Routine inspection·March 25, 2025

At approximately 8:45 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a 1-Year Required inspection and was greeted by Office Director Debbie Spencer. Administrator/Executive Director (ED), Stephanie Limberg arrived at approximately 8:55 AM. Ivy Park at Santa Rosa serves older adults in Assisted Living and Memory Care. Facility has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and total capacity for 114 non-ambulatory residents of which 14 residents can be bedridden. Facility has an approved hospice waiver for 12 residents. The facility consists of two (2) multi-level buildings. One (1) building is for assisted living. The other building is dedicated to memory care. Upon arrival, LPA was informed that there were 100 Residents in care. At approximately 9:10 AM LPA reviewed Facility Staff Roster and found that all staff members on site were background cleared and associated to the facility per regulation. At approximately 10:00 AM LPA toured the facility with ED Limberg. The facility was observed to be clean, orderly, and at a comfortable temperature during today's visit. All common areas, hallways, and bathrooms observed by the LPA had sufficient lighting. Bathrooms observed had grab bars, and non-slip mat/flooring for bathing/showering as needed. The facility has emergency supplies, including food and water to meet requirements of the 72-hour shelter in place. The kitchen was observed to have a sufficient supply of perishable and non-perishable food. The facility offers a variety of menu options for the residents at each meal. Facility has a sufficient supply of cleaners, hygiene items, PPE supply, and paper products. All toxins/cleaners were locked and inaccessible to residents in care. Hot water temperatures for a sample size of nine (9) sinks were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. All stairwells had evacuation chairs per regulation. Continued on 809-C ...Continued from 809 Both buildings' smoke and carbon monoxide detectors and sprinkler system were last inspected 12/2024. All exits were observed to be unobstructed. All fire extinguishers were serviced and tagged 1/10/2025. The facility conducts disaster drills monthly. The last disaster drill was conducted on 3/20/2025. LPA conducted a sample file review of ten (10) staff members. All staff members had appropriate documentation, proof of training and current 1 st Aid and CPR certification on file. LPA also conducted a sample file review for ten (10) residents. Upon review, LPA observed residents to have appropriate documentation on file including current Service Plans and Physician's Reports. All medications were locked and inaccessible to residents in care. LPA conducted a spot check of 8 residents’ medications both in memory care and assisted living and observed all documentation and medications to be in order. During the tour, residents were observed interacting with staff in common spaces, resting in their private apartments, participating in various activities and mingling with family and amongst each other. The Facility has a library, billiards room, and a small store for the residents. There is also a beauty salon for the residents that operates several days a week. The facility provides an eclectic range of activities specified for both assisted living and memory care engagement. Stephanie Limberg’s Administrator Certification 7004545740 is current with an expiration date of 7/6/2026. LPA is requesting the following documents submitted to CCLD by 4/25/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Copy of Current Liability Insurance No deficiencies cited during today's visit. Exit interview conducted. Copy of report and discussed and provided to ED Limberg. Signature on form confirms receipt of documents.