Inspection Reports for Ivy Park at San Juan Capistrano

An unannounced visit was conducted to investigate a complaint alleging that staff were not criminally record cleared.

The investigation found that all 16 staff members observed and reviewed were background cleared and associated with the facility. The allegation was deemed unfounded as there was no evidence supporting it.

The complaint alleged that staff were not criminally record cleared. The allegation was investigated and found to be unfounded.

An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure residents' lights worked properly, medications were not properly managed, and residents' rooms were not set up safely.

All allegations were investigated and determined to be either unfounded or unsubstantiated. The lighting allegation was unfounded as the resident's room had adequate lighting. The medication management allegation was unfounded after review of medication records and staff interviews. The room setup allegation was unsubstantiated due to conflicting information and lack of evidence of a violation.

The complaint investigation was triggered by allegations regarding lighting, medication management, and room safety. The lighting and medication allegations were found to be unfounded, meaning false or without reasonable basis. The room setup allegation was unsubstantiated, meaning there was no preponderance of evidence to prove the violation occurred.

Licensing Program Analyst Joseph Alejandre made an unannounced visit to follow up on a report received by the Agency and met with the Health Services Director to explain the reason for the visit.

The Health Services Director reported compliance with instructions from Orange County Health Care Agency, no issues to report, full staffing, and ample PPE supply. No deficiencies were cited during this visit.

The visit was an unannounced annual required inspection conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be clean, sanitary, and appropriately furnished with no discrepancies in medication administration records. However, a deficiency was cited for not having criminal record clearances on file for 4 staff members, posing an immediate risk.

The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.

The facility was found to be in compliance with no deficiencies observed. The kitchen, resident rooms, bathrooms, medication storage, and safety equipment were all inspected and found to meet required standards. Staff files and resident records showed no discrepancies.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility did not issue a full refund to a prospective resident.

The investigation found that the facility issued a full refund to the prospective resident as per the signed community fee receipt and final account statement, and the allegation was determined to be unfounded.

The complaint alleged that the facility did not issue a full refund. The investigation concluded the allegation was unfounded, meaning it was false or without reasonable basis.

An unannounced visit was conducted to investigate a complaint alleging that facility staff did not safeguard residents' belongings.

The investigation found no evidence to support the allegation that facility staff failed to safeguard residents' belongings. The allegation was deemed unsubstantiated due to lack of evidence.

The complaint alleged that facility staff did not safeguard residents' belongings, specifically that Resident 1's belongings were damaged. Resident 1 reported a theft to the Orange County Sheriff, but no report number was provided and no action was taken. Resident 1 declined to have personal property inventoried and has moved out of the facility. The facility is not responsible for belongings not put in their care. The allegation was unsubstantiated.

The visit was an announced pre-licensing inspection to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 120 residents.

No deficiencies were observed during the visit. The facility meets Title 22 requirements and is ready to be licensed. The fire clearance was approved for the full capacity, and all safety and operational systems were found to be in compliance.

The visit was conducted as part of the original licensing process (CHOW application) for the facility to verify the applicant/administrator's understanding of California Code Title 22 Regulations and readiness for licensing.

The applicant/administrator successfully completed Component II, demonstrating understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Identification was verified and required documentation was obtained.