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Inspection visit

Complaint

IVY PARK AT WEST HILLSLicense 1976105011 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

(Cont from 9099) that R1 was admitted on 4/12/26 for drug overdose. R1 was given Supratherapeutic Lorazepam at 2 mg instead of 0.5 mg PRN and Clozapine 25 mg which was no longer prescribed with multiple dose over 1-2 days leading to progressive sedation. Staff acknowledged responsibility for the medication error, and the staff member involved was subsequently terminated; therefore, no further interviews were conducted. Based on interviews and record review, the allegation is deemed SUBSTANTIATED at this time. Deficiency cited on 9099D Exit interview conducted/copy of report given

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.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    87465 (c)(2) Incidental Medical and Dental Care [...] Once ordered by the physician the medication is given according to the physician's directions. This requirments has not been met: Based on interviews and record review licensee failed to ensure medication procedures were followed which led to R1 being hospitalized for drug overdose, which is an imediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 29, 2026 inspection of IVY PARK AT WEST HILLS?

This was a complaint inspection of IVY PARK AT WEST HILLS on April 29, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to IVY PARK AT WEST HILLS on April 29, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 (c)(2) Incidental Medical and Dental Care [...] Once ordered by the physician the medication is given according to..."

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.