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Inspection visit

complaint

IVY PARK AT SAN RAMONLicense 0792011161 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

LPA also received an email correspondence from Executive Director who stated that they were "under the impression that our Health Service Director confirmed the date of Oct 29, 2025 with the responsible party (RP). Turns out that was not the case." regarding R1 being moved rooms. It was explained to LPA by Business Office Director that the family was aware that R1 was going to move rooms however the facility never confirmed the date of the move and did not provide a written 30 day notice to the responsible party therefore the allegation " Staff did not give resident's responsible party proper notification of resident's room change" is substantiated. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights 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)(16)Type B

    (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(16)To written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency.This requirement was not met as evidence by: Based on record review and interview R1 did not receive a written 30 day notice of room change prior to the change which poses a potential personal rights risk to resident in care

FAQ · About this visit

Common questions about this visit

What happened during the November 19, 2025 inspection of IVY PARK AT SAN RAMON?

This was a complaint inspection of IVY PARK AT SAN RAMON on November 19, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to IVY PARK AT SAN RAMON on November 19, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in pr..."

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.