Inspection Reports for
Ivy Park at West Hills
9012 Topanga Canyon Road, West Hills, CA 91304, West Hills, CA, 91304
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
73% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 66
Capacity: 90
Deficiencies: 0
Date: 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
Date: 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
Date: 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.
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.
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.
Deficiencies (2)
Storage Space and Access: Disinfectants and cleaning solutions were not stored where inaccessible to clients, evidenced by dishwashing soap left accessible to a resident.
Basic Services: Care and supervision requirements were not met as a resident with dementia was left unsupervised, posing a potential health and safety risk.
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
Date: 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.
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.
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.
Deficiencies (1)
Failure to notify the licensing agency within 24 hours of an epidemic outbreak, poisoning, catastrophe, or major accident threatening resident welfare, safety, or health.
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
Complaint Investigation
Census: 57
Capacity: 90
Deficiencies: 1
Date: Dec 26, 2024
Visit Reason
Unannounced visit conducted in conjunction with a complaint control #31-AS-20241119092225 to investigate the facility's failure to report an incident involving scabies as required by regulation.
Complaint Details
The visit was triggered by a complaint control #31-AS-20241119092225. The complaint was substantiated as the facility did not report the scabies outbreak as required.
Findings
The facility failed to report an outbreak of scabies to the Community Care Licensing within the required timeframe, as confirmed by interviews and review of incident reports. The Executive Director was unaware of the reporting requirement, posing a potential health and safety risk to residents.
Deficiencies (1)
Failure to notify the licensing agency within 24 hours of an epidemic outbreak, poisoning, catastrophe, or major accident threatening residents' welfare, safety, or health as required by CCR 87211(a)(2).
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Dec 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alma Fuentes | Memory Care Director | Met with Licensing Program Analysts during the inspection and informed about reporting requirements |
| Lidia Cauchi | Administrator/Director | Named as facility administrator in the report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 90
Deficiencies: 0
Date: Dec 26, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations received on 12/20/2024 regarding staff conduct and resident care at Ivy Park at West Hills.
Complaint Details
The complaint investigation addressed allegations that staff did not allow residents to possess personal belongings, failed to meet incontinence needs, confined residents to bedrooms, did not respond to call buttons timely, did not provide comfortable accommodations, and spoke inappropriately to residents. All allegations were investigated and deemed unsubstantiated.
Findings
The investigation included interviews with staff, residents, and witnesses, as well as record reviews and physical inspections. All allegations, including improper handling of residents' personal belongings, incontinence care, confinement to bedrooms, call button response times, accommodation comfort, and inappropriate staff speech, were found to be unsubstantiated based on evidence and interviews. No deficiencies were cited during the visit.
Report Facts
Facility capacity: 90
Census: 57
Memory Care Unit census: 13
Memory Care Unit staff per shift: 3
Memory Care Unit staff per night shift: 2
Emergency call buttons inspected: 5
Residents interviewed: 6
Staff interviewed: 4
MedTech interviewed: 1
Expected call response time (minutes): 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Perchui Khurshudyan | Licensing Evaluator | Conducted the complaint investigation |
| Lidia Cauchi | Administrator | Facility administrator named in report |
| Alma Fuentes | Memory Care Director | Met with investigators and provided information during investigation |
Inspection Report
Original Licensing
Census: 60
Capacity: 90
Deficiencies: 0
Date: 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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