Inspection Reports for Ivy Park of Wellington

An unannounced complaint investigation was conducted in response to an allegation that staff left a resident unattended on the toilet with no clothes on for an extended amount of time.

The investigation included interviews, facility and resident file reviews, and a tour. The allegation was found to be unsubstantiated due to insufficient evidence to prove or refute the claim.

The complaint alleged that staff left a resident unattended on the toilet without clothes for an extended time. Interviews revealed the resident was assisted with toileting when a physical therapist entered without knocking. Staff covered the resident and asked the therapist to wait. The resident confirmed they were not left unattended. The allegation was deemed unsubstantiated.

The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Ruth Martinez to evaluate compliance with licensing requirements.

The inspection found no deficiencies in the areas inspected. The facility was observed to be well-maintained, with proper storage of medications and chemicals, functional safety equipment, adequate resident accommodations, and complete resident and staff files.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff do not respond to residents' calls for assistance in a timely manner, do not ensure residents' rooms are clean and sanitary, have language barriers with residents, and do not provide adequate laundry service.

The allegation that staff do not respond timely to residents' calls was substantiated with evidence of excessive response times ranging from 1 minute 30 seconds to over 95 minutes. Allegations regarding cleanliness, communication barriers, and laundry service were unsubstantiated based on interviews, record reviews, and observations.

The complaint investigation was substantiated for the allegation that staff do not respond to residents' calls for assistance in a timely manner. Other allegations regarding cleanliness, communication, and laundry service were unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate an allegation that the licensee was violating fire clearance regulations, specifically regarding non-ambulatory residents living or moving into the third and fourth floors of the facility.

The investigation found the complaint allegation to be unfounded, determining that the allegation was false or without reasonable basis. The facility was approved by the Orange County Fire Authority for 92 ambulatory, 120 non-ambulatory, and 8 bedridden residents with specific room restrictions for bedridden residents, which the facility currently did not have. The facility had no fire clearance restrictions on any floors for ambulatory and non-ambulatory residents.

The complaint alleged violation of fire clearance related to non-ambulatory residents on the third and fourth floors. The complaint was found to be unfounded and dismissed.

The visit was an unannounced complaint investigation conducted to follow up on three allegations: the facility not following their Infection Control Plan, failure to provide necessary cleaning services, and inadequate medical care.

The investigation found the allegations to be unsubstantiated. The Infection Control Plan was reviewed and deemed adequate with appropriate measures taken during a December 2024 outbreak. Cleaning services were found to be sufficient despite some documentation gaps. Medical care was provided appropriately with no failures identified.

The complaint investigation was triggered by allegations received on 12/30/2024. The allegations included failure to follow the Infection Control Plan, inadequate cleaning services, and inadequate medical care. After review of records, staff and resident interviews, and public health witness statements, the allegations were found unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that staff discarded residents' meals and gave medication to residents without a prescription order.

The investigation found the allegations to be unfounded. Interviews with residents and staff indicated that food was only discarded after residents finished eating and that residents had options for food substitutions. Medication records confirmed that residents taking Ativan had valid prescription orders, and no discrepancies were found.

The complaint investigation was initiated based on allegations received on 2025-03-27. The allegations were determined to be unfounded, meaning they were false or without reasonable basis.

This unannounced case management visit was conducted to follow up on an incident reported to the Community Care Licensing Division on February 5, 2025, involving a resident who left the premises and was hospitalized.

During the visit, no deficiencies were noted and no immediate or safety risks were observed in or out of the facility. The facility was in contact with the hospital, skilled nursing, and the resident's DPOA for updates.

The visit was an unannounced required annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with licensing requirements.

The facility was found to be operating within its license with no deficiencies cited. The inspection included tours of resident rooms, kitchen, memory care unit, and common areas, with all safety and operational standards met.

The inspection was an unannounced Case Management Incident Follow Up to investigate unusual incident reports submitted on 2024-01-24 regarding a married couple residing at the facility.

The couple had been paying to rent a room since August 31, 2023, but resided at a private residence and only visited the facility for meals. A health and safety check noted two ceiling panels missing due to water damage, with repairs scheduled. The couple's room contained minimal furniture and no personal items. The facility froze the couple's account after a declined payment and conducted a wellness check at their private residence where a Coroner's seal was observed.

The inspection was conducted as a pre-licensing inspection for a change of ownership with persons in care, to evaluate the facility's readiness for licensure as a Residential Care Facility for the Elderly.

The facility was found to be structurally sound and well-equipped with appropriate safety features, clean and operational bathrooms, stocked linens and hygiene supplies, and secured medications and toxins. Resident and staff files were reviewed, fire clearance was approved, and outdoor areas were deemed safe and suitable for residents. The facility was deemed ready for licensure pending final approval.