Inspection Reports for Ivy Park at San Jose

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-05-13 alleging that staff were not providing necessary assistance to a resident regarding filing long-term care insurance paperwork.

The investigation found that the facility was not responsible for submitting all forms to the long-term care insurance company, and that the resident or responsible party was responsible for submitting paperwork. Staff interviews and record reviews showed that the resident was always provided care and assistance. The allegation was determined to be unfounded with no deficiencies cited.

The complaint alleged that staff failed to provide assistance in filing a resident's long-term care insurance paperwork, causing delayed reimbursement. The investigation found the allegation unfounded based on interviews, record review, and observation.

The visit was conducted as a case management incident follow-up regarding a video posted on social media showing a resident being mistreated by his/her authorized representative in a public setting.

Seven staff members were interviewed and all denied knowledge or observation of mistreatment by the authorized representative. The resident mentioned the representative was 'mean' but did not provide details. Frequent checks were implemented for the resident's safety. No deficiencies were cited.

The complaint involved allegations of mistreatment of a resident by his/her authorized representative based on a social media video. Staff interviews did not substantiate the allegations. The incident was cross-reported to other agencies for further investigation.

The inspection visit was an unannounced Case Management - Annual Continuation visit, continuing from the annual inspection visit that occurred on 2025-04-22.

During the visit, staff and resident records were reviewed, including medication and destruction records, and all were found to be complete. No deficiencies were cited at this time as per California Code of Regulations Title 22.

An unannounced required 1 year annual inspection was conducted to evaluate compliance with licensing requirements.

The facility was toured and inspected including common areas, resident rooms, kitchen, and safety systems. No deficiencies were cited during this annual inspection. Fire and disaster drill training was confirmed, and pest control measures were in place.

An unannounced case management visit was conducted to follow up on previously cited deficiencies and to evaluate the facility's compliance with licensing requirements.

No deficiencies were cited during this visit. The facility demonstrated installation and proper functioning of a wander guard alarm system for residents with early onset dementia, and staff presence was observed at all times in the reception area to monitor resident sign-in and sign-out.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not administer a resident's medication as prescribed and did not seek medical attention in a timely manner.

The investigation found that the resident was under hospice care and the facility staff followed hospice protocols by contacting the hospice nurse for advice. The allegations were determined to be unfounded, with no citations issued.

The complaint alleged that staff did not administer resident R1's PRN medication and did not seek medical attention promptly. The investigation found that the resident was under hospice care, the medication was managed by the family member with hospice approval, and the facility staff contacted the hospice nurse as required. The allegation was found to be unfounded.

An unannounced case management visit was conducted regarding an incident report received on 2024-08-23 involving a resident.

No deficiencies were cited during the visit. Due to insufficient information, the case management will remain open until further investigation.

Visit was complaint-related based on an incident report received on 2024-08-23. The case remains open due to insufficient information.

The visit was an unannounced complaint investigation triggered by allegations received on 2022-06-10 regarding insufficient staffing response to call buttons, inadequate meal provision, and thermostat disrepair.

The investigation found no evidence to substantiate the allegations. Staff were found to respond to call buttons within reasonable time, residents received three meals daily in a timely manner, and thermostat issues were resolved promptly with no ongoing problems.

The complaint included allegations that staff were not answering resident call buttons timely due to insufficient staffing, residents were not receiving at least three meals a day or meals timely, and thermostats in residents' rooms were in disrepair. The findings were unsubstantiated with no citations issued.

The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 2022-06-17 alleging insufficient staffing at the facility.

Based on interviews with staff and residents, observations, and records reviewed, the Department found no evidence to indicate the facility has insufficient staffing. The allegation was determined to be unsubstantiated.

The complaint alleged that the facility has insufficient staffing. The investigation included interviews with staff and residents, and a facility tour. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The inspection was conducted as an unannounced case management visit triggered by a phone call regarding resident R1 who was discovered missing on June 13, 2024.

The facility failed to provide adequate supervision to resident R1, who has dementia and eloped from the facility overnight. Deficiencies were cited related to lack of care and supervision, absence of a plan of operation and safety measures for residents with dementia, and administrator's lack of knowledge of applicable laws and regulations. An immediate civil penalty of $500 was assessed.

The visit was complaint-related due to a phone call reporting resident R1 missing. The resident was found in a hospital after eloping from the facility. The complaint was substantiated by findings of inadequate supervision and safety measures.

An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing regulations.

The inspection found no deficiencies; all areas including fire safety, resident records, staff training, medication records, and facility conditions were in compliance. Advisory assistance was provided for future record keeping.

The visit was an unannounced Case Management visit conducted following receipt of an Unusual Incident Report regarding a resident who eloped from the facility without assistance.

A deficiency was cited for failure to provide necessary assistance to a resident who was not allowed to leave unassisted, posing an immediate risk to the health and safety of the resident in care.

Unannounced pre-licensing visit conducted to evaluate the facility's readiness for licensure.

The facility was toured and found to have appropriate living conditions, safety measures, and documentation. The Department is recommending licensure pending a plan of correction for a deficiency issued during the visit. The facility is not yet licensed and subject to final approval by the Central Application Bureau.

The visit was an office evaluation related to a Change of Ownership application for the Residential Care Facility for the Elderly.

The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, covering facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.