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Inspection visit

Follow-up on corrections

IVY PARK AT WOOD RANCHLicense 5658504242 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Brian Balisi conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20250515145455). The purpose of the visit is to issue citations for deficiencies observed during the complaint investigation unrelated to the complaint. Upon arrival, LPA met with Executive Director Kellie Smith and explained the reason for the visit. During the investigation between 07/07/25 and 09/15/25, The Department reviewed Resident #1(R1s) charting notes covering the period from 01/28/25 through 07/06/25. Charting notes revealed that since 01/28/25, R1 experienced a total of four (4) unwitnessed falls on 03/11/2025 at 11:00 a.m., and 01:59 p.m., on 04/12/2025 at 01:25 p.m., on 04/27/2025 at 04:42 p.m. On 05/01/25, Home Health recommended that R1 receive assistance with all upright activities due to fall risk. After Home health’s recommendation R1 experienced additional falls on 06/05/2025 at 04:22 a.m. and on 06/10/2025 at 04:10 p.m. LPA’s records review of incident reports (LIC 624) revealed the Regional Office (RO) only received an incident report for the fall on 06/10/2025. LPA’s records review of R1’s file revealed there was no reappraisal on file after home health’s recommendation that R1 receive assistance with all upright activities due to fall risk on 05/01/2025. The following deficiencies were cited from the Title 22 California Code of Regulations. (See LIC 809-D). The Executive Director was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report was 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&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.

  • 87463(i)Type B

    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.

  • 87211(a)(1)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the April 9, 2026 inspection of IVY PARK AT WOOD RANCH?

This was a other inspection of IVY PARK AT WOOD RANCH on April 9, 2026. 2 citations were issued: 2 Type B.

Were any citations issued to IVY PARK AT WOOD RANCH on April 9, 2026?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87465(a)(4) Incidental Medical&Dental Care. (a) A plan for incidental medical and dental care shall be developed by each..."

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.