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Inspection visit

complaint

IVY PARK AT SAN RAMONLicense 0792011162 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

It was alleged that the Staff did not administer the resident's medications as prescribed- Substantiated During the course of investigation, LPA interviewed staff, record review, and other evidence gathered during the investigation, the allegation that staff did not administer the resident’s medications as prescribed was found to be substantiated. Records indicate that staff failed to follow the physician’s orders regarding medication administration, resulting in missed and/or delayed doses. This practice poses a potential health and safety risk to residents in care. The following deficiencies were observed see LIC 809D and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. An exit interview was conducted, and a copy of this report and appeal rights is 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.

  • 87465(h)(2)Type B

    87465(h)(2)Incidental Medical and Dental Care“Once ordered by the physician, medications shall be given according to the physician’s directions.”Residents’ medications must be safeguarded to ensure they are administered only to the prescribed individual and strictly in accordance with the physician’s directions.This requirement is not met as evidenced by: Based on observation and record review, the licensee did not ensure the safeguarding of residents’ medications. Medications were found unsecured and accessible, creating a risk that residents may receive medications not prescribed to them or that doses may not be administered as directed. This poses an immediate health and safety risk to residents in care.

  • 87468.2(a)(4)Type B

    87468.2(a)(4) – Personal Rights of Residents in All Residential Care Facilities for the Elderly“To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.”Residents shall be provided with safe, healthful, and comfortable accommodations, which includes the proper administration of prescribed medications to ensure resident health and safety.This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure that medications were administered as prescribed. Documentation confirmed that staff failed to follow physician’s orders regarding medication administration, resulting in missed and/or delayed doses. This posed a potential health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 26, 2025 inspection of IVY PARK AT SAN RAMON?

This was a complaint inspection of IVY PARK AT SAN RAMON on September 26, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to IVY PARK AT SAN RAMON on September 26, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87465(h)(2)Incidental Medical and Dental Care“Once ordered by the physician, medications shall be given according to the..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.