Inspection Reports for Ivy Park at West Hills

9012 Topanga Canyon Road West Hills, CA 91304, CA, 91304

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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
NameTitleContext
Perchui Milena KhurshudyanLicensing Program AnalystConducted the annual inspection and authored the report
Dina DavisAssistant Executive DirectorMet with the Licensing Program Analyst during the inspection
Lidia CauchiAdministrator/DirectorFacility 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
NameTitleContext
Huma RahimiLicensing Program AnalystConducted the unannounced case management-other visit.
Marilu MampellBusiness Office DirectorMet 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)
DescriptionSeverity
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
NameTitleContext
Lidia CauchiExecutive DirectorMet with Licensing Program Analysts and involved in investigation and findings
Perchui KhurshudyanLicensing Program AnalystConducted the complaint investigation and authored the report
Nichelle GillyardLicensing Program ManagerOversaw 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)
DescriptionSeverity
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
NameTitleContext
Alma FuentesMemory Care DirectorMet during inspection and informed about reporting requirements
Lidia CauchiAdministrator/DirectorNamed as facility administrator
Perchui KhurshudyanLicensing Program AnalystConducted inspection and signed report
Nichelle GillyardLicensing Program Manager/SupervisorSupervised 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
NameTitleContext
Matthew RyanAdministratorMet with Licensing Program Analyst during inspection and participated in facility tour
Raymond ComerLicensing Program AnalystConducted the scheduled prelicensing inspection
Eva MillerLicensing Program ManagerNamed as Licensing Program Manager on the report

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