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Inspection visit

Follow-up

IVY PARK AT SAN JOSELicense 4352028471 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced Case Management visit ,and met with Memory Care Director (MCD) Jayden Bettencourt. On 6/3/2022, the Department received an Unusual Incident Report from facility regarding a resident (R1) eloped from facility. The Department conducted an interview on 6/3/2022 and requested the resident's physician report. On 6/6/2022, the Department received resident's physician report. Based on the record reviewed on 6/6/2022, and the interview conducted on 6/3/2022, the resident is not allowed to leave unassisted. A deficiency was cited today. See LIC809-D. Exit interview was conducted with MCD This report and LIC809-D were provided to MCD for record.

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.

  • 87464Type A

    Basic Services (f)Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c). Health and Safety Code section 1569.2(c) provides:(c) "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance …” This requirement was not met as evidenced by:Based on interview, and records review, the facility did not provide the necessary assistance to R1 who can’t leave facility unassisted when R1 left the facility. This poses an immediate risk to the health and safety of resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the June 17, 2022 inspection of IVY PARK AT SAN JOSE?

This was an other inspection of IVY PARK AT SAN JOSE on June 17, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to IVY PARK AT SAN JOSE on June 17, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Basic Services (f)Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) a..."

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.