Ivy Park at Burbank

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. (1) Floor .... kitchen areas shall be maintained in a clean, sanitary, and odorless condition.This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in having kitchen floors, walls, doors and kitchen appliances such as industrial oven to be clean, which poses/posed a potential health, safety or personal rights risk to persons in care.

The licensee shall immediately, or as soon as reasonably possible, communicate with the resident and, if applicable, the resident's representative, about any significant change in condition and the recommendation, if any, of the appropriate licensed medical professional, and if applicable, other specialized care provider. Documentation of such communication shall be added to the resident’s record. This requirement is not met as evidenced by:Based on records review and interview, there was no assessment made to R1 after 2 hospitalizations, this poses a potential health and safety risk to the residents in care.

Plan of operation. In part .... The Licensee shall operate the facility in accordance with the terms specified with in the plan of operation. This requirement was not met as evidenced by: Based on information provided by the administrator during the interview S1 did not comply with the facility's medication policy, resulting in repeated medication errors, which poses/posed an immediate health, safety risk to persons in care.

Facility personnel, shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not `met as evidenced by: Based on LPA’s observations, review of facility files and information provided during interviews it was determined that the facility did not provide a sufficient number of staff to meet the needs of residents in care including but not limited to incontinent care, resulting in the risk to the health and safety of residents in care.

(1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on the investigation conducted by the Investigative Branch, substantiating sexual assault perpetrated by staff #1 (S1) on Resident #1 (R1) which posed an immediate health and safety risk or personal rights risk to persons in care.

Based on, the licensee did not comply with the section cited above in during annual inspection LPA tested signal system from a resident's bathroom, staff took 30 minutes to clear alarm which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation), the licensee did not comply with the section cited above in kitchen staff/service staff not wearing hairnets while inside kitchen which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in not having a recent annual evaluation for a resident with dementia/alzheimer's as primary diagnosis which poses/posed a potential health, safety or personal rights risk to persons in care.

(a)Facility personnel shall at all times be sufficient in numbers... In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports....This requirement is not met as evidence by: Based on interviews conducted, residents and staff revealed, residents have waited an unreasonable amount of time to receive assistance citing the number of staff on shift to provide care, which posed an immediate health, safety and personal rights risk to residents in care.

87207 False ClaimsNo licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement was not met as evidence by: Based on a record review and observation. The facility has changed the name on the building, website and is currently advertising under a different name other than what is licensed, prior to approval from licensing. This poses a potential health and safety risk to residents in care.

87411 Personnel Requirements - General(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidence by: The facility failed to meet residents needs by not providing assistance to R1, who had prior falls that the facility was aware of.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(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: (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: The facility failed to assist R1 in obtaining a higher level of care than the facility could provide to prevent further falls.

87468.1 Personal Right of Residents in all Facilities (a) Residents in all residential care facilities… (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of punitive nature…This requirement is not met as evidenced by: Based on investigation report, record reviews and interviews, the licensee reported the resident was found on the toilet for an extended period of time and shaking noted to have marks on buttocks, which poses an immediate health and safety risk to persons in care.