Inspection Reports for Ivy Park at Wood Ranch
190 Tierra Rejada Road Simi Valley, CA 93065, CA, 93065
Back to Facility ProfileDeficiencies per Year
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1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 82
Capacity: 100
Deficiencies: 0
Jul 8, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements and ensure the facility meets health and safety standards.
Findings
The facility was found to be in compliance with Title 22 regulations, with no citations issued. Resident rooms, common areas, medication storage, and emergency preparedness measures were all satisfactory. All reviewed resident and personnel records were in order.
Report Facts
Resident rooms observed: 10
Resident records reviewed: 10
Personnel records reviewed: 10
Hot water temperature range: 109
Hot water temperature range: 117.4
Last fire safety inspection date: May 6, 2025
Last emergency disaster drill date: Jun 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kellie Smith | Executive Director | Met with LPAs during inspection and participated in facility tour |
| Lilit E Mnatsakanyan | Administrator/Director | Named as facility administrator/director |
| Brian Balisi | Licensing Program Analyst | Conducted inspection and signed report |
| Martha Arroyo | Licensing Program Analyst | Conducted inspection |
| Desaree Perera | Licensing Program Manager | Named as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 79
Capacity: 100
Deficiencies: 0
Jun 27, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff did not keep the facility free of bedbugs.
Findings
The investigation found that although there was a prior occurrence of bed bugs in one room, the facility took proactive preventative measures including additional Ecolab visits. No current evidence of bed bugs was found during the inspection, and the allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff did not keep the facility free of bedbugs. The allegation was found to be unsubstantiated as the occurrence was contained to one room and the facility demonstrated proactive preventative measures. No new bed bug activity was found during the investigation.
Report Facts
Facility capacity: 100
Census: 79
Bed bug findings: 1
Ecolab visits: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation |
| Lilit Mnatsakanyan | Executive Director | Met with Licensing Program Analyst during investigation |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 85
Capacity: 100
Deficiencies: 0
May 12, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff does not keep residents' rooms free from bed bugs.
Findings
The investigation found that bed bugs were identified and treated in Resident #1's room, with ongoing pest control measures in place. No new bed bug activity was observed during the inspection, and the facility demonstrated a proactive pest management approach. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff failed to keep residents' rooms free from bed bugs. The allegation was investigated and found unsubstantiated due to lack of sufficient evidence.
Report Facts
Facility capacity: 100
Census: 85
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Balisi | Licensing Program Analyst | Conducted the complaint investigation |
| Lilit E Mnatsakanyan | Executive Director | Met with Licensing Program Analyst during investigation |
| Desaree Perera | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 100
Deficiencies: 1
Oct 28, 2024
Visit Reason
The visit was an unannounced Case Management - Incident inspection to continue the investigation of a self-reported incident involving alleged rough handling of a resident that caused bruising.
Findings
The investigation found sufficient evidence that Staff #1 handled Resident #1 in a rough manner, causing bruising on the resident's forearms. Staff #1 was suspended pending investigation and subsequently resigned. A deficiency was cited for failure to protect residents from abuse.
Complaint Details
The visit was triggered by a complaint regarding an incident on 08/15/2024 where Staff #1 was observed handling Resident #1 roughly, resulting in bruising. The complaint was substantiated based on interviews and record review.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse as Staff #1 handled resident in a rough manner causing bruising. | Type A |
Report Facts
Capacity: 100
Census: 70
Deficiency Type: 1
Plan of Correction Due Date: Oct 29, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lilit Mnatsakanyan | Executive Director | Met with during inspection and involved in interviews regarding the incident |
| Brian Balisi | Licensing Program Analyst | Conducted the inspection and investigation |
| Desaree Perera | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 100
Deficiencies: 0
Sep 5, 2024
Visit Reason
The inspection visit was conducted as an unannounced Case Management – Incident investigation to review self-reported incident reports regarding a staff handling a resident in a firm manner resulting in bruising.
Findings
The Licensing Program Analyst conducted interviews, reviewed documentation, and determined that further investigation is needed, with a plan to return at a later date to complete the investigation if warranted.
Complaint Details
The complaint involved an incident on 08/15/2024 where Staff #1 was observed handling Resident #1 in a firm manner causing discoloration/bruising on the resident's forearms. The resident did not indicate discomfort or additional injuries. The investigation is ongoing.
Report Facts
Incident date: Aug 15, 2024
Report received date: Aug 23, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kathleen Olson | Interim Executive Director | Met with Licensing Program Analyst during the investigation |
| Brian Balisi | Licensing Program Analyst | Conducted the unannounced Case Management – Incident visit |
Inspection Report
Original Licensing
Census: 67
Capacity: 100
Deficiencies: 0
Jul 11, 2024
Visit Reason
Licensing Program Analyst Martha Arroyo conducted a pre-licensing visit as part of a change of ownership application for the facility, which will retain its name. The visit included inspection of fire safety, personal accommodations, services, and food service.
Findings
The facility was found to be in compliance with Title 22 regulations with no corrections required. Fire clearance was approved for 92 non-ambulatory and 8 bedridden residents. The kitchen, common areas, resident rooms, and safety equipment were all observed to be adequate and well maintained.
Report Facts
Fire clearance capacity: 92
Fire clearance capacity: 8
Total licensed capacity: 100
Medication carts: 4
Laundry rooms: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeanne Skondin | Executive Director | Applicant representative met during inspection |
| Martha Arroyo | Licensing Program Analyst | Conducted the pre-licensing visit |
| Desaree Perera | Licensing Program Manager | Named in report header and signature |
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