Inspection Reports for
Ivy Park at Wood Ranch

190 Tierra Rejada Road, Simi Valley, CA 93065, Simi Valley, CA, 93065

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 1.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

58% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
2026

Census

Latest occupancy rate 81% occupied

Based on a February 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

60 80 100 120 Jul 2024 Oct 2024 Jun 2025 Feb 2026

Inspection Report

Complaint Investigation
Census: 81 Capacity: 100 Deficiencies: 2 Date: Feb 12, 2026

Visit Reason
An unannounced Case Management visit was conducted in conjunction with Complaint #29-AS-20250514091509 to investigate multiple falls and injuries sustained by Resident #1 between 05/05/2025 and 05/12/2025.

Complaint Details
Complaint investigation was triggered by allegations of multiple falls and injuries to Resident #1. The complaint was substantiated based on interviews, record reviews, and incident reports indicating inadequate care, supervision, and failure to notify family and licensing agency in a timely manner.
Findings
The facility failed to provide adequate care and supervision to Resident #1, resulting in multiple falls causing wrist fractures, a skin laceration, and significant physical pain. The facility also failed to provide timely and adequate notification to the resident's family and did not submit required reports to the licensing agency within seven days.

Deficiencies (2)
Failure to provide adequate care and supervision resulting in bodily injuries posing an immediate health, safety, and personal rights risk to persons in care.
Failure to submit required written reports to the licensing agency and to the person responsible for the resident within seven days of the occurrence.
Report Facts
Civil penalty amount: 500 Number of falls sustained by Resident #1: 3 Plan of Correction due date: 2026

Employees mentioned
NameTitleContext
Kellie SmithExecutive DirectorMet with Licensing Program Analyst during inspection and named in findings related to care and supervision failures.
Quoc HuynhLicensing Program AnalystConducted the unannounced Case Management visit and authored the report.
Kristin HeffernanLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Complaint Investigation
Census: 81 Capacity: 100 Deficiencies: 1 Date: Feb 12, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not seek medical attention for a resident in a timely manner.

Complaint Details
The complaint was substantiated. The allegation was that staff failed to seek timely medical attention for a resident who sustained multiple falls and injuries. The investigation confirmed that the resident was not sent for medical evaluation after falls and worsening symptoms, despite hospice notifications.
Findings
The investigation found that Resident #1 experienced three falls resulting in injuries, including fractures and a skin laceration, but was not sent for medical evaluation after these incidents despite reports of pain and worsening condition. The allegation was substantiated, and a deficiency was cited for failure to seek timely medical attention, posing an immediate health and safety risk.

Deficiencies (1)
Facility staff did not seek medical attention for Resident #1 in a timely manner, violating CCR 87469(c)(3) regarding emergency response for terminally ill residents receiving hospice services.
Report Facts
Census: 81 Total Capacity: 100 Deficiency Type: 1 Plan of Correction Due Date: 2026

Employees mentioned
NameTitleContext
Kellie SmithExecutive DirectorMet with Licensing Program Analyst during investigation and mentioned in findings
Lilit E MnatsakanyanAdministratorFormer Executive Director interviewed during initial visit
Quoc HuynhLicensing Program AnalystConducted the complaint investigation visits
Brian BalisiLicensing Program AnalystConducted initial complaint visit
Kristin HeffernanSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 82 Capacity: 100 Deficiencies: 0 Date: Jul 8, 2025

Visit Reason
An unannounced annual inspection was conducted to ensure the facility's compliance with Title 22 regulations and to evaluate health, safety, and operational standards.

Findings
The facility was found to be in compliance with health and safety regulations, including proper food storage, adequate furnishings, fire safety equipment, and medication management. No citations were issued during the inspection.

Report Facts
Resident rooms observed: 10 Hot water temperature range: 109 Hot water temperature range: 117.4 Resident records reviewed: 10 Personnel records reviewed: 10 Last fire safety inspection date: May 6, 2025 Last disaster drill date: Jun 26, 2025

Employees mentioned
NameTitleContext
Kellie SmithExecutive DirectorMet with Licensing Program Analysts during inspection
Lilit E MnatsakanyanAdministrator/DirectorNamed as facility administrator/director
Brian BalisiLicensing Program AnalystConducted the inspection
Martha ArroyoLicensing Program AnalystConducted the inspection
Desaree PereraLicensing Program ManagerNamed as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 82 Capacity: 100 Deficiencies: 0 Date: 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
NameTitleContext
Kellie SmithExecutive DirectorMet with LPAs during inspection and participated in facility tour
Lilit E MnatsakanyanAdministrator/DirectorNamed as facility administrator/director
Brian BalisiLicensing Program AnalystConducted inspection and signed report
Martha ArroyoLicensing Program AnalystConducted inspection
Desaree PereraLicensing Program ManagerNamed as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 79 Capacity: 100 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 100 Census: 79 Bed bug findings: 1 Ecolab visits: 2

Employees mentioned
NameTitleContext
Brian BalisiLicensing Program AnalystConducted the complaint investigation
Lilit MnatsakanyanExecutive DirectorMet with Licensing Program Analyst during investigation
Desaree PereraLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 85 Capacity: 100 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Facility capacity: 100 Census: 85

Employees mentioned
NameTitleContext
Brian BalisiLicensing Program AnalystConducted the complaint investigation
Lilit E MnatsakanyanExecutive DirectorMet with Licensing Program Analyst during investigation
Desaree PereraLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 70 Capacity: 100 Deficiencies: 1 Date: 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.

Complaint Details
The visit was complaint-related, investigating a self-reported incident of alleged rough handling of a resident resulting in bruising. The allegation was substantiated based on interviews and record review.
Findings
The investigation found sufficient evidence that Staff #1 handled Resident #1 in a rough manner, resulting in 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.

Deficiencies (1)
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.
Report Facts
Capacity: 100 Census: 70 Plan of Correction Due Date: Oct 29, 2024

Employees mentioned
NameTitleContext
Lilit E MnatsakanyanExecutive DirectorMet with during inspection and involved in interviews
Brian BalisiLicensing Program AnalystConducted the inspection and investigation

Inspection Report

Complaint Investigation
Census: 70 Capacity: 100 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 100 Census: 70 Deficiency Type: 1 Plan of Correction Due Date: Oct 29, 2024

Employees mentioned
NameTitleContext
Lilit MnatsakanyanExecutive DirectorMet with during inspection and involved in interviews regarding the incident
Brian BalisiLicensing Program AnalystConducted the inspection and investigation
Desaree PereraLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 77 Capacity: 100 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Incident date: Aug 15, 2024 Report received date: Aug 23, 2024

Employees mentioned
NameTitleContext
Kathleen OlsonInterim Executive DirectorMet with Licensing Program Analyst during the investigation
Brian BalisiLicensing Program AnalystConducted the unannounced Case Management – Incident visit

Inspection Report

Original Licensing
Census: 67 Capacity: 100 Deficiencies: 0 Date: 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
NameTitleContext
Jeanne SkondinExecutive DirectorApplicant representative met during inspection
Martha ArroyoLicensing Program AnalystConducted the pre-licensing visit
Desaree PereraLicensing Program ManagerNamed in report header and signature

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