Inspection Reports for Ivy Park at Seven Oaks
4301 Buena Vista Rd Bakersfield, CA 93311, CA, 93311
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including recent ones on July 1, 2025, and June 16, 2025. The most recent report from July 1, 2025, was clean with no deficiencies. Earlier inspections, including the annual inspection on January 15, 2025, cited issues such as unsafe storage of hazardous items, medication administration errors, and temperature control problems, all posing potential or immediate health risks. Some complaints were substantiated in 2023 related to admission agreements, medication errors, and resident supervision, but these were isolated incidents. The facility appears to have improved over time, with no deficiencies noted in the latest complaint investigations and inspections.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 101
Capacity: 164
Deficiencies: 0
Jul 1, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations including a resident being sexually assaulted by another resident and staff not assisting residents timely due to short staffing.
Findings
The investigation included interviews, facility tour, and record review. Observations showed locked rooms for nonambulatory and bedridden female residents in memory care, timely staff response to call pendants, and no evidence supporting the allegations. The complaint was found to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated based on the preponderance of evidence standard after investigation.
Report Facts
Capacity: 164
Census: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator | Met with Licensing Program Analyst during investigation |
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 164
Deficiencies: 0
Jun 16, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 2025-04-25 alleging that staff yelled at a resident.
Findings
The investigation included interviews, facility tour, and record review. The allegation that staff yelled at a resident was found to be unsubstantiated based on the preponderance of evidence standard.
Complaint Details
The complaint alleged that staff yelled at a resident. The allegation was found to be unsubstantiated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered complaint findings. |
| Pamela Bradley | Administrator | Met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 164
Deficiencies: 0
Jan 15, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 2024-12-13 regarding neglect and inadequate care of residents.
Findings
The investigation found insufficient evidence to substantiate the allegations of staff neglect, failure to meet diapering needs, and delayed medical attention. The allegations were determined to be unsubstantiated after interviews, record reviews, and facility tour.
Complaint Details
Allegations included staff neglect resulting in pressure injuries, failure to ensure diapering needs were met, and not seeking timely medical attention. The complaint was found to be unsubstantiated.
Report Facts
Capacity: 164
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator | Met during investigation and named in report |
| Mikayla Goulart | Memory Care Director | Met during investigation and named in report |
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Annual Inspection
Census: 100
Capacity: 164
Deficiencies: 4
Jan 15, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the assisted living and memory care facility.
Findings
The facility was generally clean, in good repair, and equipped with necessary safety features. However, several deficiencies were cited including unsafe storage of hazardous items accessible to residents, medication administration errors, hot water temperatures exceeding regulatory limits, and improper freezer temperature maintenance.
Severity Breakdown
Type A: 2
Type B: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Tools and box cutters in room 112, a cleaning bottle in room 107 bathroom cabinet, and small knives stored in room 213 kitchen drawers were accessible to residents, posing an immediate health and safety risk. | Type A |
| Medications for residents R1, R2, and R3 were not administered as instructed by the physician, posing an immediate health and safety risk. | Type A |
| Hot water temperature in memory care unit rooms 27, 46, and 12 measured above the regulatory maximum of 120 degrees F, posing a potential health and safety risk. | Type B |
| Facility walk-in freezer was observed at 38 degrees F, exceeding the required 0 degrees F, posing a potential health and safety risk. | Type B |
Report Facts
Residents in Assisted Living: 62
Residents in Memory Care: 38
Hot water temperature: 130.3
Hot water temperature: 125.3
Hot water temperature: 122.5
Walk-in freezer temperature: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator | Met with Licensing Program Analyst during inspection |
| Mikayla Goulart | Memory Care Director | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and authored the report |
| See Moua | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Census: 101
Capacity: 164
Deficiencies: 0
Dec 20, 2024
Visit Reason
The visit was conducted as a case management health and safety visit following a concern about staff providing care to a resident. The purpose was to review records, conduct interviews, and tour the facility.
Findings
The Licensing Program Analyst conducted the visit, reviewed records, interviewed staff, and toured the facility. The information will be reviewed and a follow-up case management visit will be conducted if necessary.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator/ Executive Director | Met with Licensing Program Analyst during the visit |
| Mai Yang | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Census: 102
Capacity: 164
Deficiencies: 0
Nov 25, 2024
Visit Reason
The inspection was an unannounced case management visit regarding the immediate exclusion of a staff member (Staff 1).
Findings
The excluded staff member was confirmed not to be associated with or employed by the facility. No deficiencies were observed during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Annette Eggleston | Health Service Director | Met with Licensing Program Analyst during inspection and received the report. |
| Pamela Bradley | Administrator/Director | Administrator who was unavailable during the visit but provided information via telephone. |
| Mai Yang | Licensing Program Analyst | Conducted the unannounced inspection visit. |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 164
Deficiencies: 0
Nov 6, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2024-10-24 alleging that staff did not follow a resident's Physician Orders for Life-Sustaining Treatment (POLST).
Findings
The investigation found that the facility followed the resident's signed POLST and attempted CPR unless otherwise directed by a doctor. The allegation was determined to be unfounded and the complaint was dismissed.
Complaint Details
The complaint alleged that staff did not follow the resident's Physician Orders for Life-Sustaining Treatment (POLST). The investigation concluded the allegation was unfounded, meaning it was false, could not have happened, or was without reasonable basis.
Report Facts
Facility capacity: 164
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Annette Eggleston | Health Service Director | Met with Licensing Program Analyst during investigation |
| Pamela Bradley | Administrator | Facility administrator unavailable to attend meeting |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 164
Deficiencies: 0
Oct 23, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident had unexplained injuries while in care.
Findings
The investigation included interviews, record reviews, and a facility tour. It was determined that the resident is ambulatory with a history of falls, and there was insufficient evidence to prove or disprove the allegation. The complaint was found to be unsubstantiated.
Complaint Details
The complaint alleged that a resident had unexplained injuries while in care. The allegation was found to be unsubstantiated after investigation.
Report Facts
Capacity: 164
Census: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Pamela Bradley | Administrator | Met with Licensing Program Analyst during the investigation |
Inspection Report
Plan of Correction
Census: 96
Capacity: 164
Deficiencies: 0
Jan 26, 2024
Visit Reason
The visit was an unannounced Plan of Correction (POC) inspection conducted to verify correction of deficiencies cited on 01/23/2024.
Findings
No deficiencies were observed during the visit. The Plan of Correction was found to be cleared as the Licensing Program Analyst toured rooms and did not observe any issues with cleaning chemicals, knives, or medications.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Annette Eggleston | Health Service Director | Met with Licensing Program Analyst during the Plan of Correction visit. |
Inspection Report
Annual Inspection
Census: 96
Capacity: 164
Deficiencies: 2
Jan 23, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations at the facility.
Findings
The facility was generally clean, well-maintained, and properly equipped with safety features. However, deficiencies were cited related to unsecured medications and unlocked sharps and chemicals accessible to residents, posing immediate health and safety risks.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Medications were observed unlocked and accessible to residents in multiple rooms, posing an immediate health, safety, or personal rights risk. | Type A |
| Knives and cleaning chemicals were observed unlocked and accessible to residents in multiple rooms, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Census: 96
Total Capacity: 164
Hot water temperature: 112.2
Hot water temperature: 111.6
Hot water temperature: 110.7
Hot water temperature: 111.6
Hot water temperature: 110.8
Walk-in refrigerator temperature: 38
Walk-in freezer temperature: -12
Deficiencies cited: 2
POC Due Date: Jan 24, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator | Met with Licensing Program Analyst during inspection and involved in observations of deficiencies |
| Annette Eggleston | Health Service Director | Met with Licensing Program Analyst during inspection and involved in observations of deficiencies |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and authored the report |
| See Moua | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Capacity: 164
Deficiencies: 0
Nov 15, 2023
Visit Reason
A virtual office meeting was conducted to discuss recently identified issues and concerns associated with the operation of the facility.
Findings
The meeting addressed concerns regarding the resident's admission agreement and refund, with the administrator informed that a refund is due by 11/27/2023.
Report Facts
Refund due date: 11272023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator | Met during the virtual office meeting and informed about refund due |
| Kevin Wrigley | Senior Regulatory Director | Met during the virtual office meeting |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 164
Deficiencies: 0
Nov 9, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-10-24 alleging illegal eviction at the facility.
Findings
The investigation included interviews and record reviews, finding that the resident had a doctor's order for hospitalization and an alternative placement was arranged. The allegation of illegal eviction was found to be unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint alleging illegal eviction was investigated and found to be unsubstantiated.
Report Facts
Complaint received date: Oct 24, 2023
Complaint control number: 24-AS-20231024161209
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Pamela Bradley | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation
Census: 88
Capacity: 164
Deficiencies: 0
Nov 9, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-10-24 alleging that staff failed to prevent residents from engaging in a physical altercation which resulted in injuries.
Findings
The investigation included interviews and record reviews. Staff were present and intervened to stop the physical altercation between residents. The allegation was found to be unsubstantiated based on the preponderance of evidence.
Complaint Details
The complaint alleged staff failed to prevent residents from engaging in a physical altercation resulting in injuries. The allegation was found to be unsubstantiated.
Report Facts
Complaint Control Number: 24-AS-20231024142901
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Pamela Bradley | Administrator | Met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 164
Deficiencies: 0
Nov 1, 2023
Visit Reason
Unannounced visit/investigation of a complaint received on 09/28/2023 regarding an allegation of illegal eviction.
Findings
The investigation included interviews and record reviews which confirmed that the resident's son requested the facility to deny the resident's return from the hospital. The allegation was found to be unsubstantiated based on the preponderance of evidence standard.
Complaint Details
The complaint allegation was illegal eviction. The investigation found the allegation to be unsubstantiated.
Report Facts
Capacity: 164
Census: 97
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Annette Eggleston | Health Service Director | Met with Licensing Program Analyst during the investigation |
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Capacity: 164
Deficiencies: 0
Oct 12, 2023
Visit Reason
A virtual office meeting was conducted to discuss recently identified issues and concerns associated with the operation of the facility.
Findings
The meeting addressed concerns regarding the resident's admission agreement and required the administrator to submit additional documents related to care services changes, specifically Companion Care charges.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Anderson | Administrator | Met with during the virtual office meeting and discussed facility concerns. |
| Kevin Wrigley | Senior Regulatory Director | Met with during the virtual office meeting and discussed facility concerns. |
Inspection Report
Census: 89
Capacity: 164
Deficiencies: 0
Sep 12, 2023
Visit Reason
The visit was a case management follow-up to address information received regarding the facility's failure to provide a refund to resident 1 for community fee and refund fee.
Findings
Based on records reviewed and interviews conducted, resident 1 resided at the facility for over 90 days after the community fee refund contract prorated basis and no refund was issued; the resident has a remaining balance for companion care services. No deficiencies were issued.
Report Facts
Resident census: 89
Total capacity: 164
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator/ Executive Director | Met with Licensing Program Analyst during the visit |
| Mai Yang | Licensing Program Analyst | Conducted the case management visit |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 164
Deficiencies: 1
Jul 24, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to a complaint received on 07/19/2023 regarding staff refusing to allow a resident to return to the facility after a hospital stay.
Findings
The complaint was substantiated based on the investigation conducted on 07/24/2023. The allegation was addressed during a case management visit on 07/18/2023 and cited under California Code of Regulations, Title 22, Division 6, Chapter 6.
Complaint Details
The complaint was substantiated as staff refused to allow a resident to return to the facility after a hospital stay. This was cited under California Code of Regulations, Title 22, Division 6, Chapter 6 during a case management visit on 07/18/2023.
Deficiencies (1)
| Description |
|---|
| Staff refused to allow resident to return to facility after hospital stay |
Report Facts
Capacity: 164
Census: 84
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Pamela Bradley | Administrator/Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Follow-Up
Census: 83
Capacity: 164
Deficiencies: 1
Jul 24, 2023
Visit Reason
The visit was an unannounced case management deficiency inspection to follow up on an incident that occurred on 07/20/2023 involving the administration of the wrong medication to a resident.
Findings
A deficiency was cited for failure to assist residents with self-administered medications as needed, evidenced by a staff member administering the wrong medication to a resident, posing immediate health and safety risks.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by a staff member administering the wrong medication to a resident, posing immediate health and safety risks. | Type A |
Report Facts
Census: 83
Total Capacity: 164
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator/Executive Director | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and authored the report |
| See Moua | Licensing Program Manager/Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 84
Capacity: 164
Deficiencies: 1
Jul 18, 2023
Visit Reason
The visit was conducted to address an incident where resident R1 went AWOL from the facility on 07/10/2023.
Findings
A deficiency was cited because staff did not provide adequate care and supervision when R1 left the facility unsupervised, posing an immediate health and safety risk.
Complaint Details
The visit was complaint-related due to the incident of resident R1 going AWOL. The deficiency was substantiated and cited.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff did not provide care and supervision when memory care resident R1 left the facility unsupervised on 07/10/23 at approximately 07:35 PM, and the facility was unaware until notified by a neighboring building at 07:47 PM. | Type A |
Report Facts
Capacity: 164
Census: 84
Plan of Correction Due Date: Aug 1, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Administrator/Executive Director | Met with Licensing Program Analyst during the visit and acknowledged receipt of the report |
| Mai Yang | Licensing Program Analyst | Conducted the case management deficiency visit and signed the report |
| See Moua | Licensing Program Manager/Supervisor | Named as supervisor and licensing program manager |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 164
Deficiencies: 1
Mar 6, 2023
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-02-17 regarding the facility not following a resident's admission agreement.
Findings
The investigation found that the admission agreement was not updated to reflect the hours of one-on-one care the resident needed, and the charges for this care were not agreed to or signed by the responsible party. There was no updated physician report or assessment supporting the need for 24-hour one-on-one care. The allegation was substantiated.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation was that the facility did not follow the resident's admission agreement regarding one-on-one care charges.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Admission agreements did not specify payment provisions for additional items and services, including one-on-one 24-hour champion care charges that were not agreed to by the resident or responsible party. | Type B |
Report Facts
Capacity: 164
Census: 68
Plan of Correction Due Date: Mar 31, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Pamela Bradley | Administrator/Executive Director | Facility administrator met during investigation and involved in findings |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 164
Deficiencies: 0
Mar 6, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2023-02-28 regarding the facility's failure to notify residents that pendant alarms were not working.
Findings
The investigation found the allegation to be unsubstantiated as the facility notified residents and responsible parties within 24 hours of the alarm system failure and took proper measures to ensure resident safety.
Complaint Details
The complaint alleged the facility failed to notify residents that pendant alarms were not working. The allegation was found unsubstantiated based on observations, records, and interviews.
Report Facts
Complaint received date: Feb 28, 2023
Inspection start time: 1100
Inspection end time: 1310
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Pamela Bradley | Administrator/Executive Director | Facility administrator met during the investigation |
Inspection Report
Original Licensing
Census: 73
Capacity: 164
Deficiencies: 0
Jan 9, 2023
Visit Reason
The visit was a follow-up pre-licensing inspection (Component III) to verify that the applicant met all pre-licensing requirements for the facility.
Findings
The Licensing Program Analyst observed that medications and sharps were removed from residents' rooms and inaccessible to residents, and cleaning chemicals were stored and locked. The applicant met all pre-licensing requirements and the report will be submitted for final review prior to license issuance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pamela Bradley | Executive Director | Met with Licensing Program Analyst during inspection and exit interview. |
| Annette Eggleston | Health Service Director | Accompanied Licensing Program Analyst during facility tour. |
| Krystal Jenkins | Administrator | Named as facility administrator. |
| Mai Yang | Licensing Program Analyst | Conducted the follow-up pre-licensing inspection. |
| Melinda Hoffmann | Licensing Program Manager | Named as Licensing Program Manager for final review. |
Inspection Report
Original Licensing
Census: 75
Capacity: 164
Deficiencies: 4
Dec 28, 2022
Visit Reason
The visit was an announced pre-licensing / Component III inspection conducted to evaluate the facility prior to licensing.
Findings
The inspection included a tour of the facility and review of resident and staff records. Several compliance issues were identified including the need for non-skid mats in showers and proper storage of medications, cleaning chemicals, and sharps to keep them inaccessible to residents.
Deficiencies (4)
| Description |
|---|
| All bathroom showers need a non-skid mat or strip. |
| All medications shall be stored and locked inaccessible to residents in care. |
| All cleaning chemicals shall be stored and locked inaccessible to residents in care. |
| All sharps shall be stored and locked inaccessible to residents in care. |
Report Facts
Capacity: 164
Census: 75
Follow-up timeframe: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krystal Jenkins | Executive Director | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Census: 72
Capacity: 164
Deficiencies: 0
Dec 9, 2022
Visit Reason
The visit was an office evaluation related to a Change in Ownership (CHOW) application for a Residential Care Facility for the Elderly (RCFE). The Administrator participated in a Component II interview to verify understanding of licensing laws and facility operation.
Findings
The Component II completion was successful. The Administrator demonstrated understanding of community care facility licensing laws, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krystal Jenkins | Administrator | Participated in Component II interview and confirmed understanding of licensing laws. |
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