Inspection visit

ComplaintMay 22, 2023

IVY PARK AT SAN LAURENLicense 1572089152 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

(Continued from 9099) An exit interview and a plan of correction was developed by Administrator and reviewed with LPA. Plan of Correction is due by 06/12/23. A copy of this report was given to Administrator at the time of visit. (Continued from 9099) LPA observed a written personal property inventory form (LIC 621) for Resident R1, that was documented and signed at the time of admission. A copy was provided to R1's responsible party. The missing items mentioned in the allegation, were not observed to be documented on inventory the form. Interviews reveal items were purchased some time after admission and items were not requested to be added to the inventory form. Based on the information received, we have found that the complaint allegations are Unfounded, meaning that the allegations are without reasonable basis, therefore, we have dismissed the above complaint. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Administrator

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.

87459(a)(6)(B)Type B
87459 Functional Capabilities (a) The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to: (6) Eating, including the need for:(B) Assistance from another person. This requirement was not met as evidenced by LPAs observation of LIC602, evidencing a change of condition. A functional assessment for feeding was not documented as completed by facility. This poses a potential risk to residents in care.
87470(a)(2)(A)Type B
(a) A licensee shall ensure that infection control practices are maintained as follows:(2) Environmental cleaning and disinfection activities shall be performed following the manufacturers' instructions for proper use of the cleaning and disinfecting products. These activities shall be completed, at a minimum, as follows: (A) Surfaces such as floors, chairs, toilets, sinks, counters and tabletops shall be cleaned and disinfected on a regular basis to ensure they are safe and sanitary. These surfaces shall also be disinfected when these surfaces are contaminated or visibly soiled. This requirement was not met as evidenced by LPA's interviews and observation of text messages, that included the time and date of a visibly soiled bathroom and floor in Resident R1's room. This poses a potential threat to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the May 22, 2023 inspection of IVY PARK AT SAN LAUREN?

This was a complaint inspection of IVY PARK AT SAN LAUREN on May 22, 2023. 2 citations were issued: 2 Type B.

Were any citations issued to IVY PARK AT SAN LAUREN on May 22, 2023?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87459 Functional Capabilities (a) The facility shall assess the person's need for personal assistance and care by det..."

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 CCLD View original report

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Data from CCLD public records. Last updated June 22, 2026. If you believe any information is inaccurate, report it here.

Complaint·May 22, 2023