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Inspection visit

complaint

IVY PARK AT ROCKVILLELicense 4868036533 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC 9099 Additionally, Observations conducted by LPA Canela on 6/10/22, showed the following: an individual entered the facility through a back entrance. The individual walked to the front desk and was not asked for their temperature or if they had their vaccination information or negative COVID-19 test. The allegation that Facility is not following COVID Protocols is SUBSTANTIATED. There is an allegation that Facility does not follow emergency disaster plan requirements. Based on Review of facility documents, Facility does have an Emergency Disaster Plan in place. However, LPA observations on visits dated 7/7/22 and 7/12/22, showed that Emergency Exit plans were not posted in the facility per regulation. The allegation that facility does not follow emergency disaster plan requirements is SUBSTANTIATED. LPA observations conducted during the 7/18/22 visit showed that facility has since posted exit plans in the facility. There is an allegation that Facility is not providing adequate food service to residents. Based on Interview with Dining Services Director, Facility worked with the food supplier company, Sysco. Dining Services Director stated that there have been multiple times where Sysco has delivered an incomplete order. The incomplete deliveries have resulted in menus needing to be changed at the last minute. For items that were not available or missing from the Sysco delivery, Facility will purchase the missing items by going to local stores or utilizing a third-party grocery application. Dining Services Director stated that facility is switching food suppliers from Sysco to US Foods. Based on Interview with Administrator, they have not received recent reports about having low quantities of food and have not been needing to use third-party grocery application as often. Administrator stated that Dining Services Director does routine checks and logs what items are low in quantity. Based on Review of Store Receipts, Facility has been purchasing missing items such as fruit, starches, and coffee creamer. Based on LPA’s observations, Facility’s Lunch Menu matches what facility is serving residents for 7/18/22. Additionally, Observations conducted by LPA Canela on 6/10/22, showed the following: 16 pieces of cooked chicken on a cold tray and leftover potatoes and vegetables in a plastic container. The tray and plastic container were not covered. Based on these findings, the allegation that Facility is not providing adequate food service to residents is SUBSTANTIATED Continued on LIC-9099C Continued from LIC-9099C A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. ***An immediate civil penalty in the amount of $250.00 has been issued for a repeat violation of the California Code of Regulations (CCRs) Section 87555(a) . The civil penalty will continue to accrue $100 per day per violation until the violation is corrected. Exit interview conducted. Copy of report, LIC-809D, LIC-421FC, LIC9102, and Plan of Corrections discussed and provided to Administrator. Signature on form confirms receipt of documents.

Citations

6 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.

  • 87411(c)(1)Type B

    87411 Personnel Requirements – General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training...(1)Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Based on LPA’s observations and Interviews conducted, the Licensee did not comply with the above regulation and did not ensure that all staff that assist residents with personal activities of daily living have completed and documented training. This poses a potential health & safety risk to residents in care.

  • 87465(g)Type A

    87465 Incidental Medical and Dental Care:(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis...This requirement is not met as evidenced by: Based on Resident File Review, Facility Document Review, and Interviews conducted, the Licensee did not comply with the above regulation and did not call 911 per protocol after observing the resident experience a lot of bleeding. This poses an immediate health and safety risk to residents in care.

  • 87212(c)Type B

    87212 Emergency Disaster Plan (c) Emergency exiting plans and telephone numbers shall be posted. This requirement is not met as evidenced by: Based on LPA’s observations, the Licensee did not comply with the above regulation and did not ensure that Facility had emergency exit plans/maps posted. This poses a potential health and safety risk to residents in care.

  • 87468.1(a)(2)Type B

    87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2)To be accorded safe, healthful and comfortable accommodations...This requirement was not met as evidenced by: Based on LPA’s observations, the Licensee did not comply with the Department of Public Health and Department of Social Services Guidelines and Requirements related to COVID-19. LPA observed multiple individuals not wearing a mask and/or not being screened for COVID related symptoms. This poses a potential health and safety risk to residents in care.

  • 87555(a)Type A

    87555 General Food Service Requirements(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents...All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on LPA observations and interviews conducted, the Licensee did not comply with the above regulation and did not ensure that food was properly stored. This poses an immediate health and safety risk to the residents in care.

  • 87555(b)Type A

    87555 General Food Service Requirements(b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidenced by: Based on LPA Observations and File Records reviewed, the Licensee failed to ensure Resident (R1) was following the modified diet as prescribed by their Physician. This poses an immediate health & safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 18, 2022 inspection of IVY PARK AT ROCKVILLE?

This was a complaint inspection of IVY PARK AT ROCKVILLE on July 18, 2022. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to IVY PARK AT ROCKVILLE on July 18, 2022?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87411 Personnel Requirements – General(c) All RCFE staff who assist residents with personal activities of daily living s..."

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.