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Inspection visit

Follow-up on corrections

IVY PARK AT SIMI VALLEYLicense 565850299
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Martha Arroyo conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20231208092110). The purpose of the visit is to issue a citation for a deficiency observed during the initial complaint investigation. During the visit on 12/12/2023, interviews conducted with staff revealed that Resident #1 (R1) was independent and did not require assistance of daily living (ADL’s) and managed their own medications. Staff stated that R1 had their personal vehicle while living at the facility which R1 used when leaving the facility unassisted. Record review of R1’s physician report dated, 08/23/2023, indicated R1 is able to follow instructions and communicate their needs. However, physician report also indicated that R1 was not able to leave the facility unassisted and required assistance with ADL’s including but not limited to bathing, dressing/grooming self, and with toileting needs. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Although this is a basic services violation, it has already been cited under the Complaint Control # 29-AS-20231208092110. Exit interview was conducted. A copy of the report and appeal rights were provided.

Citations

3 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.

  • 87465(a)(4)Type A

    87465 (a)(4) Incidental Medical and Dental Care. (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as medications are not being properly documented on the CSMDR once received, which posed an immediate health and safety concern to persons in care.

  • 1569.312(a)Type A

    1569.312(a) Basic services shall at a minimum include: (a) Care and supervision as defined in Section 1569.2.This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as staff did not check on R1 in a timely manner resulting in R1 sustaining multiple injuries, which posed an immediate health and safety risk to residents in care.

  • 87468.1(a)(2)Type B

    87468.1(a)(2) Personal Rights of Residents in All facilities: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not comply with the section cited above as facility staff did not ensure that resident’s call pendant for assistance was functioning properly, which posed a potential risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 24, 2024 inspection of IVY PARK AT SIMI VALLEY?

This was a other inspection of IVY PARK AT SIMI VALLEY on September 24, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to IVY PARK AT SIMI VALLEY on September 24, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

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.