Inspection Reports for Ivy Park at Sabre Springs
12515 Springhurst Drive Sabre Springs, CA 92128, CA, 92128
Back to Facility ProfileInspection 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 per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Census: 97
Capacity: 100
Deficiencies: 0
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
| Name | Title | Context |
|---|---|---|
| Ellie Davis | Health and Wellness Director | Met during the visit and involved in the exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Robert Daynes | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 100
Deficiencies: 1
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.
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.
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.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| 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. | Type B |
Report Facts
Residents affected: 1
Census: 97
Total Capacity: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rob Daynes | Executive Director | Met during inspection and involved in exit interview. |
| Alexis Encinas | Resident Care Coordinator | Met during inspection. |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection. |
| Ellie Davis | Health Services Director | Signed the amended report. |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 100
Deficiencies: 0
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.
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.
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.
Report Facts
Capacity: 100
Census: 99
Complaint Control Number: 08-AS-20241014144500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rob Daynes | Executive Director | Facility representative met during the investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 100
Deficiencies: 0
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.
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.
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.
Report Facts
Staff interviewed: 7
Med Techs interviewed: 6
Census: 99
Total capacity: 100
Estimated days of completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rob Daynes | Executive Director | Facility representative met during the investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 100
Deficiencies: 0
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.
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.
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.
Report Facts
Census: 99
Total Capacity: 100
Complaint Control Number: 08-AS-20241216162250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Rob Daynes | Executive Director | Facility representative met during the investigation |
| Jennifer Lott | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 98
Capacity: 100
Deficiencies: 0
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
| Name | Title | Context |
|---|---|---|
| Rob Daynes | Executive Director | Met with Licensing Program Analyst during inspection and named in report findings |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 100
Deficiencies: 0
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.
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.
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.
Report Facts
Capacity: 100
Census: 98
Response time: 2
Response time: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Rob Daynes | Executive Director | Facility representative met during the investigation |
| Jennifer Lott | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 89
Capacity: 100
Deficiencies: 0
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
| Name | Title | Context |
|---|---|---|
| Robert Daynes | Applicant's Representative | Met with Licensing Program Analyst during the pre-licensing visit |
| Dang Nguyen | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
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