Inspection Reports for
Ivy Park at San Juan Capistrano

CA, 92675

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Citations (last 4 years)

Citations (over 4 years) 0.3 citations/year

Citations are regulatory findings recorded during state inspections.

93% better than California average
California average: 4 citations/year

Citations per year

4 3 2 1 0
2022
2023
2024
2025

Occupancy

Latest occupancy rate 63% occupied

Based on a November 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

20% 40% 60% 80% 100% Nov 2022 Nov 2024 Feb 2025 Jul 2025 Nov 2025

Inspection Report

Annual Inspection
Census: 76 Capacity: 120 Citations: 0 Date: Nov 25, 2025

Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements.

Findings
The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The physical plant, medication management, fire safety systems, and emergency supplies were all observed to be adequate and well maintained.

Report Facts
Residents receiving hospice care: 4 Residents on medication management: 43 Rooms visited: 9 Medication carts: 2

Employees mentioned
NameTitleContext
David Alvarado Executive Director Facility administrator present during inspection
Kevin Saborit-Guasch Licensing Program Analyst Conducted the inspection visit
Sheila Santos Licensing Program Manager Named as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 74 Capacity: 120 Citations: 0 Date: Jul 17, 2025

Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 07/16/2025 alleging that staff were not criminally record cleared.

Complaint Details
The complaint alleged that staff were not criminally record cleared. The investigation determined the allegation was unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that all 16 staff members present were background cleared and associated with the facility. Interviews and staff roster review confirmed compliance. The allegation was deemed unfounded.

Report Facts
Staff members observed: 16 Staff members interviewed: 5

Employees mentioned
NameTitleContext
David Alvarado Executive Director Met with Licensing Program Analyst and provided information regarding staff background clearance
Joseph Alejandre Licensing Program Analyst Conducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 73 Capacity: 120 Citations: 0 Date: Apr 9, 2025

Visit Reason
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.

Complaint Details
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.
Findings
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.

Report Facts
Capacity: 120 Census: 73 Medication records reviewed: 7 Staff interviewed: 4 Residents interviewed: 6

Employees mentioned
NameTitleContext
Joseph Alejandre Licensing Program Analyst Conducted the complaint investigation visit and authored the report
David Alvarado Administrator / Executive Director Facility administrator met with the Licensing Program Analyst during the investigation
Sheila Santos Licensing Program Manager Named as Licensing Program Manager on the report

Inspection Report

Census: 78 Capacity: 120 Citations: 0 Date: Feb 19, 2025

Visit Reason
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.

Findings
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.

Employees mentioned
NameTitleContext
Joseph Alejandre Licensing Program Analyst Conducted the unannounced visit and met with Health Services Director.
David Alvarado Administrator/Director Named as facility administrator/director.
Veronika Labastida Met with during the inspection visit.
Sheila Santos Supervisor Supervisor named in the report.

Inspection Report

Annual Inspection
Census: 69 Capacity: 120 Citations: 1 Date: Dec 7, 2024

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

Findings
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.

Citations (1)
Failure to have criminal record clearance on file for 4 staff members.
Report Facts
Residents' service files reviewed: 5 Staff personnel files reviewed: 4 Medication Administration Records reviewed: 3 Fire/Disaster Drills last conducted: Oct 22, 2024 Facility Annual Fees overdue since: Nov 30, 2024 Plan of Correction Due Date: Dec 9, 2024 Approved hospice waiver beds: 15 Resident rooms on first floor: 54 Resident rooms on second floor: 43 Non-ambulatory residents allowed: 120 Bed-ridden residents allowed: 4

Employees mentioned
NameTitleContext
David Alvarado Executive Director Met with Licensing Program Analyst during inspection and received report
Alfonso Iniguez Licensing Program Analyst Conducted the inspection and authored the report
Eva M Alvarez Licensing Program Manager Supervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 65 Capacity: 120 Citations: 0 Date: Nov 13, 2024

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

Findings
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.

Report Facts
Licensed capacity: 120 Current census: 65 Fire drill date: Oct 10, 2024 Fire sprinkler inspection date: Jul 8, 2024

Employees mentioned
NameTitleContext
David Alvarado Executive Director/Administrator Met with Licensing Program Analysts during inspection
Joseph Alejandre Licensing Program Analyst Conducted the inspection
Hanna Gough Licensing Program Analyst Conducted the inspection
Brandon Lopez Licensing Program Analyst Conducted the inspection

Inspection Report

Complaint Investigation
Capacity: 120 Citations: 0 Date: Jan 29, 2024

Visit Reason
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.

Complaint Details
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.
Findings
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.

Report Facts
Community fee payment: 3995 Refund amount: 3995 Capacity: 120

Employees mentioned
NameTitleContext
Kevin Saborit-Guasch Licensing Program Analyst Conducted the complaint investigation
Sheila Santos Licensing Program Manager Named as Licensing Program Manager on the report
Patricia Rager Administrator Facility Administrator named in the report
Peggy Business Office Director Met with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 48 Capacity: 120 Citations: 0 Date: Jun 1, 2023

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

Complaint Details
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.
Findings
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.

Report Facts
Capacity: 120 Census: 48

Employees mentioned
NameTitleContext
Joseph Alejandre Licensing Program Analyst Conducted the complaint investigation visit
Tammy Ojwang Executive Director Met with the Licensing Program Analyst during the investigation

Inspection Report

Original Licensing
Census: 46 Capacity: 120 Citations: 0 Date: Nov 3, 2022

Visit Reason
The visit was an announced pre-licensing inspection conducted to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 120 residents, including hospice waiver for 15.

Findings
No deficiencies were observed during the visit. The facility meets Title 22 requirements, has adequate safety and operational measures in place, and is ready to be licensed. Fire clearance was approved for the full capacity.

Report Facts
Facility capacity: 120 Current census: 46 Hot water temperature: 119 Hospice waiver capacity: 15 Food supply duration: 2 Food supply duration: 7 Fire clearance date: Sep 6, 2022

Employees mentioned
NameTitleContext
Eric Mensah Executive Director Met during inspection and notified of licensing process
Daniel Lines Administrator Met during inspection and notified of licensing process
Joseph Alejandre Licensing Program Analyst Conducted the pre-licensing inspection
Luz Adams Supervisor Supervisor overseeing the licensing evaluation
Nathan Bobbitt Orange County Fire Authority Inspector Approved fire clearance for the facility

Inspection Report

Original Licensing
Capacity: 120 Citations: 0 Date: Sep 12, 2022

Visit Reason
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.

Findings
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.

Employees mentioned
NameTitleContext
Eric Mensah Administrator Participated in Component II interview and verified as applicant/administrator.
Mirella Quaranta Licensing Program Manager Named as Licensing Program Manager on the report.
Susan Nguyen Licensing Program Analyst Named as Licensing Program Analyst on the report.

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