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Inspection visit

Routine inspection

IVY PARK AT HAYWARDLicense 0192009222 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

At 1:45 pm on this day, 10/30/25, Licensing Program Analyst (LPA) Alicia Delmundo conducted an unannounced annual required inspection. LPA met with Executive Director (ED) Joseph Villanueva and informed the reason for visit. Facility is a seven story building, of which 1st floor to 5th floors house assisted living residents. LPA toured the facility with ED. LPA inspected the common areas, activity rooms, kitchen, dining rooms on the first and 2nd floors, Life Enhancement area, lounge/bistro. theater, fitness center/room, courtyard and back patio. Salon, housekeeping and supplies rooms, art studio, massage/therapy room and fitness center on the first floor were inspected. Electrical and housekeeping supply rooms, laundry rooms on other floors were checked. Food supplies were observed good for 7 days of non perishables and 2 days of perishables. LPA randomly selected 10 residents apartments for inspection - 2 each on 1st, 2nd, 3rd, 4th and 5th floors. Facility has carbon monoxide and smoke detectors that are in operating condition. Hot water temperature in one of the residents' bathroom on the 2nd floor was tested and measured at 117.1 degrees Fahrenheit. Facility has evacuation chairs on stairwells. Facility conducts disaster drills at least every quarter and records showed last fire, disaster and earth quake drills last conducted 9/26/25, 9/24/25 and 10/29/25 respectively. ....continued on 809C LPA observed the following: -at 2:30 pm, razor in the bathroom of 1 of the apartments in memory care unit. -at 2:55 pm, Tylenol in the medicaiton cabinet in the bathroom of the resident on the 4th floor of which the LIC602A Physician's Report showed can not administer and store own medications The following updated/current documents to be submitted by November 13, 2024: 1. LIC308 Designation of Facility Responsibility 2, LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate 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 and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with ED. Due to time constraint, LPA will come back to continue inspection. Exit interview conducted. Appeal Rights,LIC9098 Proof of Correction form 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.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above in having a razor in one of the apartments in memory care unit which poses an immediate safety and/or personal rights risk to persons in care.

  • 87465(h)(1)(B)Type A

    Based on observation and record review, the licensee did not comply with the section cited above in having Tylenol in the medication cabinet in the apartment of a resident who can not administer and store own medications which poses an immediate health, safety and/or personal rights risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 30, 2025 inspection of IVY PARK AT HAYWARD?

This was a inspection inspection of IVY PARK AT HAYWARD on October 30, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to IVY PARK AT HAYWARD on October 30, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above in having a razor in one of the apartment..."

What type of inspection was this?

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

SourceView on CCLDView original report

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