Inspection Reports for Ivy Park at Monterey

An unannounced complaint investigation visit was conducted in response to allegations that staff did not timely address residents' changes in medical condition and were not meeting residents' bathing needs.

The investigation found that medication was provided appropriately after skin evaluation during shower time, and residents were offered showers as scheduled with refusals documented. There was insufficient evidence to substantiate the allegations, and no deficiencies were issued.

The complaint was unsubstantiated based on interviews, record reviews, and observations. Allegations included failure to timely address medical condition changes and failure to meet bathing needs. No violations were found.

The visit was an unannounced follow-up Case Management inspection regarding an incident report recorded on September 2, 2025.

During the visit, the Licensing Program Analyst conducted health and safety checks and was informed that staff member S1 was suspended and then terminated pending investigation. Deficiencies were cited related to staff accepting material gifts from a resident, posing a potential health and safety risk.

The visit was conducted as an unannounced Case Management inspection regarding an incident report recorded on September 2nd, 2025.

During the visit, the Licensing Program Analyst conducted health and safety checks, interviewed the administrator and a resident, and reviewed facility files. No deficiencies were cited at this time, but further investigation is required.

The visit was complaint-related due to an incident report. Law enforcement and ombudsman were notified of the incident. The case management requires further investigation.

The inspection was an unannounced complaint investigation conducted in response to complaints alleging that staff do not keep the facility clean and sanitary, do not manage care of pets, and do not keep the facility free of odor.

The investigation found the allegations regarding cleanliness and pet care to be unsubstantiated, but substantiated the allegation that staff did not keep the facility free of odor in room #115, resulting in a citation related to maintenance and operations.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Vadim Gorban. The allegations included failure to keep the facility clean and sanitary, failure to manage care of pets, and failure to keep the facility free of odor. The odor allegation was substantiated with a citation issued; other allegations were unsubstantiated.

An unannounced complaint investigation was conducted following a complaint received on 2025-08-11 regarding staff not ensuring a resident's room was in good repair.

The investigation substantiated the complaint, finding water damage in room 108 due to a leak from the upper floor. Facility staff did not start repairs until August 15, 2025, despite the leak being observed on August 9, 2025, posing a potential health and safety risk.

Complaint was substantiated regarding staff failure to ensure resident's room was in good repair due to water damage from a leak.

An unannounced complaint investigation visit was conducted in response to allegations of inadequate staff training and inadequate staffing affecting resident care.

The investigation found that staff training was completed on a monthly basis and there were no interruptions in resident care due to staffing. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated based on observations, staff interviews, and records review indicating adequate staff training and staffing levels.

The visit was an unannounced Case Management visit to verify that Staff (S1) is not on the property, following a Decision and Order excluding S1 from the facility grounds.

The Licensing Program Analyst met with the administrator and confirmed that there was no current record of the excluded staff employed at the location. No deficiencies were cited during this visit.

The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the facility.

The facility was found to be clean, in good repair, with no fire hazards or passageway obstructions. Food storage, medication storage, and safety equipment were properly maintained. No deficiencies were issued during this inspection.

Unannounced complaint investigation conducted in response to allegations that staff were not meeting residents' showering and laundry needs.

The investigation found that residents missed showers due to refusal but with additional attempts later in the day, and no missed laundry was reported. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited.

The allegations that staff were not meeting residents' showering and laundry needs were investigated and found to be unsubstantiated due to lack of preponderance of evidence.

The visit was an unannounced case management inspection conducted to review facility compliance and incident reporting.

The facility failed to notify the Licensing agency within seven days of an incident report dated 05/21/2025, which is a violation of reporting requirements under California Code of Regulations, Title 22. A Type B deficiency was issued for this failure.

The visit was an unannounced complaint investigation triggered by a complaint received on 2024-11-25 regarding staff behavior posing a risk to residents.

The investigation found that staff member S1 was in possession and consumption of an alcoholic beverage while on duty, was immediately removed from the shift, interviewed, and dismissed from the facility. No deficiencies were cited and the complaint was unsubstantiated.

Complaint regarding staff behavior posing a risk to residents was investigated and found unsubstantiated.

The visit was an unannounced complaint investigation triggered by a complaint received on 2024-11-22 regarding facility staff not maintaining the facility in good repair.

The investigation found that although the allegation may have occurred or be valid, there was insufficient evidence to prove the violation did or did not occur, resulting in the allegation being unsubstantiated.

The complaint alleged that facility staff were not maintaining the facility in good repair. The investigation included a tour of the facility, safety checks, and interviews with residents and staff. The allegation was unsubstantiated due to lack of preponderance of evidence.

The inspection was conducted as a follow-up on an incident that occurred on 2024-08-15 involving a care provider observed violating resident personal rights by using FaceTime video while assisting a resident with a shower.

A deficiency was cited for violation of resident personal rights when a care provider was observed using FaceTime video facing a resident during assistance with activities of daily living, posing a potential health and safety risk.

The visit was complaint-related, following an incident on 2024-08-15 where care provider CP1 was observed violating resident personal rights. CP1 was suspended pending investigation and the responsible party was notified.

An unannounced complaint investigation was conducted in response to an allegation that staff did not provide adequate food service to a resident in care.

The investigation found that multiple residents stated the food service was adequate, foodstuffs were properly stored and prepared, menus were displayed, and alternate meal options were provided. There was insufficient evidence to substantiate the allegation, so it was deemed unsubstantiated.

The complaint alleged inadequate food service to a resident. The allegation was unsubstantiated due to lack of preponderance of evidence.