Incident investigation·June 22, 2023

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Ivy Park At Santa Rosa for the purpose of conducting a Case Management-Incident Inspection. LPA was greeted at the door by Administrator, Stephanie Limberg, and was granted access into the facility. During the Case Management-Incident inspection, an incident report was forwarded to Community Care Licensing Regional Office on June 10, 2023. Incident Report summarizes that a resident had a fall, injury and subsequent hospital visit. LPA learned that the resident is doing good at this time and was prescribed some medication for the pain throughout the night. Administrator shared that the Care Plan will be updated with the family. LPA attempted to interview the Resident in care and was unsuccessful. During this Case Management-Incident Inspection, LPA reviewed the following document: -Care Plan No deficiencies were observed or cited during today's Case Management-Incident inspection. Exit interview was conducted and a copy of this report was given to the facility Administrator.