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Inspection visit

Incident investigation

IVY PARK AT HAYWARDLicense 019200922
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On this day, January 27, 2026, Licensing Program Analyst (LPA) Delmundo conducted a case management visit in response to the Unusual Incident Report (UIR) submitted by the facility for resident (R1) which LPA received on January 20, 2026. UIR indicated that on January 19, 2026, R1 had unwitnessed fall and was found lying on the floor on her side and was noted with bleeding to the right cheek. 9-11 was contacted and R1 was sent out, family member and R1's primary care physician were informed. R1 returned to the facility with stitches to the laceration. On this same day, January 27, 2026, LPA interviewed R1 who stated she rushed in wheeling her wheelchair resulting to falling out. No deficiency cited. Exit interview conducted and copy of this report provided.

Citations

1 citation 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.

  • 1569.269(a)(6)Type B

    §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 that are sufficient in numbers, qualifications, and competency to meet their needs.-This requirement is not met as evidenced by:-Based on records review and interviews, the licensee did not comply with the section when staff did not respond to residents' call timely which posed a potential health, safety and/or personal right risks to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 27, 2026 inspection of IVY PARK AT HAYWARD?

This was an other inspection of IVY PARK AT HAYWARD on January 27, 2026. The inspection found no deficiencies and no citations were issued.

Were any citations issued to IVY PARK AT HAYWARD on January 27, 2026?

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.

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.