Inspection Reports for
Ivy Park at Pleasanton

5700 Pleasant Hill Road, Pleasanton, CA 94588, Pleasanton, CA, 94588

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

58% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
2026

Occupancy

Latest occupancy rate 86% occupied

Based on a January 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

60% 90% 120% 150% 180% 210% Aug 2024 Apr 2025 Aug 2025 Sep 2025 Jan 2026

Inspection Report

Census: 89 Capacity: 103 Deficiencies: 0 Date: Jan 29, 2026

Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 2026-01-27 involving a resident who left the facility without authorization.

Findings
The inspection found that the resident was safely redirected back to the facility without injury, and no deficiencies were cited during the visit.

Report Facts
Incident report date: Jan 27, 2026

Employees mentioned
NameTitleContext
Veronica HerreraHealth services directorMet with Licensing Program Analyst during the visit and provided information about the incident
Ardalan GharachorlooLicensing Program AnalystConducted the unannounced case management visit
Diane Diem MartinezAdministrator/DirectorNamed as facility administrator/director

Inspection Report

Census: 89 Capacity: 103 Deficiencies: 0 Date: Jan 29, 2026

Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 2026-01-27 involving a resident who left the facility without staff observation.

Findings
The inspection found that the resident was safely redirected back to the facility without injury, and no deficiencies were cited during the visit.

Report Facts
Incident report date: Jan 27, 2026

Employees mentioned
NameTitleContext
Veronica HerreraHealth services directorMet with during the inspection and involved in incident discussion
Ardalan GharachorlooLicensing Program AnalystConducted the inspection visit
Diane Diem MartinezAdministrator/DirectorFacility administrator named in report header

Inspection Report

Complaint Investigation
Census: 88 Capacity: 103 Deficiencies: 0 Date: Dec 5, 2025

Visit Reason
The inspection was conducted unannounced on 12/05/2025 as a health and safety check following receipt of a complaint with control number #15-AS-20251204162751.

Complaint Details
The visit was triggered by a complaint with control number #15-AS-20251204162751. No deficiencies were found, and the complaint was not substantiated.
Findings
The Licensing Program Analyst toured the memory care unit, observed residents in various areas, and measured water and room temperatures. No deficiencies were cited during this visit.

Report Facts
Water temperature: 112 Room temperature: 71

Employees mentioned
NameTitleContext
Patricia HolguinExecutive DirectorMet with Licensing Program Analyst during inspection
Ardalan GharachorlooLicensing Program AnalystConducted the inspection visit
Yvonne Flores-LariosLicensing Program ManagerNamed in report header

Inspection Report

Census: 87 Capacity: 103 Deficiencies: 0 Date: Dec 2, 2025

Visit Reason
The visit was an unannounced case management visit conducted to deliver an Immediate Exclusion letter for an individual (S1) and to provide notification and instructions to the Executive Director regarding disassociation of the individual from the facility roster.

Findings
The Immediate Exclusion letter for S1 was delivered and it was confirmed that S1 was not present at the facility. The Executive Director was advised to disassociate the individual from the roster and submit an updated LIC 500 form. An exit interview was conducted and a copy of the report was provided.

Employees mentioned
NameTitleContext
Patricia HolguinExecutive DirectorMet with Licensing Program Analyst during the visit and was given notification of the Immediate Exclusion letter.
Ardalan GharachorlooLicensing Program AnalystConducted the unannounced case management visit and delivered the Immediate Exclusion letter.
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Plan of Correction
Census: 92 Capacity: 103 Deficiencies: 1 Date: 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)
Failure to have resident files available, including documents from 2024.
Report Facts
Civil penalty amount: 100

Employees mentioned
NameTitleContext
Lori Alexander-WashingtonLicensing Program AnalystConducted the POC visit and cited the facility for deficiencies
Bennett FongLicensing Program ManagerNamed as Licensing Program Manager on the report
Jessica PryorRegional Operations SpecialistMet with Licensing Program Analyst during the POC visit
Diane Diem MartinezAdministrator/DirectorFacility Administrator/Director

Inspection Report

Complaint Investigation
Census: 89 Capacity: 103 Deficiencies: 0 Date: Sep 24, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2025-06-08 regarding staff behavior, resident safety, communication, and incident reporting at the facility.

Complaint Details
The complaint investigation addressed allegations including staff behavior posing risk to residents, failure to prevent resident assaults, leaving a resident outside in extreme heat, ineffective staff communication, and improper incident reporting. All allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Findings
All allegations investigated were found to be unsubstantiated after interviews with staff and residents, review of resident files, incident reports, and observations during the visit. Staff behavior, response to resident altercations, outdoor resident supervision, communication effectiveness, and incident reporting were all found to be appropriate and consistent with facility protocols.

Report Facts
Capacity: 103 Census: 89

Employees mentioned
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation and authored the report
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the investigation

Inspection Report

Census: 94 Capacity: 103 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 103 Census: 94 Plan of Correction Due Date: Sep 29, 2025

Employees mentioned
NameTitleContext
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the visit
Lori Alexander-WashingtonLicensing Program AnalystConducted the inspection and signed the report
Bennett FongLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 89 Capacity: 103 Deficiencies: 0 Date: 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
NameTitleContext
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during inspection
Ardalan GharachorlooLicensing Program AnalystConducted the inspection
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 91 Capacity: 103 Deficiencies: 0 Date: Aug 5, 2025

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

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

Employees mentioned
NameTitleContext
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the inspection.
Lori Alexander-WashingtonLicensing Program AnalystConducted the Case Management visit and investigation.

Inspection Report

Complaint Investigation
Census: 89 Capacity: 103 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Complaint Control Number: 15 Complaint Control Number: 20250409151315

Employees mentioned
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation and delivered findings
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the investigation
Yvonne Flores-LariosLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 103 Deficiencies: 0 Date: 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.

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.
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.

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
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation and authored the report
Yvonne Flores-LariosLicensing Program ManagerOversaw the complaint investigation
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the investigation
Diane Diem MartinezAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 103 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
Incomplete resident records for R1, missing required documents including doctor's orders and documentation of support.
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Apr 25, 2025

Employees mentioned
NameTitleContext
Lori Alexander-WashingtonLicensing Program AnalystConducted the inspection and complaint investigation
Michelle JaucoBusiness Office DirectorMet with Licensing Program Analyst during the visit; provided information about missing documents
Diane Diem MartinezAdministrator/DirectorFacility Administrator named in the report header

Inspection Report

Complaint Investigation
Census: 91 Capacity: 103 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 103 Census: 91

Employees mentioned
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation and delivered findings
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during investigation
Diane Diem MartinezAdministratorFacility administrator listed in report

Inspection Report

Complaint Investigation
Census: 86 Capacity: 103 Deficiencies: 1 Date: Oct 16, 2024

Visit Reason
The inspection was conducted to investigate a complaint received regarding the facility's compliance with record-keeping and documentation requirements.

Complaint Details
Complaint investigation visit triggered by complaint No. 15-AS-20240520111558. The complaint was substantiated by the finding that required records were not available.
Findings
The investigation found that the facility did not have required resident records, staff schedules, and home health records available for review, which is a violation of California Code of Regulations.

Deficiencies (1)
Failure to have May 2024 shower schedule, toileting schedule, staff schedules, and home health records for resident R1 available during the visit.
Report Facts
Capacity: 103 Census: 86 Plan of Correction Due Date: Oct 25, 2024

Employees mentioned
NameTitleContext
Ena VilaoBusiness Office DirectorMet with Licensing Program Analysts during the complaint investigation
Diane Diem MartinezAdministratorParticipated in exit interview and agreed to submit requested documents
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation
Lori AlexanderLicensing Program AnalystConducted the complaint investigation
Yvonne Flores-LariosSupervisorSupervised the licensing evaluation

Inspection Report

Complaint Investigation
Census: 86 Capacity: 103 Deficiencies: 1 Date: 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.

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

Deficiencies (1)
Failure to have resident records available including May 2024 shower schedule, toileting schedule, staff schedules, and home health records for resident R1.
Report Facts
Capacity: 103 Census: 86 Plan of Correction Due Date: Oct 25, 2024

Employees mentioned
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the complaint investigation and signed the report
Yvonne Flores-LariosLicensing Program ManagerSupervisor overseeing the inspection
Ena VilaoBusiness Office DirectorMet with Licensing Program Analysts during the inspection

Inspection Report

Census: 83 Capacity: 103 Deficiencies: 0 Date: 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
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted Component III and presented the PowerPoint presentation during the visit.
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during the visit.
Diane Diem MartinezAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Original Licensing
Census: 83 Capacity: 103 Deficiencies: 0 Date: 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
NameTitleContext
Ardalan GharachorlooLicensing Program AnalystConducted the pre-licensing inspection
Gilbert CastroExecutive DirectorMet with Licensing Program Analyst during inspection
Diane Diem MartinezAdministrator/DirectorFacility Administrator/Director

Report

April 25, 2025

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