Inspection Reports for Ivy Park at Pleasanton
5700 Pleasant Hill Road Pleasanton, CA 94588, CA, 94588
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the annual inspection on September 9, 2025, which was clean. However, several complaint investigations and follow-up visits between October 2024 and September 2025 identified ongoing issues with incomplete or missing resident records, particularly from 2024, which posed potential risks to resident health and safety. The facility was cited multiple times for failing to maintain complete documentation, and a civil penalty was imposed as of September 30, 2025, with ongoing fines until the issue is resolved. Other complaints about staffing, supervision, and resident rights were investigated and found to be unsubstantiated. The record shows a pattern of documentation problems without other serious enforcement actions, and the most recent inspection did not resolve these deficiencies.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Plan of Correction
Census: 92
Capacity: 103
Deficiencies: 1
Sep 30, 2025
Visit Reason
An unannounced Proof of Correction (POC) visit was conducted to verify correction of previously cited deficiencies related to missing resident files and documentation.
Findings
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.
Deficiencies (1)
| Description |
|---|
| Failure to have resident files available, including documents from 2024. |
Report Facts
Civil penalty amount: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the POC visit and cited the facility for deficiencies |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Jessica Pryor | Regional Operations Specialist | Met with Licensing Program Analyst during the POC visit |
| Diane Diem Martinez | Administrator/Director | Facility Administrator/Director |
Inspection Report
Census: 94
Capacity: 103
Deficiencies: 1
Sep 24, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that complete and former resident records were maintained and available for review as required, specifically records for Resident 1 and Resident 2 for the year 2024 were not available during the visit. | Type B |
Report Facts
Capacity: 103
Census: 94
Plan of Correction Due Date: Sep 29, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during the visit |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and signed the report |
| Bennett Fong | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 89
Capacity: 103
Deficiencies: 0
Sep 9, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility and reviewed resident and staff records, medications, and safety equipment. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 117
Hallway temperature: 75
Fire extinguisher last serviced: Jan 22, 2025
Emergency Disaster Plan last updated: Jun 18, 2025
Emergency disaster drill last conducted: Jun 18, 2025
Residents records reviewed: 5
Staff records reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during inspection |
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 103
Deficiencies: 0
Aug 5, 2025
Visit Reason
The visit was an unannounced Case Management inspection related to Complaint #15-AS-20240520111558 investigation.
Findings
No deficiencies were issued during the visit. Licensing Program Analyst obtained relevant resident documents and conducted an exit interview.
Complaint Details
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the Case Management visit and investigation. |
Inspection Report
Complaint Investigation
Census: 89
Capacity: 103
Deficiencies: 0
Jul 2, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff were interfering with a resident's visitation.
Findings
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.
Complaint Details
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.
Report Facts
Complaint Control Number: 15
Complaint Control Number: 20250409151315
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during the investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 103
Deficiencies: 0
May 23, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 103
Census: 85
Staffing: 5
Staffing: 1
Staffing: 4
Staffing: 1
Bathing assistance frequency: 2
Linen changes frequency: 3
Incident report date: Jan 30, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw the complaint investigation |
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during the investigation |
| Diane Diem Martinez | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 103
Deficiencies: 1
Apr 25, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Incomplete resident records for R1, missing required documents including doctor's orders and documentation of support. | Type B |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Apr 25, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Alexander-Washington | Licensing Program Analyst | Conducted the inspection and complaint investigation |
| Michelle Jauco | Business Office Director | Met with Licensing Program Analyst during the visit; provided information about missing documents |
| Diane Diem Martinez | Administrator/Director | Facility Administrator named in the report header |
Inspection Report
Complaint Investigation
Census: 91
Capacity: 103
Deficiencies: 0
Feb 13, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 103
Census: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during investigation |
| Diane Diem Martinez | Administrator | Facility administrator listed in report |
Inspection Report
Complaint Investigation
Census: 86
Capacity: 103
Deficiencies: 1
Oct 16, 2024
Visit Reason
The inspection was conducted to investigate a complaint received (No.15-AS-20240520111558) regarding the facility's compliance with record-keeping and documentation requirements.
Findings
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 Details
Complaint investigation for complaint No.15-AS-20240520111558. The deficiency was substantiated by the absence of required records during the visit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to have resident records available including May 2024 shower schedule, toileting schedule, staff schedules, and home health records for resident R1. | Type B |
Report Facts
Capacity: 103
Census: 86
Plan of Correction Due Date: Oct 25, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the complaint investigation and signed the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection |
| Ena Vilao | Business Office Director | Met with Licensing Program Analysts during the inspection |
Inspection Report
Census: 83
Capacity: 103
Deficiencies: 0
Aug 22, 2024
Visit Reason
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.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted Component III and presented the PowerPoint presentation during the visit. |
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during the visit. |
| Diane Diem Martinez | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Original Licensing
Census: 83
Capacity: 103
Deficiencies: 0
Aug 22, 2024
Visit Reason
The inspection was conducted as a pre-licensing visit due to a change in ownership (CHOW) of the facility.
Findings
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.
Report Facts
Staff files reviewed: 5
Resident files reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ardalan Gharachorloo | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Gilbert Castro | Executive Director | Met with Licensing Program Analyst during inspection |
| Diane Diem Martinez | Administrator/Director | Facility Administrator/Director |
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