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Inspection visit

Follow-up on corrections

IVY PARK AT HAYWARDLicense 0192009221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

While the Department conducted investigation of complaint (Control # 15-AS-20230801150316) and upon review of records and interviews, it was learned that fift assist had to be called each time in order to get R1 up. Facility staff admitted that R1 would fall “every single day”. All facility staff interviewed stated they did not believe they could provide the level of care R1 required but kept R1 at the facility anyway. LPA discussed the above with Executive Director (ED) Nansiela 'Nancy' Randhawa. Deficiency is from Title 22 California Code Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the ED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

Citations

4 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.

  • 1568.03(b)Type A

    §1568.03 License requirements; levels of care; application of chapters; multiple licenses; enjoining violations: (b) A facility may accept or retain residents requiring varying levels of care. However, a facility shall not accept or retain residents who require a higher level of care than the facility is authorized to provide. …….. -This requirement is not met as evidenced by;-Based on interviews and record review, the licensee did not comply with the section above in retaining a resident who needed higher level of care which posed an immediate health, safety and/or personal rights risks to person in care.

  • 1569.269(a)(5)Type A

    §1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights:(5) To be accorded safe, healthful, and comfortable accommodations.......-This requirement is not met as evidenced by -Based on records review and interviews, the licensee did not comply with the section above in not safely meeting R1’s needs resulting to R1's constant falls which posed an immediate health, safety and/or personal rights risks to person in care.

  • 1569.269(a)(6)Type A

    §1569.269 Enumerated rights; severability: (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs and are delivered by staff..........-This requirement is not met as evidenced by: -Based on records reviews and interviews, the licensee did not comply with the section above in not meeting R1’s needs of being non-ambulatory by walking R1 to the bathroom causing R1 to fall and sustained injury which posed an immediate health, safety and/or personal rights risks to person in care.

  • 87564(f)(2)Type A

    87464 Basic Services(f) Basic services shall at a minimum include: (2) Safe and healthful living accommodations and services, as specified in Section 87307, Personal Accommodations and Services.-This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section above in not meeting R1’s transferring needs by walking R1 to the bathroom which posed an immediate health, safety and/or personal rights risks to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 4, 2025 inspection of IVY PARK AT HAYWARD?

This was a other inspection of IVY PARK AT HAYWARD on June 4, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to IVY PARK AT HAYWARD on June 4, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1568.03 License requirements; levels of care; application of chapters; multiple licenses; enjoining violations: (b) A f..."

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

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