Inspection Report Summary
Most inspections found no deficiencies, with routine annual visits in March 2025 and April 2024 showing full compliance and no issues. Several complaint investigations were unsubstantiated, including recent allegations in June 2025 about medication errors, staff harassment, and failure to inform responsible parties. However, earlier reports from 2021 to 2022 included some serious findings related to resident safety, such as elopement incidents posing immediate health risks and substantiated rough handling by staff in July 2021, which led to staff suspension and resignation. The most recent report from June 16, 2025, had no deficiencies, indicating improvement over time. Minor or isolated issues appeared sporadically, but no fines, license suspensions, or enforcement actions were listed in the available reports.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 120
Capacity: 150
Deficiencies: 0
Jun 16, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 120
Number of residents' records reviewed: 5
Number of staff interviews: 6
Number of resident interviews: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Foudil Manadi | Executive Director | Facility representative met during investigation |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 116
Capacity: 150
Deficiencies: 0
Mar 19, 2025
Visit Reason
The visit was an unannounced annual required inspection to evaluate compliance with licensing regulations at Ivy Park at Mission Viejo.
Findings
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.
Report Facts
Residents on hospice: 8
Residents in assisted living: 80
Residents in memory care: 36
Water temperature range (degrees F): 106.1-114.8
Emergency drill date: Mar 4, 2025
Fire/sprinkler inspection date: Jan 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudil Manadi | Administrator | Facility administrator present during inspection and named in report |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 106
Capacity: 150
Deficiencies: 0
Aug 1, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not provide records to an authorized representative.
Findings
The investigation found that the facility received the records request on July 5, 2024, and sent the records on July 8, 2024, within the required regulatory timeframe of 2 business days. Therefore, the allegation was deemed unfounded.
Complaint Details
The allegation that the facility did not provide records to an authorized representative was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Report Facts
Capacity: 150
Census: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Foudil Manadi | Administrator | Facility administrator interviewed during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report header and signature section |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 150
Deficiencies: 0
Jun 4, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation of lack of staff at the facility.
Findings
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.
Complaint Details
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.
Report Facts
Facility census: 105
Total capacity: 150
Memory care unit census: 34
Caregivers on board: 48
Caregivers assigned to memory care unit: 24
Estimated days of completion: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudhil Manadi | Executive Director | Met with Licensing Program Analyst during investigation and provided information about staffing |
| Ruth Martinez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Armando J Lucero | Licensing Program Manager | Reviewed the complaint investigation report |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 150
Deficiencies: 0
May 6, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that facility staff did not seek timely medical attention for a resident.
Findings
The investigation found that the facility did seek timely medical treatment for the resident, and the allegation was determined to be unfounded.
Complaint Details
The allegation that facility staff did not seek timely medical attention for a resident was investigated and found to be unfounded.
Report Facts
Capacity: 150
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Foudil Manadi | Administrator | Facility representative met during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 150
Deficiencies: 0
May 6, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Incident report dates: Incident reports dated 04/24/2024 and 04/28/2024
Case numbers: OC Sheriff case numbers #24-014481 and 24-014879
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
| Foudil Manadi | Administrator | Facility administrator named in the report header |
Inspection Report
Annual Inspection
Census: 103
Capacity: 150
Deficiencies: 0
Apr 25, 2024
Visit Reason
Licensing Program Analysts conducted an unannounced required annual inspection of the facility to evaluate compliance with licensing regulations.
Findings
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.
Report Facts
Residents in memory care: 33
Hospice waiver capacity: 8
Hot water temperature range: 102-119
Fire drill date: Apr 13, 2024
Fire safety system inspection date: Apr 19, 2023
Resident files reviewed: 10
Staff files reviewed: 10
Medication administration records reviewed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudil Manadi | Executive Director | Met with Licensing Program Analysts during inspection and named in report |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection |
| Michael Tea | Licensing Program Analyst | Conducted the inspection and signed report |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 150
Deficiencies: 0
Feb 27, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not issue a proper eviction notice to a resident in care.
Findings
The investigation found that the eviction notice was properly issued to the resident following documented inappropriate behaviors. The allegation was determined to be unfounded.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Foudil Manadi | Administrator | Facility administrator involved in investigation and interviews |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 150
Deficiencies: 0
Jan 27, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit |
| Foudil Manadi | Executive Director | Interviewed during the investigation and met with the Licensing Program Analyst |
| Luz Adams | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Follow-Up
Census: 96
Capacity: 150
Deficiencies: 1
Dec 14, 2022
Visit Reason
Unannounced case management visit to follow up on incident reports submitted to Community Care Licensing regarding resident elopement incidents.
Findings
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.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed to ensure basic services were provided to Resident 1 who eloped three times out of the facility, posing an immediate health and safety risk. | Type A |
Report Facts
Deficiencies cited: 1
Facility capacity: 150
Resident census: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudil Manadi | Executive Director | Met with Licensing Program Analysts during the visit and discussed findings |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection and authored the report |
| Alisa Ortiz | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
Inspection Report
Census: 94
Capacity: 150
Deficiencies: 0
Oct 13, 2022
Visit Reason
Unannounced case management visit to follow up on incident reports submitted to Community Care Licensing.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Foudil Manadi | Executive Director | Met with Licensing Program Analyst during the visit and involved in incident discussions. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report. |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 150
Deficiencies: 0
Jul 7, 2022
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Justine Ortiz | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 150
Deficiencies: 1
Jun 21, 2022
Visit Reason
An unannounced case management visit was conducted to follow up on incident reports received by Community Care Licensing regarding resident safety incidents.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed to ensure care and supervision was provided to Resident 1 who eloped from the facility and was found approximately a mile away, posing an immediate health and safety risk. | Type A |
Report Facts
Deficiencies cited: 1
Capacity: 150
Census: 97
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justine Ortiz | Executive Director | Met with Licensing Program Analyst during inspection and named in report |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as supervisor in the report |
Inspection Report
Census: 97
Capacity: 150
Deficiencies: 0
May 9, 2022
Visit Reason
An unannounced health and safety case management visit was conducted to assess the facility's compliance and resident well-being.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justine Ortiz | Executive Director | Greeted the Licensing Program Analyst and was present during the visit. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced health and safety case management visit. |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 150
Deficiencies: 0
Apr 11, 2022
Visit Reason
The visit was an unannounced case management follow-up on an incident report submitted regarding a staff member's aggressive behavior towards residents.
Findings
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.
Complaint Details
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.
Report Facts
Residents involved in allegation: 5
Staff employment duration: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justine Ortiz | Executive Director | Facility administrator who met with Licensing Program Analyst and managed the incident |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Annual Inspection
Census: 94
Capacity: 150
Deficiencies: 0
Mar 25, 2022
Visit Reason
Licensing Program Analysts conducted an unannounced visit for the purpose of conducting a required annual visit.
Findings
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.
Report Facts
Residents on hospice care: 13
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Justine Ortiz | Executive Director | Met with Licensing Program Analysts during the inspection and holds a current administrator certificate |
| Kimberly Lyman | Licensing Program Analyst | Conducted the inspection visit |
| Andrea Mendivil | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 150
Deficiencies: 0
Nov 9, 2021
Visit Reason
Unannounced case management visit to follow up on an incident report submitted regarding a resident altercation involving poking with a cane and name-calling.
Findings
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.
Complaint Details
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Danica Coronel | Director of Assisted Living | Greeted Licensing Program Analyst and was involved in explaining the reason for the visit. |
| Kimberly Lyman | Licensing Program Analyst | Conducted the unannounced case management visit and interview. |
| Alisa Ortiz | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 150
Deficiencies: 1
Jul 14, 2021
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee failed to ensure residents are free from physical abuse; five out of eight residents confirm S1 is rough during caregiving, posing an immediate health and safety risk. | Type A |
Report Facts
Residents confirming rough caregiving: 5
Total residents interviewed: 8
Facility census: 97
Facility capacity: 150
Medication dosage: 2.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Heidi Charette | Administrator | Former Administrator who confirmed resident reports during interviews. |
| Justine Ortiz | Administrator | Administrator met with during the investigation and exit interview. |
Inspection Report
Complaint Investigation
Census: 92
Capacity: 150
Deficiencies: 0
Apr 15, 2021
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 150
Census: 92
Quarantine duration: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Justine Ortiz | Administrator | Facility administrator who met with the investigator |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager |
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