Inspection Reports for Ivy Park at Playa Vista
5555 Playa Vista Drive Playa Vista, CA 90094, CA, 90094
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Inspection Report
Complaint Investigation
Census: 69
Capacity: 102
Deficiencies: 0
Jul 30, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations received on 2025-07-22 regarding staffing adequacy, medical attention for residents, resident care related to soiling, and facility plumbing conditions.
Findings
The investigation found insufficient evidence to substantiate any of the four allegations: staff not meeting resident needs due to lack of staff, staff not seeking medical attention for residents, staff leaving residents soiled for extended periods, and staff not ensuring the facility's plumbing was in good repair. All allegations were determined to be unsubstantiated based on interviews, record reviews, and observations.
Complaint Details
The complaint included four allegations: 1) Staff are not meeting resident's needs due to lack of staff; 2) Staff do not seek medical attention for residents; 3) Staff leave residents soiled for extended periods of time; 4) Staff did not ensure facility's plumbing was in good repair. All allegations were investigated through interviews with staff and residents, and review of relevant records. Each allegation was found to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 102
Census: 69
Staff interviewed: 7
Residents interviewed: 7
Incident/Injury Reports reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Perry Scott | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation |
| Johanna Dejoya Bellomo | Business Office Director | Met with investigator during exit interview and investigation |
Inspection Report
Original Licensing
Census: 74
Capacity: 102
Deficiencies: 5
May 30, 2025
Visit Reason
The inspection was conducted as a prelicensing evaluation for a change of ownership application for a Residential Care Facility for the Elderly serving residents 60 years and older, with a requested capacity of 102 residents.
Findings
The facility was inspected for compliance with licensing requirements including structure, rooms, emergency plans, fire safety, and record reviews. Several deficiencies were noted related to the Infection Control Plan, Emergency Disaster Plan, first aid manual, evacuation maps, and emergency/disaster plan for bedridden residents, requiring correction by 06/17/2025.
Deficiencies (5)
| Description |
|---|
| Lack of Infection Control Plan addressing initial and ongoing staff training requirements. |
| Emergency Disaster Plan missing updated CCLD phone numbers, temporary shelter locations, assignments, and hospice resident key. |
| No current edition of a first aid manual observed during facility tour. |
| Evacuation maps with assembly points were not observed during facility tour. |
| Emergency and disaster plan does not address fire safety precautions specific to evacuation of bedridden residents. |
Report Facts
Requested capacity: 102
Current census: 74
Staff records reviewed: 7
Resident records reviewed: 7
Correction due date: Jun 17, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nestor Mendez | Executive Director | Met with during inspection |
| Regina Cloyd | Licensing Program Analyst | Conducted inspection and signed report |
| Jose Anguiano | Licensing Program Analyst | Conducted initial announced visit for prelicensing evaluation |
| Alfonso Iniguez | Licensing Program Analyst | Conducted continuation of prelicensing evaluation |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Census: 74
Capacity: 102
Deficiencies: 0
May 29, 2025
Visit Reason
The visit was conducted as a prelicensing evaluation for a change of ownership application for a Residential Care Facility for the Elderly to serve residents aged 60 and older.
Findings
Licensing Program Analysts inspected multiple floors and common areas, tested safety equipment, measured water temperature, and reviewed resident records and medications. Due to insufficient time, a continuation of the pre-license inspection is required.
Report Facts
Resident records reviewed: 9
Floors in facility: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nestor Mendez | Executive Director | Met with during the inspection and provided a copy of the report |
| Regina Cloyd | Licensing Program Analyst | Conducted the inspection |
| Jose Anguiano | Licensing Program Analyst | Conducted the inspection |
| Ulysses Coronel | Licensing Program Manager | Named as Licensing Program Manager on the report |
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