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Inspection visit

Follow-up on corrections

IVY PARK AT OTAY RANCHLicense 3746044551 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite a deficiency identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Calais Anguiano. Former Resident #1 (R1) and their representative/responsible person (RP) signed the Admissions Agreement contract which Licensee prepared and presented to them. [See LIC811 Confidential Names List for a description of R1.] However, a facility representative did not co-sign this contract on behalf of Licensee, even after seven (7) days after move-in. One (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Anguiano, to whom a copy of this report, the LIC 809-D, 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 other inspection of IVY PARK AT OTAY RANCH on June 2, 2025. 1 citation were issued: 1 Type B.

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

Yes, 1 citation was issued (0 Type A, 1 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 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.