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Inspection visit

Complaint

IVY PARK OF ROSEVILLELicense 3150029541 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint findings. LPA met with James Dial during today’s inspection. LPA investigated allegation, “Staff did not report incidents to resident's responsible party.” LPA interviewed relevant party in which they stated R1 had a fall in the dining room in December 2025 and the incident was not reported to the responsible party. LPA interviewed Administrator in which he stated he recalled the incident however no documentation was taken and it appears staff did not notify the responsible party or CCL of the fall incident. Due to the information gathered LPA finds allegation to be SUBSTANTIATED. As a result of this investigation, LPA finds allegations to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies cited on 9099-D. Copy of report provided to the facility.

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.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirements was not met by evidenced by: Incidents were not reported to responsible party and CCL, responsible parties, and physicians which poses a potential health and safety risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the January 28, 2026 inspection of IVY PARK OF ROSEVILLE?

This was a complaint inspection of IVY PARK OF ROSEVILLE on January 28, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to IVY PARK OF ROSEVILLE on January 28, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87211 Reporting Requirements. (a) Each licensee shall furnish to the licensing agency such reports as the Department may..."

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.