Inspection Reports for
Ivy Park at Sabre Springs
12515 Springhurst Drive, Sabre Springs, CA 92128, Sabre Springs, CA, 92128
Back to Facility ProfileDeficiencies (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/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
97% occupied
Based on a March 2026 inspection.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 97
Capacity: 100
Deficiencies: 0
Date: Mar 24, 2026
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements and assess the facility's condition and operations.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All safety equipment and required postings were in place, and medications were properly stored and labeled.
Report Facts
Residents in care: 97
Total licensed capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robert Daynes | Executive Director | Met during inspection and participated in facility tour |
| Kat Mills | Business Office Director | Met during inspection and discussed purpose of visit |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 100
Deficiencies: 1
Date: Jan 28, 2026
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the licensee did not allow a resident to receive phone calls and to have visitors.
Complaint Details
The complaint investigation was substantiated regarding the denial of phone calls to Resident 1 (R1), with evidence from staff interviews, records, and outside sources. The allegation that R1 was denied visitors was unsubstantiated based on staff and outside source interviews and records review.
Findings
The investigation substantiated that the licensee did not allow a resident (R1) to receive phone calls initially, violating personal rights, but later corrected this with staff training. The allegation that the licensee did not allow the resident to have visitors was unsubstantiated.
Deficiencies (1)
Residents in all residential care facilities for the elderly shall have all of the following personal rights: to both make and receive confidential calls. This requirement was not met as the licensee did not allow a resident (R1) to receive a phone call, posing a potential personal rights risk.
Report Facts
Residents in care: 97
Total licensed capacity: 100
Deficiency count: 1
Plan of Correction due date: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Rob Daynes | Executive Director | Facility representative involved in the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 99
Capacity: 100
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
The visit was conducted in response to a self-report by Resident 1 accusing a staff member of handling them roughly.
Complaint Details
The complaint involved an allegation by Resident 1 against a staff member for rough handling. The complaint was investigated with no deficiencies found.
Findings
A wellness check was conducted, including interviews with staff and residents, and no deficiencies were cited or observed during this unannounced case management visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Daynes | Executive Director | Met with Licensing Program Analyst during the visit and named in the report regarding the complaint investigation. |
Inspection Report
Complaint Investigation
Census: 96
Capacity: 100
Deficiencies: 3
Date: Oct 1, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to allegations received on 2025-05-08 regarding staff mistreatment of residents, delayed response to call buttons, inadequate supervision, neglect, and other care concerns at Ivy Park at Sabre Springs.
Complaint Details
The complaint investigation was substantiated for allegations that staff did not treat residents with dignity, did not respond to call buttons timely, and did not provide adequate supervision. The investigation included staff and resident interviews, facility and outside source record reviews, and direct observations. Some staff were observed yelling at residents, handling them roughly, and sleeping or using phones on duty. Pendant call logs showed 126 calls with response times over 20 minutes. A Plan of Correction was developed. Other allegations including neglect causing serious bodily injury, incontinence care, observation of changes in condition, personal care assistance, housekeeping, and malodor were unsubstantiated.
Findings
The investigation substantiated allegations that staff did not treat residents with dignity, did not respond timely to call buttons, and did not provide adequate supervision, posing risks to all 96 residents. However, allegations related to neglect causing serious bodily injury, incontinence care, observation of changes in condition, personal care assistance, housekeeping services, and facility malodor were unsubstantiated.
Deficiencies (3)
Residents were not accorded dignity in their personal relationships with staff, posing a personal rights risk to 96 residents.
Resident personal assistance and care needs were not consistently met, posing a safety risk to 96 residents.
Resident supervision needs were not met due to staff sleeping on shift and phone use, posing a safety risk to 96 residents.
Report Facts
Deficiencies cited: 3
Calls with response times > 20 minutes: 126
Residents in care: 96
Total licensed capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rob Daynes | Executive Director | Met with during inspection and named in findings regarding facility management and Plan of Correction. |
| Nacole Patterson | Licensing Program Analyst | Evaluator who conducted the complaint investigation. |
| Sabel Martinez | Supervisor | Supervisor overseeing the investigation. |
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
| 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
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
| 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
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
| 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
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
| 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
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
| 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
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
| 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
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
| 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
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
| 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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