Ivy Park at Wood Ranch

A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days... and disposition of the case. This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as incident reports (LIC 624) for multiple falls for R1 were not sent to the RO in a timely manner which posed a potential health and safety risk to residents in care.

87465(a)(4) Incidental Medical&Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility… (4) The licensee shall assist residents with self-administered medications as needed. 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 continued to administer a medication to R1 that was discontinued by R1’s PCP which posed an immediate health and safety risk to residents in care.

When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first...as specified in Section 87467, Resident Participation in Decision Making.This requirement was not met as evidenced by: Based on interviews and records review, the licensee did not comply with the section cited above as no updated reappraisals were observed in R1’s file after R1 experienced multiple falls, which posed a potential health and safety risk to residents in care.

(c) If a resident who has an advance directive and/or request regarding resuscitative measures… experiences a medical emergency… (3) Specifically for a terminally ill resident that is receiving hospice services... For emergencies not directly related to the expected course of the resident’s terminal illness, the facility staff shall immediately telephone emergency response (9-1-1).This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the above cited section in facility staff did not seek medical attention for R1 in a timely manner which poses/posed an immediate health, safety, and person rights risk to persons in care.

(f) Basic services shall at minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the above cited section in that R1 did not receive adequate care and supervision resulting in bodily injuries which poses/posed an immediate health, safety, and personal rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D)…This requirement was not met as evidenced by: Based on interview and record review, the Licensee did not comply with the above cited section in CCLD and R1's family were not adequately notified of R1's incidents in a timely manner which poses/posed a potential health, safety, and personal rights risk to persons in care.

87468.2(a)(8) To be free from neglect, financial, exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: Based on interviews and record review the Licensee did not comply with the regulation cited above as S1 handled resident in a rough manner and caused bruising, which poses an immediate health and safety risk to residents in care.