Inspection Reports for Ivy Park at Sabre Springs

12515 Springhurst Drive, Sabre Springs, CA 92128, Sabre Springs, CA, 92128

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Inspection Report Summary

Most inspections found no deficiencies, including the most recent report on July 9, 2025, which was clean with no issues cited. One complaint investigation on July 8, 2025, found a Type B deficiency related to a resident being subjected to punishment or humiliation, leading to the suspension and termination of the involved staff member. Other complaint investigations from earlier in 2025 were unsubstantiated, with no evidence of neglect, improper medication handling, or privacy violations. The annual inspection in March 2025 and the original licensing visit in February 2024 both found the facility clean, safe, and in good repair with no deficiencies. Overall, the facility’s record shows mostly compliance with isolated issues that have been addressed, and recent reports indicate improvement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 0.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

88% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025

Census

Latest occupancy rate 97% occupied

Based on a July 2025 inspection.

Census over time

84 90 96 102 108 Feb 2024 Mar 2025 May 2025 Jul 2025 Jul 2025

Inspection Report

Census: 97 Capacity: 100 Deficiencies: 0 Date: Jul 9, 2025

Visit Reason
The visit was an unannounced Case Management visit to amend a case management report for a facility visit conducted on 07/08/2025.

Findings
No deficiencies were cited or observed during this visit. An exit interview was conducted with the Health and Wellness Director, who received a copy of the report and appeal rights.

Employees mentioned
NameTitleContext
Ellie DavisHealth and Wellness DirectorMet during the visit and involved in the exit interview.
Nacole PattersonLicensing Program AnalystConducted the unannounced Case Management visit.
Robert DaynesAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Complaint Investigation
Census: 97 Capacity: 100 Deficiencies: 1 Date: Jul 8, 2025

Visit Reason
The visit was an unannounced Case Management inspection in response to a self-reported incident involving a staff member's mishandling of resident care on 2025-06-22.

Complaint Details
The visit was triggered by a self-reported incident of staff mishandling of resident care involving staff member S1 and resident R1. The staff member was suspended pending investigation and terminated on 2025-06-30.
Findings
The licensing analyst conducted a wellness check and found no health or safety issues. However, a Type B deficiency was cited for failure to ensure one resident was free from punishment, humiliation, intimidation, abuse, or other punitive actions, posing a safety risk.

Deficiencies (1)
Licensee did not ensure 1 of 60 residents was free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, posing a safety risk.
Report Facts
Residents affected: 1 Census: 97 Total Capacity: 100

Employees mentioned
NameTitleContext
Rob DaynesExecutive DirectorMet during inspection and involved in exit interview.
Alexis EncinasResident Care CoordinatorMet during inspection.
Nacole PattersonLicensing Program AnalystConducted the inspection.
Ellie DavisHealth Services DirectorSigned the amended report.

Inspection Report

Complaint Investigation
Census: 99 Capacity: 100 Deficiencies: 0 Date: May 22, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2024-10-14 that staff did not treat a resident with dignity and respect.

Complaint Details
The complaint alleged that staff did not treat a resident with dignity and respect. The investigation included unannounced visits, interviews, records review, and observations. Staff and an outside medical professional did not corroborate the allegation. The resident was observed sleeping and unable to be interviewed. No facility records supported the allegation. The complaint was unsubstantiated.
Findings
The investigation found no corroboration of the allegation after interviews with staff, residents, an outside medical professional, and direct observations. The resident in question was resistant to care due to a change in condition, and no dignity violations were observed. The allegation was determined to be unsubstantiated.

Report Facts
Capacity: 100 Census: 99 Complaint Control Number: 08-AS-20241014144500

Employees mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and unannounced visit
Rob DaynesExecutive DirectorFacility representative met during the investigation
Jennifer LottLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 99 Capacity: 100 Deficiencies: 0 Date: May 22, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not distribute residents' medications as prescribed and did not ensure medications were stored in their original containers.

Complaint Details
The complaint was unsubstantiated based on interviews with seven staff members, resident interviews, review of training and medication records, and direct observation by the Licensing Program Analyst. No medication errors or improper storage were observed or documented.
Findings
The investigation included interviews, record reviews, and direct observations. No evidence was found to substantiate the allegations; staff and resident interviews, as well as facility records, indicated proper medication administration and storage practices. The allegations were determined to be unsubstantiated.

Report Facts
Staff interviewed: 7 Med Techs interviewed: 6 Census: 99 Total capacity: 100 Estimated days of completion: 0

Employees mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and unannounced visit
Rob DaynesExecutive DirectorFacility representative met during the investigation
Jennifer LottLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 99 Capacity: 100 Deficiencies: 0 Date: May 22, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-12-16 regarding facility doors being in disrepair and residents not being afforded privacy during care.

Complaint Details
The complaint was unsubstantiated based on interviews, observations, and records review. No violations were found regarding door disrepair or privacy breaches during care.
Findings
The investigation found no evidence to substantiate the allegations. Staff and resident interviews, direct observations, and records review indicated that resident doors were not in disrepair, were not propped open without consent, and privacy was maintained during care.

Report Facts
Census: 99 Total Capacity: 100 Complaint Control Number: 08-AS-20241216162250

Employees mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and authored the report
Rob DaynesExecutive DirectorFacility representative met during the investigation
Jennifer LottLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 98 Capacity: 100 Deficiencies: 0 Date: Mar 27, 2025

Visit Reason
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing requirements and standards.

Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order. Confidential records were properly stored and licensing postings were visible.

Report Facts
Maximum capacity: 100 Residents present: 98 Hospice waiver capacity: 20 Bedridden capacity: 8

Employees mentioned
NameTitleContext
Rob DaynesExecutive DirectorMet with Licensing Program Analyst during inspection and named in report findings
Nacole PattersonLicensing Program AnalystConducted the inspection

Inspection Report

Complaint Investigation
Census: 98 Capacity: 100 Deficiencies: 0 Date: Mar 27, 2025

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff neglect led to a resident's fall, resulting in the resident lying on the floor throughout the night.

Complaint Details
The complaint alleged a resident fall due to neglect, specifically that the resident lay on the floor all night without staff assistance. The allegation was unsubstantiated based on interviews, observations, and records.
Findings
The investigation found no evidence to substantiate the allegation. Staff interviews, records review, and outside sources indicated the resident was independent, received timely assistance after slipping from their bed, and did not suffer injury or neglect.

Report Facts
Capacity: 100 Census: 98 Response time: 2 Response time: 7

Employees mentioned
NameTitleContext
Nacole PattersonLicensing Program AnalystConducted the complaint investigation and unannounced visit
Rob DaynesExecutive DirectorFacility representative met during the investigation
Jennifer LottLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Original Licensing
Census: 89 Capacity: 100 Deficiencies: 0 Date: Feb 29, 2024

Visit Reason
An announced Pre-Licensing visit was conducted to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code.

Findings
The facility was found to be clean, sanitary, and in good repair with compliant ambient temperature and hot water temperatures. Kitchen appliances and storage areas were in working order and compliant. Safety equipment such as smoke alarms, carbon monoxide detectors, and fire extinguishers were operational and up to date. The applicant passed the pre-licensing inspection.

Report Facts
Residents present: 89 Total licensed capacity: 100 Fire clearance approval date: Jan 22, 2024 Hot water temperatures: Multiple sink temperatures ranged from 106.3 F to 113.4 F, all compliant Appliance temperatures: Refrigerators ranged from 29 F to 39 F; freezers ranged from -8 F to 0 F, all compliant

Employees mentioned
NameTitleContext
Robert DaynesApplicant's RepresentativeMet with Licensing Program Analyst during the pre-licensing visit
Dang NguyenLicensing Program AnalystConducted the pre-licensing inspection
Lizzette TellezLicensing Program ManagerNamed in the report as Licensing Program Manager

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