Inspection Reports for Ivy Park at Palos Verdes

An unannounced annual visit was conducted by Licensing Program Analyst Wendy Gibbs to evaluate compliance with licensing requirements at Ivy Park at Palos Verdes.

The facility was found to be in good repair, clean, and compliant with all applicable regulations. No deficiencies were observed or cited during the visit. Safety equipment, medication management, infection control, and resident accommodations met required standards.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee does not ensure there are enough staff to meet the needs of residents in care.

The investigation included interviews with staff, residents, and responsible parties, as well as review of staffing schedules and facility documents. The Licensing Program Analyst observed adequate staffing levels and assistance provided to residents. The allegation was found to be unsubstantiated with no deficiencies cited during the visit.

The allegation was that the licensee does not ensure enough staff to meet residents' needs, with claims that staff had left and staffing was insufficient. Interviews with staff, residents, and responsible parties indicated sufficient staffing. The allegation was unsubstantiated due to lack of evidence.

The visit was an unannounced Case Management Visit to follow up on a Special Incident Report and a Death Report related to Resident R1's fall and subsequent passing.

During the visit, all hallways, walkways, common rooms, and Resident R1's room were observed to be clean, clear, and free of hazards. No health and safety violations were observed. Interviews and document reviews confirmed R1 was a fall risk and that their passing was not related to the fall.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-02-12 regarding staff not responding to residents' calls for assistance in a timely manner, resulting in resident falls, and other allegations related to resident care.

The investigation substantiated the allegation that staff did not respond timely to residents' calls for assistance, resulting in falls for residents R1 and R11. Evidence included pendant device activity reports showing delayed staff response times and incident reports of falls. Another allegation regarding staff taking residents' incontinent supplies was unsubstantiated, as was the allegation that staff do not check on residents every 2 hours.

The complaint investigation was substantiated for the allegation that staff did not respond to residents' calls for assistance in a timely manner, resulting in resident falls. The preponderance of evidence standard was met based on pendant device activity reports, incident reports, staff and resident interviews. Other allegations about staff taking incontinent supplies and not checking on residents every 2 hours were unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-11-13 regarding allegations that the facility did not refund preadmission fees and did not provide copies of admission agreements.

The investigation found no preponderance of evidence to substantiate the allegations. Records and interviews confirmed that admission agreements were provided to residents and families, and the facility's refund policy was consistent with the admission agreement terms. No deficiencies were observed or cited during the visit.

The complaint alleged that the facility did not refund preadmission fees to resident R1 and did not provide copies of the admission agreement to the family. The investigation reviewed relevant documents and interviewed staff and residents, concluding the allegations were unsubstantiated due to lack of evidence.

An unannounced case management visit was conducted due to two Special Incident Reports regarding resident falls submitted on 08/30/24 and 09/02/24.

The Licensing Program Analyst toured the facility and found all walkways, hallways, common rooms, and resident rooms clean, clear, and free of hazards with ample lighting. No health and safety violations were observed during the visit.

The visit was triggered by two resident falls resulting in fractures; Resident R1 had a right distal radius fracture and Resident R2 had a right subtrochanteric fracture requiring surgery. Resident R1 does not have a fall plan, and Resident R2 is considered a fall risk due to medical diagnosis.

The visit was an announced pre-licensing inspection conducted to evaluate the facility for a change of ownership application submitted on 2023-10-20.

The facility was found to be clean, well-maintained, and in good repair with all safety systems operable. No issues requiring corrections were observed during the visit.

report_5_198320431_inx4_2024-11-26.pdf