Ivy Park at Simi Valley

Based on interviews and record review, the Licensee did not comply with the section cited above as S1 and S2 were disassociated on 01/01/2026 but continued to work at the facility, which poses an immediate safety risk to residents in care.

Residents shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. (3) To be free from abuse or other actions of a punitive nature. This requirement has not been met as evidenced by: Based on the investigation, the Licensee did not comply with the section cited above as R2 was observed speaking inappropriately to R1 on several occasions, which poses a potential health, safety, and/or personal rights risks to persons in care.

Each licensee shall furnish to the licensing agency such reports as the Department may require, including: Any incident which threatens the welfare, safety or health of any resident… This requirement has not been met as evidenced by: Based on record review, the licensee did not comply with the section cited above as the facility did not submit LIC 624 within seven (7) days of occurrence for R1’s hospital visit, which poses a potential health and safety risk to residents in care.

The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above, as the facility staff could not provide confirmation that R2’s pain patch was replaced as prescribed, which poses an immediate health and safety risk to residents in care.

87468.1(a)(1) Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on information obtained and reviewed, including interviews, the Licensee did not comply with the section cited above as facility staff were observed yelling in the presence of residents, which poses a potential personal rights risk to residents in care.

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) 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) 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.