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Inspection visit

Follow-up on corrections

IVY AT BLUE OAKS, THELicense 3159202221 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 4/15/26, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while delivering complaint findings and met with Executive Director/ Administrator . During the investigation of complaint number 59-AS-20251226110029, LPA found, through records and statements, that R6 used a catheter and that the catheter changes and flushing were done by a family member who was not a licensed professional. Title 22 regulation 87623 Indwelling Urinary Catheter- (a)(1)(A)and (B) states: (A) Irrigation shall only be performed by an appropriately skilled professional in accordance with the physician's orders. (B) A catheter shall only be inserted and removed by an appropriately skilled professional under physician's orders. R6 has since moved from the community. As a result of this inspection, the following deficiencies were cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. Report reviewed. Copy of report and appeal rights provided

Citations

3 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.

  • 87623(a)(1)(A)Type A

    Indwelling Urinary Catheter- (a)(1)(A)and (B) states: (A) Irrigation shall only be performed by an appropriately skilled professional in accordance with the physician's orders. (B) A catheter shall only be inserted and removed by an appropriately skilled professional under physician's orders. This requirement was not met based on statements and records. This posed an immediate risk to R6.

  • 87625(a)(1)(BandC)Type B

    Managed Incontinence (a)(1)(B and C) (B) A structured bowel and/or bladder retraining program to assist the resident in restoring a normal pattern of continence. (C) A program of scheduled toileting at regular intervals. This requirement was not met based on records and statements. This posed a potential risk to residents in care.

  • 87411(a)Type B

    Facility personnel sufficiency and competence

    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 was not met based on records and statements. This posed a potential risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 15, 2026 inspection of IVY AT BLUE OAKS, THE?

This was an other inspection of IVY AT BLUE OAKS, THE on April 15, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to IVY AT BLUE OAKS, THE on April 15, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Indwelling Urinary Catheter- (a)(1)(A)and (B) states: (A) Irrigation shall only be performed by an appropriately skilled..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.