Inspection Reports for
Ivy Park at Monterey
1110 Cass St., Monterey, CA 93940, Monterey, CA, 93940
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
95% occupied
Based on a February 2026 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 106
Capacity: 112
Deficiencies: 0
Date: Feb 24, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2026-01-08 alleging that staff were inappropriately charging residents unnecessary fees and threatening residents.
Complaint Details
Allegations included staff inappropriately charging residents unnecessary fees and threatening residents. The investigation concluded the allegations were unsubstantiated.
Findings
The investigation included touring the facility, conducting health and safety checks, reviewing records, and interviewing staff and residents. The allegations were found to be unsubstantiated due to lack of a preponderance of evidence.
Report Facts
Capacity: 112
Census: 106
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Maria Bonilla | Health Services Director | Met with the Licensing Program Analyst during the investigation |
| Andrea Ramirez | Administrator | Facility administrator interviewed during investigation |
| Brenda Chan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 112
Deficiencies: 0
Date: Feb 5, 2026
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2026-02-02 alleging that staff do not treat residents with respect.
Complaint Details
The complaint alleging staff do not treat residents with respect was investigated and found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found no evidence to substantiate the allegation; observations and interviews indicated no concerns regarding staff treatment of residents. The allegation was determined to be unsubstantiated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during investigation. |
| Brenda Chan | Supervisor | Named as supervisor in the report. |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 112
Deficiencies: 0
Date: Feb 5, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-12-05 regarding staff neglect in attending to residents' bathing needs, meal assistance, response to calls for help, and fall management.
Complaint Details
The complaint investigation was unsubstantiated due to lack of preponderance of evidence proving the alleged violations occurred.
Findings
The investigation found that residents were offered baths according to contract with refusals documented, meals were provided with staff assistance, and falls were documented and reported. Staff monitored residents regularly and the facility had a call light system. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Report Facts
Capacity: 112
Census: 101
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Chan | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 112
Deficiencies: 0
Date: Dec 2, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff confiscated residents' personal belongings.
Complaint Details
The complaint alleging staff confiscated residents' personal belongings was investigated and found unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found that staff had notified residents on October 1, 2025, about removing name plaques and shadow boxes from the front wall due to privacy concerns, with residents offered to keep items inside their apartments. There was insufficient evidence to substantiate the allegation, and it was determined to be unsubstantiated.
Report Facts
Capacity: 112
Census: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Facility administrator present during investigation and named in report |
| Vadim Gorban | Licensing Program Analyst | Evaluator who conducted the complaint investigation |
| Brenda Chan | Supervisor | Supervisor named in the report |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 112
Deficiencies: 0
Date: Sep 25, 2025
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-09-17 regarding inadequate laundry services and unmet residents' hygiene needs.
Complaint Details
The complaint allegations were unsubstantiated after investigation; no violations were proven to have occurred.
Findings
The investigation found that laundry services were provided on the scheduled shower day with no reports of incomplete laundry, and hygiene was provided regularly with documented refusals and attempts to reattempt care. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding with no deficiencies cited.
Report Facts
Capacity: 112
Census: 104
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with during the investigation and named in the report |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Supervisor | Named as supervisor in the report |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 112
Deficiencies: 0
Date: 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.
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.
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.
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
Date: 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 toured the facility conducting health and safety checks and was informed that staff member S1 was suspended and then terminated due to accepting material gifts from a resident, which posed a potential health and safety risk. Deficiencies were cited related to the facility's failure to maintain a current written plan of operation.
Deficiencies (2)
Failure to maintain a current, written definitive plan of operation for the facility as required.
Staff member S1 was accepting material gifts and gratitude from a resident, which is restricted by the plan of operations and poses a potential health and safety risk.
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 |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 104
Capacity: 112
Deficiencies: 2
Date: 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.
Deficiencies (2)
Failure to maintain a current, written definitive plan of operation for the facility as required.
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.
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
Date: 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.
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. The investigation concluded there was no preponderance of evidence to prove violations.
Findings
The investigation found that medication was provided appropriately after skin evaluation and residents were offered showers as scheduled, with refusals documented. There was insufficient evidence to substantiate the allegations, and no deficiencies were issued.
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 | Supervisor | Supervisor named in report |
Inspection Report
Census: 104
Capacity: 112
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
The visit was an unannounced Case Management visit regarding an incident report recorded on September 2nd, 2025. The Licensing Program Analyst conducted health and safety checks, interviewed the administrator and a resident, and reviewed facility files as part of further investigation.
Findings
No deficiencies were cited during this visit. The case management requires further investigation following the incident report. Law enforcement and ombudsman were notified of the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during the visit and provided information regarding the incident. |
| Vadim Gorban | Licensing Program Analyst | Conducted the unannounced Case Management visit and inspection. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 112
Deficiencies: 0
Date: Sep 4, 2025
Visit Reason
The visit was conducted as an unannounced Case Management inspection regarding an incident report recorded on September 2nd, 2025.
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.
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.
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
Date: 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.
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.
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.
Deficiencies (1)
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
Date: 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.
Complaint Details
Complaint was substantiated regarding staff failure to ensure resident's room was in good repair due to water damage from a leak.
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.
Deficiencies (1)
Facility was not clean, safe, sanitary, and in good repair as evidenced by water damage in room 108 and delayed repair.
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: 105
Capacity: 112
Deficiencies: 1
Date: Aug 21, 2025
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-08-12 regarding facility cleanliness, pet care management, and odor control.
Complaint Details
Complaint investigation was unannounced and conducted by Licensing Program Analyst Vadim Gorban. 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; others were unsubstantiated.
Findings
The investigation found no evidence supporting allegations about cleanliness and pet care, resulting in unsubstantiated findings for those claims. However, the allegation that staff did not keep the facility free of odor was substantiated due to a strong odor observed in room #115, leading to a citation for maintenance and operations.
Deficiencies (1)
Staff did not keep the facility free of odor, specifically a strong odor observed in room #115.
Report Facts
Capacity: 112
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during complaint investigation |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Supervisor | Supervisor overseeing the complaint investigation |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 112
Deficiencies: 1
Date: 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.
Complaint Details
The complaint alleging staff did not ensure the resident's room was in good repair was substantiated.
Findings
The investigation substantiated the allegation that staff did not ensure the resident's room 108 was in good repair due to water damage from a leak from the upper floor. The facility had not started repairs until August 15, 2025, despite the leak being observed on August 9, 2025, posing a potential health and safety risk.
Deficiencies (1)
Facility was not clean, safe, sanitary, and in good repair as evidenced by water damage in room 108 and delayed repair.
Report Facts
Capacity: 112
Census: 105
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 findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 112
Deficiencies: 0
Date: 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.
Complaint Details
The complaint investigation was unsubstantiated based on observations, staff interviews, and records review indicating adequate staff training and staffing levels.
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.
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
Complaint Investigation
Census: 70
Capacity: 112
Deficiencies: 0
Date: Jul 1, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-06-24 regarding staff training adequacy and staffing levels affecting resident care.
Complaint Details
The complaint alleged that staff were not adequately trained and that inadequate staffing affected resident care. The investigation concluded these allegations were unsubstantiated.
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.
Report Facts
Capacity: 112
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karina Ramirez | Resident Care Coordinator | Met with the Licensing Program Analyst during the investigation |
| Brenda Chan | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Census: 103
Capacity: 112
Deficiencies: 0
Date: 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 communicated to the administrator.
Findings
No deficiencies were cited during the visit. The administrator confirmed there is no current record of the excluded staff employed at the facility.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Ramirez | Administrator | Met with Licensing Program Analyst during the visit and provided information regarding staff exclusion. |
Inspection Report
Census: 103
Capacity: 112
Deficiencies: 0
Date: 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
Date: 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, and compliant with safety and health regulations. No deficiencies were issued during this inspection.
Report Facts
Census - Assisted Living Residents: 89
Census - Memory Care Residents: 34
Facility Capacity: 112
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 in report header and narrative |
Inspection Report
Annual Inspection
Census: 103
Capacity: 112
Deficiencies: 0
Date: 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
Date: May 28, 2025
Visit Reason
Unannounced complaint investigation conducted in response to allegations that staff were not meeting residents' showering and laundry needs.
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.
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.
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
Date: 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.
Deficiencies (1)
Failure to notify Licensing agency within seven days of the occurrence of any events posing potential health and safety risk to persons in care.
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
Census: 103
Capacity: 112
Deficiencies: 1
Date: May 28, 2025
Visit Reason
The visit was an unannounced case management inspection conducted to assess compliance with licensing requirements and review incident reporting.
Findings
The facility failed to notify the Licensing agency within seven days of an incident, which is a violation of reporting requirements under California Code of Regulations, Title 22. A Type B deficiency was issued for this failure.
Deficiencies (1)
Failure to notify Licensing agency within seven days of the occurrence of any events posing potential health and safety risk to persons in care.
Report Facts
Capacity: 112
Census: 103
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 in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 112
Deficiencies: 0
Date: May 28, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff were not meeting residents' showering and laundry needs.
Complaint Details
The complaint was unsubstantiated based on observations, interviews, and records review; there was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation found that residents missed showers due to refusal but with additional attempts made later, and no missed laundry was reported. There was insufficient evidence to substantiate the allegations, and no deficiencies were cited.
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
Complaint Investigation
Census: 98
Capacity: 112
Deficiencies: 0
Date: 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.
Complaint Details
Complaint was unsubstantiated. Allegation involved staff behavior posing a risk to residents, specifically consumption of alcohol on duty by staff member S1.
Findings
The investigation found that staff member S1 was in possession and consumption of an alcoholic beverage while on duty, leading to immediate removal from the shift and dismissal from the facility. No deficiencies were cited during the visit.
Report Facts
Complaint received date: Nov 25, 2024
Complaint control number: 24-AS-20241125121432
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Christopher Schuster | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 112
Deficiencies: 0
Date: 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.
Complaint Details
Complaint regarding staff behavior posing a risk to residents was investigated and found unsubstantiated.
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.
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
Date: 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.
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.
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.
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: 100
Capacity: 112
Deficiencies: 0
Date: Nov 27, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that facility staff were not maintaining the facility in good repair.
Complaint Details
The complaint alleged that facility staff were not maintaining the facility in good repair. The allegation was unsubstantiated after investigation.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation was unsubstantiated.
Report Facts
Capacity: 112
Census: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation |
| Christoph Schuster | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 112
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
Violation of personal rights: Care provider used FaceTime video facing resident during shower assistance, posing potential health and safety risk.
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
Follow-Up
Census: 96
Capacity: 112
Deficiencies: 1
Date: Sep 6, 2024
Visit Reason
The inspection was an unannounced case management follow-up visit conducted to investigate an incident that occurred on 2024-08-15 involving a care provider violating resident personal rights by using FaceTime video while assisting a resident with showering.
Findings
A deficiency was cited for violation of resident personal rights as 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 care provider was suspended pending investigation and a plan of correction was required.
Deficiencies (1)
Care provider used FaceTime video facing resident during shower assistance, violating resident personal rights and posing potential health and safety risk.
Report Facts
Capacity: 112
Census: 96
Plan of Correction Due Date: Sep 10, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lynn Tran | Business Office Director | Met with during inspection |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Supervisor | Supervisor overseeing inspection |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 112
Deficiencies: 0
Date: 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.
Complaint Details
The complaint alleged inadequate food service to a resident. The allegation was unsubstantiated due to lack of preponderance of evidence.
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.
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 |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 112
Deficiencies: 0
Date: Jun 13, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2024-06-11 alleging that staff did not provide adequate food service to a resident in care.
Complaint Details
The complaint alleging inadequate food service was investigated and found to be unsubstantiated due to lack of sufficient evidence.
Findings
During the investigation, resident interviews and inspection of food storage and preparation found the food service to be adequate. There was no preponderance of evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.
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 |
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