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Inspection visit

Routine inspection (multi-day)

IVY PARK AT HAYWARDLicense 019200922
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On this day, 12/22/23, Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the annual required inspection that was started on 10/04/23. LPA met with Executive Director (ED) Cayia Henry, and informed the reason for visit. LPA reviewed 5 residents records. LPA checked the medications and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources. No deficiency cited. Exit interview conducted and copy of this report provided.

Citations

2 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.

  • 87463(a)Type B

    Update reappraisal at required intervals

    87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental,..... .....and social condition.-This requirement is not met as evidenced by:- Based on records review and interview, the licensee did not comply with the section above for not doing a re-appraisal or updating Care Plan after R1 had multiple falls in few months.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements(a)(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the event.(D)Any incident which threatens the welfare, safety or health of any resident,... -This requirement is not met as evidenced by:- Based on records review and interview, the licensee did not comply with the section above for not submitting incident report for R2 which poses a potential health, safety and/or personal rights risks to person in care,

FAQ · About this visit

Common questions about this visit

What happened during the December 22, 2023 inspection of IVY PARK AT HAYWARD?

This was an other inspection of IVY PARK AT HAYWARD on December 22, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to IVY PARK AT HAYWARD on December 22, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

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

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