating in activities and noted that all residents appeared clean and well cared for. Residents expressed satisfaction and feelings of safety. No health and safety issues or deficiencies were noted during the visit.

The visit was an unannounced case management follow-up on an incident report submitted regarding a staff member's aggressive behavior towards residents.

The investigation found that the staff member resigned during the investigation, no injuries were noted among the residents involved, and no health or safety concerns were observed during the visit. No further action was required.

The complaint involved Staff 1 being aggressive and yelling at residents. The staff member was suspended and subsequently resigned. The allegation involved five residents in the memory care unit, all assessed with no injuries noted. The complaint was not substantiated with any deficiencies.

Licensing Program Analysts conducted an unannounced visit for the purpose of conducting a required annual visit.

No deficiencies were noted during the visit. The facility appeared clean, sanitary, and well maintained with residents appearing happy and well taken care of. All resident files were up to date and the facility had approved mitigation plans and emergency supplies.

Unannounced case management visit to follow up on an incident report submitted regarding a resident altercation involving poking with a cane and name-calling.

The incident involved Resident 1 poking Resident 2 with a cane and calling them 'Princess Leah.' Both residents were interviewed, appeared happy and well cared for, and no injuries were noted. The facility continues to monitor both residents.

Visit was triggered by an incident report dated 10/06/2021 involving Resident 1 poking Resident 2 and name-calling. No injuries were found and the resident denied intent to harm.

The inspection was an unannounced complaint investigation triggered by allegations that facility staff handled residents in a rough manner and caused injury to a resident.

The investigation substantiated that staff member S1 was rough and hurried when providing care, confirmed by five out of eight residents and the former administrator. However, the allegation that staff caused injury to a resident was unsubstantiated due to conflicting information and lack of sufficient evidence.

The complaint investigation was substantiated for rough handling by staff but unsubstantiated for causing injury to a resident. The allegation of rough handling was supported by resident interviews and staff training records, while the injury allegation lacked corroboration.

Unannounced complaint investigation visit conducted in response to allegations that staff did not follow the hospice plan, isolated a resident unnecessarily, failed to notify the responsible party of incidents, and did not meet the needs of the resident.

The investigation found that the allegations were unfounded. The resident was found on the floor with bruising, emergency services were called, hospice and responsible party were notified, and the facility complied with public health recommendations including quarantine and monitoring. Communication with the responsible party was maintained and the resident was eventually transferred to a board and care facility.

The complaint was received on 11/04/2020 and investigated on 04/15/2021. The allegations included failure to follow hospice plan, unnecessary isolation, failure to notify responsible party, and unmet resident needs. The investigation concluded the allegations were unfounded.

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