Inspection Reports for Ivy Park at Pleasanton

An unannounced Proof of Correction (POC) visit was conducted to verify correction of previously cited deficiencies related to missing resident files and documentation.

The facility was cited for not having resident files available during a prior visit. The deficiency was not cleared by the POC visit date, resulting in a civil penalty. Ongoing penalties will continue until the citation is corrected.

The visit was an unannounced Case Management visit conducted to review resident files and compliance with licensing requirements, including follow-up on documents related to a complaint.

The facility was found to have deficiencies related to incomplete and unavailable resident records for the year 2024 for two residents, posing a potential risk to health, safety, or personal rights. The deficiencies were cited as Type B violations under California Code of Regulation, Title 22.

The visit included review of documents related to Complaint #15-AS-20240520111558 for Resident 1 and Resident 2. Records for 2024 were not available, and staff requested an extension to provide documents.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.

The visit was an unannounced Case Management inspection related to Complaint #15-AS-20240520111558 investigation.

No deficiencies were issued during the visit. Licensing Program Analyst obtained relevant resident documents and conducted an exit interview.

Investigation of Complaint #15-AS-20240520111558. Documents reviewed included residents' progress notes, physician's report, palliative care notes, home health notes, and resident ledger. No deficiencies found.

The visit was an unannounced complaint investigation triggered by an allegation that staff were interfering with a resident's visitation.

The investigation found the allegation unsubstantiated after interviews with staff and residents, and review of records showed no evidence of visitation restrictions or staff interference.

The complaint alleged staff interference with resident visitation. The investigation included interviews with four staff members, three residents, and review of resident records. The allegation was found unsubstantiated due to lack of evidence proving the violation occurred.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2025-02-27 regarding multiple allegations about staffing, supervision, notification, linen provision, and bathing assistance at the facility.

The investigation included interviews, record reviews, and room inspections. All allegations were found to be unsubstantiated as evidence showed adequate staffing, proper supervision of fall-risk residents, timely notification of incidents to responsible parties, provision of clean linens, and assistance with bathing according to care plans.

The complaint included allegations that the facility was inadequately staffed, residents at fall risk were not properly supervised, responsible parties were not timely notified of incidents, residents were not provided clean linen, and residents were not assisted with bathing needs. The investigation found no preponderance of evidence to substantiate these allegations, resulting in an unsubstantiated complaint status.

An unannounced Case Management visit was conducted on 04/25/2025, during which a complaint investigation (15-AS-20240520111558) was also performed due to missing documents in Resident R1's file.

The inspection found that Resident R1's records were incomplete, missing documents such as doctor's orders and documentation of support, which were reportedly moved offsite. These deficiencies were cited under California Code of Regulation, Title 22, posing a potential risk to health, safety, or personal rights of persons in care.

The visit was complaint-related, investigating complaint number 15-AS-20240520111558. The complaint involved missing documents in Resident R1's file. Substantiation status is not explicitly stated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-01-28 regarding unlawful eviction of a resident and phone service issues at the facility.

The investigation found that the resident alleged to be unlawfully evicted was still residing in the facility and reported doing fine. The phone line was tested and found operational, with residents confirming no issues with phone access. The complaints were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff unlawfully evicting a resident and phone not in service. Interviews and observations did not support these allegations.

The inspection was conducted to investigate a complaint received (No.15-AS-20240520111558) regarding the facility's compliance with record-keeping and documentation requirements.

The investigation found that the facility did not have required resident records, including May 2024 shower and toileting schedules, staff schedules, and home health records for a resident (R1). These documents were not available during the visit, constituting a deficiency.

Complaint investigation for complaint No.15-AS-20240520111558. The deficiency was substantiated by the absence of required records during the visit.

The visit was a Case Management - Other type of inspection conducted by the Licensing Program Analyst to present Component III and discuss related matters with the Executive Director.

The Licensing Program Analyst conducted Component III with the Executive Director and presented a Component III PowerPoint presentation. A copy of the report was provided to the Executive Director.

The inspection was conducted as a pre-licensing visit due to a change in ownership (CHOW) of the facility.

The Licensing Program Analyst inspected the facility including assisted living and Memory Care units, common areas, and resident rooms. No issues were noted; all safety equipment was operational, staff and resident files were complete, and the facility was properly equipped and maintained.