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Inspection visit

Complaint

IVY PARK AT SEVEN OAKSLicense 157209257
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 01/15/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Administrator Pamela Bradley and Memory Care Director Mikayla Goulart . During the course of the investigation, records were received, interviews were conducted, and facility was toured. Interviews conducted with residents who confirms staff provided care for residents. Staff changes resident’s brief when needed. Based on records review and interviews conducted, there was insufficient evidence to prove or disprove that staff did not seek medical attention to resident in a timely matter. Therefore, preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report.

Citations

4 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.

  • 87303(e)(2)Type B

    Provide resident hot water for personal care

    Based on observation, hot water temperature in memory care unit measured at 130.3 degrees F in room 27, 125.3 degrees F in room 46, and 122.5 degrees F in room 12, which poses/ posed a potential health and safety risk for the person in care.

  • 87309(a)Type A

    Ensure hazardous items are locked and not unattended

    Based on observation, the licensee did not comply with the section cited above when LPA observed tools and box cutters in room 112, a cleaning bottle in room 107 bathroom cabinet, and small knives stored in room 213 kitchen drawers, unlock accessible to residents in care this poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    Based on records review and observation, R1’s medication Gabapentin 300 mg, R2’s medication Levothyroxine 100mcg, R2 medication Meloxicam 7.5 mg, R3 medication Divalproex 500 mg, and R3’s medication Vitamin D-3 2,000U were not administered as instructed by physician, which poses an immediate health and safety risk for the person in care.

  • 87555(b)(21)Type B

    Food storage temperature control requirements

    Based on interviews conducted, observation, and records reviewed, the facility walk in freezer was observed at 38 degrees F. Facility record show walk-in freezer temperature maintained between 2.4 and 34.9 degrees F, which posed/ poses a potential health and safety risk for the person in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 15, 2025 inspection of IVY PARK AT SEVEN OAKS?

This was a complaint inspection of IVY PARK AT SEVEN OAKS on January 15, 2025. The inspection found no deficiencies and no citations were issued.

Were any citations issued to IVY PARK AT SEVEN OAKS on January 15, 2025?

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 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.