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Inspection visit

Incident investigation

IVY AT BERKELEY, THELicense 0192015061 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 01/29/2026 at 9:40 AM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported AWOL incident that occurred on 01/09/2026. LPA met with Executive Director (ED), Angeles Sticka, and explained the purpose of the visit. On 01/20/2026, LPA P. Manalo received an incident report that indicated that on 01/09/2026, R1 AWOL’D from the facility. Incident report revealed that facility staff seen R1 down the street. Facility staff conducted a search around the neighborhood for R1 and found R1 at bank nearby. Per incident report, R1 did not sustain any injuries. During the visit, LPA interviewed ED and R1. ED stated that R1 went to the bank so that R1 can pay for R1's rent to the facility. ED stated that a fax report was sent to the physician to follow up on R1's diagnosis. LPA reviewed and obtained documents including but not limited to resident roster, incident report, physician report, resident assessments, physician fax report, resident information form, and a copy of the check's invoice that R1 made to the facility. Physician report dated 11/23/2025 indicated that R1 has intermittent confusion and is not able to leave the facility unsupervised. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty. Exit interview conducted. Appeal Rights, LIC421FC, and a 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.

  • 87468.2(a)(4)Type B

    (4) 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 record review and interview, the licensee did not comply with the section cited above when R1 AWOL’D from the facility which posed a potential safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 29, 2026 inspection of IVY AT BERKELEY, THE?

This was a other inspection of IVY AT BERKELEY, THE on January 29, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to IVY AT BERKELEY, THE on January 29, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient i..."

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.