Inspection Reports for Ivy Park at West Hills
9012 Topanga Canyon Road West Hills, CA 91304, CA, 91304
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on September 8, 2025, which was clean with no citations issued. However, two complaint investigations earlier in 2025 identified some issues: in May, a resident ingested dishwashing soap left accessible, leading to substantiated findings about hazardous item storage and supervision lapses; in December 2024, the facility failed to report a scabies outbreak within the required timeframe, which was also substantiated. Both incidents were addressed with corrective actions, and no fines or enforcement actions were listed in the available reports. The facility showed improvement over time, with the latest inspections showing no deficiencies after these isolated issues. Several complaint investigations were substantiated, but no ongoing or severe problems were noted in recent visits.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 66
Capacity: 90
Deficiencies: 0
Sep 8, 2025
Visit Reason
The inspection was a required annual inspection conducted by the Licensing Program Analyst to assess compliance with licensing requirements.
Findings
The facility was found to be in compliance with no health and safety hazards noted and no citations issued. The physical plant, kitchen, resident rooms, and safety equipment were all observed to be properly maintained and functional.
Report Facts
Fire extinguishers: 13
Bedridden residents allowed: 8
Hospice waiver: 15
Staff files reviewed: 8
Resident records reviewed: 8
Perishable food stock: 2
Non-perishable food stock: 7
Hot water temperature range: 115.4-119.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Perchui Milena Khurshudyan | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Dina Davis | Assistant Executive Director | Met with the Licensing Program Analyst during the inspection |
| Lidia Cauchi | Administrator/Director | Facility Administrator noted as absent due to medical issues |
Inspection Report
Census: 60
Capacity: 90
Deficiencies: 0
May 5, 2025
Visit Reason
An unannounced case management-other visit was conducted to verify resident status and compliance.
Findings
The Licensing Program Analyst confirmed that Resident #1 was residing at the facility as of 03/17/2025. No deficiencies were issued during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Huma Rahimi | Licensing Program Analyst | Conducted the unannounced case management-other visit. |
| Marilu Mampell | Business Office Director | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 63
Capacity: 90
Deficiencies: 2
May 1, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-04-07 alleging that staff did not ensure hazardous items were inaccessible to residents in care.
Findings
The investigation substantiated the allegation that a resident (R1) ingested dishwashing soap left accessible on the kitchen counter by staff member S1. The facility failed to comply with regulations requiring hazardous materials to be stored securely and residents to be supervised, posing an immediate health and safety risk. The Executive Director agreed to conduct staff training and corrective actions were implemented immediately.
Complaint Details
The complaint was substantiated. It involved a resident in the Memory Care Unit ingesting dishwashing soap left accessible on the kitchen counter by staff. The resident was taken to the hospital and discharged the same day. Interviews and record reviews confirmed the incident and the facility's failure to secure hazardous materials and provide adequate supervision.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Storage Space and Access: Disinfectants and cleaning solutions were not stored where inaccessible to clients, evidenced by dishwashing soap left accessible to a resident. | Type A |
| Basic Services: Care and supervision requirements were not met as a resident with dementia was left unsupervised, posing a potential health and safety risk. | Type B |
Report Facts
Facility Capacity: 90
Resident Census: 63
Residents Interviewed: 6
Residents Interviewed: 6
Staff Interviewed: 3
Family Members Interviewed: 2
Plan of Correction Due Date: May 2, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lidia Cauchi | Executive Director | Met with Licensing Program Analysts and involved in investigation and findings |
| Perchui Khurshudyan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Nichelle Gillyard | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 90
Deficiencies: 1
Dec 26, 2024
Visit Reason
Unannounced visit conducted in conjunction with a complaint control #31-AS-20241119092225 to investigate reporting failures related to an incident involving scabies.
Findings
The facility failed to report an incident involving scabies to the Community Care Licensing within the required timeframe, violating Title 22 regulations. The Executive Director was unaware of the reporting requirements, posing a potential health and safety risk to residents.
Complaint Details
Complaint control #31-AS-20241119092225 triggered the visit. The complaint was substantiated as the facility did not report the scabies outbreak incident as required.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to notify the licensing agency within 24 hours of an epidemic outbreak, poisoning, catastrophe, or major accident threatening resident welfare, safety, or health. | Type B |
Report Facts
Plan of Correction Due Date: Dec 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alma Fuentes | Memory Care Director | Met during inspection and informed about reporting requirements |
| Lidia Cauchi | Administrator/Director | Named as facility administrator |
| Perchui Khurshudyan | Licensing Program Analyst | Conducted inspection and signed report |
| Nichelle Gillyard | Licensing Program Manager/Supervisor | Supervised inspection and signed report |
Inspection Report
Original Licensing
Census: 60
Capacity: 90
Deficiencies: 0
Jun 18, 2024
Visit Reason
Scheduled prelicensing inspection of the facility conducted by Licensing Program Analyst Raymond Comer to evaluate the facility's readiness for licensing.
Findings
The facility was inspected for cleanliness, safety, infection control, fire safety, kitchen and medication management, laundry, common areas, resident and staff records. No immediate health or safety hazards were observed, and the facility met required standards for physical plant, safety systems, and resident accommodations.
Report Facts
Ambulatory residents: 52
Non-ambulatory residents: 8
Bedridden residents: 0
Residents receiving hospice care: 7
Fire clearance capacity: 75
Fire clearance capacity: 15
Disaster drill date: May 30, 2024
Fire extinguisher service date: Nov 8, 2023
Room temperature: 73
Hot water temperature: 115
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Matthew Ryan | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour |
| Raymond Comer | Licensing Program Analyst | Conducted the scheduled prelicensing inspection |
| Eva Miller | Licensing Program Manager | Named as Licensing Program Manager on the report |
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