Inspection Reports for Ivy Park at Monterey
1110 Cass St. Monterey, CA 93940, CA, 93940
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance. The most recent report from September 16, 2025, included deficiencies related to staff accepting gifts from a resident and a failure to maintain a current plan of operation, resulting in a staff suspension and termination. Earlier reports cited isolated issues such as odor problems in one room, delayed repairs of water damage, a violation of resident personal rights involving video use during care, and a failure to timely report an incident to licensing. There were no fines, license suspensions, or immediate jeopardy findings listed in the available reports. The facility’s record shows some minor and isolated issues mostly related to environment/safety and staff conduct, with no clear worsening or improvement trend.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 104
Capacity: 112
Deficiencies: 0
Sep 16, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 112
Census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with during investigation and named in findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report |
Inspection Report
Follow-Up
Census: 104
Capacity: 112
Deficiencies: 2
Sep 16, 2025
Visit Reason
The visit was an unannounced follow-up Case Management inspection regarding an incident report recorded on September 2, 2025.
Findings
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.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to maintain a current, written definitive plan of operation for the facility as required. | Type B |
| Staff (S1) was accepting material gifts and gratitude from resident (R1), which is restricted based on the plan of operations, posing a potential health and safety risk. | Type B |
Report Facts
Capacity: 112
Census: 104
Plan of Correction Due Date: Sep 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during inspection and responded regarding staff suspension and termination |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced follow-up Case Management visit |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 112
Deficiencies: 0
Sep 4, 2025
Visit Reason
The visit was conducted as an unannounced Case Management inspection regarding an incident report recorded on September 2nd, 2025.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 112
Census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during the inspection |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 112
Deficiencies: 1
Aug 21, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Deficiencies (1)
| Description |
|---|
| Staff do not keep the facility free of odor in room #115 |
Report Facts
Capacity: 112
Census: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during inspection and named in findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 112
Deficiencies: 1
Aug 21, 2025
Visit Reason
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.
Findings
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 Details
Complaint was substantiated regarding staff failure to ensure resident's room was in good repair due to water damage from a leak.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility was not clean, safe, sanitary, and in good repair as evidenced by water damage in room 108 and delayed repair. | Type B |
Report Facts
Capacity: 112
Census: 105
Deficiency count: 1
Plan of Correction Due Date: Aug 25, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during inspection and involved in exit interview |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 112
Deficiencies: 0
Jul 1, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations of inadequate staff training and inadequate staffing affecting resident care.
Findings
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.
Complaint Details
The complaint investigation was unsubstantiated based on observations, staff interviews, and records review indicating adequate staff training and staffing levels.
Report Facts
Capacity: 112
Census: 70
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karina Ramirez | Resident Care Coordinator | Met with during the investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Census: 103
Capacity: 112
Deficiencies: 0
Jun 10, 2025
Visit Reason
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.
Findings
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.
Report Facts
Capacity: 112
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during the visit and provided information about staff exclusion |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 103
Capacity: 112
Deficiencies: 0
May 29, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements at the facility.
Findings
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.
Report Facts
Assisted living residents: 89
Memory care residents: 34
Fire extinguisher service date: Feb 20, 2025
Refrigerator temperature: 34
Freezer temperature: 0
Hot water temperature: 117
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during inspection |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 112
Deficiencies: 0
May 28, 2025
Visit Reason
Unannounced complaint investigation conducted in response to allegations that staff were not meeting residents' showering and laundry needs.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 112
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Andrea Ramirez | Administrator | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Census: 103
Capacity: 112
Deficiencies: 1
May 28, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to review facility compliance and incident reporting.
Findings
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to notify Licensing agency within seven days of the occurrence of any events posing potential health and safety risk to persons in care. | Type B |
Report Facts
Capacity: 112
Census: 103
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during inspection |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and signed the report |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 112
Deficiencies: 0
Feb 5, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2024-11-25 regarding staff behavior posing a risk to residents.
Findings
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 Details
Complaint regarding staff behavior posing a risk to residents was investigated and found unsubstantiated.
Report Facts
Capacity: 112
Census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christopher Schuster | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted complaint investigation and authored report |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 112
Deficiencies: 0
Nov 27, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 112
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Christoph Schuster | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 112
Deficiencies: 1
Sep 6, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Violation of personal rights: Care provider used FaceTime video facing resident during shower assistance, posing potential health and safety risk. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Sep 10, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lynn Tran | Business Office Director | Met during inspection and involved in case management inspection |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and signed the report |
| Brenda Chan | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 112
Deficiencies: 0
Jun 13, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not provide adequate food service to a resident in care.
Findings
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.
Complaint Details
The complaint alleged inadequate food service to a resident. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 112
Census: 102
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kellie Shearer | Executive Director | Met with Licensing Program Analyst during complaint investigation |
| David Ayers | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report header |
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