Skip to main content

Inspection visit

Health check

IVY PARK AT HAYWARDLicense 0192009225 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, August 3, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 1 complaint (Complaint # 15-AS-20230801150316). LPA met with Business Office Specialist Maria David who called Operations Regional VP Phii Atlman. LPA informed the reason for visit. LPA toured the facility with Maria David. LPA inspected the 1st, 2nd, 3rd, 4th and 5th floors including but not limited to common areas and dining room and activity areas on the 1st and 2nd floors, salon, housekeeping, electrical and art rooms, patio. LPA randomly selected total of 12 residents apartments on 2nd, 3rd, 4th and 5th floors, LPA observed the following: -at 1:03 pm, cuticle remover, scissors, Tide Ultra Concentrated Liquid Soap, cleaning and salon supplies in cabinets/drawers without lock in unlocked salon on the 1st floor. -at 1:07 pm. professional strength glue, scissors, paint spray, fabric and vinyl adhesive spray in cabinets without lock in unlocked art room. -at 1:12 pm, cleaning supplies in unlocked housekeeping room on the 2nd floor. -at 1:30 pm and 1:50 pm, "Oxygen in Use" sign on resident's apartments doors on the 3rd floor. -at 3:00 pm, resident (R1) does not have LIC602A Physician's Report and Pre-admission Appraisal on file. LPA verified and two staff confirmed R1 does not have these documents. ......continued on 809C -at 3:10 pm, LPA also observed R2's Lic602A Physician's Report indicated R2 has dementia but can administer own medications but doctor's notes with same date as that on LIC602 showed R2 can not determine needs for medications. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87309(a)Type A

    87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above for having cabinets, drawers, storage without lock and/or unlocked where cleaning, art and salon supplies and scissors are kept which pose immediate safety risks to persons in care.

  • 87457(c)Type B

    87457 Pre-Admission Appraisal - General (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria... -This requirement is not met as evidenced by:-Based on records review, the licensee did not comply with the section above for R1 without pre-admission appraisal which poses oses potential health and/or safety risks to person in care.

  • 87458(a)Type B

    87458 Medical Assessment(a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.....-This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above for not having medical assessment and/or LIC602A for R1 which poses potential health and/or safety risks to person in care.

  • 87458(c)Type B

    87458 Medical Assessment(c) The licensee shall obtain an updated medical assessment when required by the Department.-This requirement is not met as evidenced by -Based on records review, the licensee did not comply with the section above for R2's medical assessment indicating R2 has dementia but can administer medications which is not consistent with doctor's note indicating R2 can not determine need for medications,

  • 87618(b)(3)(B)Type B

    87618 Oxygen Administration - Gas and Liquid (b).., the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements:(B)"No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. -Based on observation, the licensee did not comply with the section above for not having the sign posted in appropriate place which poses a potential risk to persons in care,

FAQ · About this visit

Common questions about this visit

What happened during the August 3, 2023 inspection of IVY PARK AT HAYWARD?

This was a other inspection of IVY PARK AT HAYWARD on August 3, 2023. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to IVY PARK AT HAYWARD on August 3, 2023?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "87309 Storage Space(a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.