Skip to main content
ReadyRule homepageReadyRule

Inspection visit

complaint

IVY PARK AT OTAY RANCHLicense 3746044553 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

[CONTINUED FROM LIC 9099] Interviews aligned to show: On 03/22/2025, R1 fell on the facility premises, right outside the lobby front door, to which facility staff responded timely. On 03/29/2025, facility staff arranged for R1 to be transported to the hospital for a change in condition, where R1 was admitted. R1 remained at the hospital, where they subsequently died in late April 2025. Licensee did not submit written incident reports to CCLD or R1’s responsible person describing R1’s fall, hospitalization, or death; these were required to be submitted to both parties within seven (7) days of occurrence. Interviews of a corroborating outside source showed this person found two (2) mice hiding inside a cardboard box inside R1’s bedroom, which they removed and brought outside. CCLD also obtained photographic evidence of rat multiple droppings on R1’s personal effects. Available records and interviews showed: R1’s and their representative/responsible person (RP) both previously signed an Admissions Agreement which Licensee prepared for R1. However, a facility representative did not co-sign on behalf of Licensee. [Licensee’s missing signature will be addressed in a separate Case Management visit report.] R1’s RP then requested a copy of the contract from Licensee, but Licensee did not follow through on this request. Based on records and interviews, a preponderance of evidence exists to show Licensee did not meet reporting requirements, that Licensee did not keep resident’s room free of rodents, and that Licensee did not provide copy of admissions agreement to resident’s representative. These allegations were Substantiated, and three (3) deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). Plans of Correction were jointly developed with the Licensee. An exit interview was conducted with Anguiano, to whom a copy of this report, the LIC 9099-D pages, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

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.

  • 87507(c)Type B

    87507 Admission Agreements: “(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee or their designated representative did not sign the admissions agreement for 1 of 113 residents (R1) within seven (7) days after the resident’s admission. This posed a potential personal rights violation to persons in care.

  • 87211(a)(1)Type B

    87211 Reporting Requirements: “(a) (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…(D) Any incident which threatens the welfare, safety or health of any resident…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not submit a written report to the licensing agency and to the person responsible for 1 of 113 residents (R1) who had an incident which threatened their welfare, safety, or health. This posed a potential personal rights risk to persons in care.

  • 87303(a)Type B

    87303 Maintenance and Operation: “(a) The facility shall be clean, safe, sanitary…at all times.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not ensure the facility was clean and sanitary at all times. This posed a potential health and safety risk to persons in care.

  • 87507(e)Type B

    87507 Admission Agreements: “(e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. The licensee shall provide additional copies to the resident or resident’s representative upon request.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not provide copy of the signed and dated current admission agreement to the representative of 1 of 113 residents (R1) immediately upon singing the admission agreement and upon request. This posed a potential personal rights violation to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 2, 2025 inspection of IVY PARK AT OTAY RANCH?

This was a complaint inspection of IVY PARK AT OTAY RANCH on June 2, 2025. 3 citations were issued: 3 Type B.

Were any citations issued to IVY PARK AT OTAY RANCH on June 2, 2025?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "87507 Admission Agreements: “(c) Admission agreements shall be signed and dated, acknowledging the contents of the docum..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.