Ivy Park At San Lauren

On 5/8/2025, Licensing Program Analyst (LPA) Rachel Bruce conducted a subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff and residents and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Facility did not have hot water available to residents for over 7 days during February 2025. During this time residents had no access to their regular shower and although there was one shower available in another unit, many residents did not know and/or did not feel comfortable so many residents went without a proper shower until the units were repaired. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. See attached citation. An exit interview was conducted with Administrator, a cRead the full finding— CDSS inspection report, May 8, 2025 · control 24-AS-20250211120402

On February 19, 2025, Licensing Program Analyst (LPA) Rachel Bruce conducted a subsequent complaint investigation visit to the facility. During the course of this complaint investigation LPA interviewed staff and residents on duty and obtained and/or reviewed facility records. It was determined based on the interviews and records review that the above allegation is SUBSTANTIATED. Facility did not did not have hot water available to residents for over 7 days. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 Article 5 is being cited on the attached LIC 9099D.”) Refer to Case Management dated February 19, 2025 for an additional deficiency. An exit interview was conducted with Administrator, a copy of this report with plan of corrections, and appeal rights were provided. SubstantRead the full finding— CDSS inspection report, February 19, 2025 · control 24-AS-20250211103342

On 01/03/2024, Licensing Program Analyst, (LPA) L. Salazar arrived to the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. During the investigation, LPA toured Resident R1's room and observed them sleeping in their bed, with call button and phone in hand. LPA reviewed facility staff response time in the call log records to be adequate and timely. LPA conducted interviews with family, facility staff and Hospice nurse. LPA reviewed R1's facility file, facility communication logs and Hospice care notes. R1 has been on Hospice care since 2022, and has had a continued decline in their health. Hospice records show R1 sleeps 18+ hours a day, has a decreasing appetite and eats 25 – 50% of meals per day, often refusing to eat. Documentation shows on multiple occasions, that R1 did not want to be touched and did not want the caregivers to change their briefs. LPA observedRead the full finding— CDSS inspection report, January 3, 2024 · control 24-AS-20231003124747

On 07/06/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct the required 10-day site inspection. LPA reviewed Hospice Care notes, interviewed Administrator and relative of Resident R1. Based on the information received, we have found that the complaint was Unfounded, meaning that the allegation is false, could not have happened and or is without reasonable basis, therefore, we have dismissed the complaint. No deficiency cited on today's visit. Exit interview conducted. A copy of this report was provided to Administrator. Unfounded— CDSS inspection report, July 6, 2023 · control 24-AS-20230626122017

On 06/14/23, Licensing Program Analyst (LPA) L. Salazar contacted Administrator, Doug Rice to discuss the above allegation. LPA requested Resident R1's Hospice Care Plan and facility communication logs for the month of June 2023. LPA reviewed conducted interviews and reviewed records. Records show R1 is currently receiving Hospice Care services. LPAs review of facility communication logs show R1 stated they did not want to be touched and did not want the caregiver to change their briefs on 06/02/23, 06/03/23, and 06/10/23. A review of hospice care notes show R1 has had a significant decline in their health and is refusing care, medication and is eating less than 25% of their meals. Hospice care is provided 3 days a week which includes treatment for Sacral wound care. UnfoundedRead the full finding— CDSS inspection report, June 14, 2023 · control 24-AS-20230607104223

Licensing Program Analysts (LPA)'s Shawna Doucette and Darius Williams conducted a visit to commence a complaint investigation and deliver findings. LPA's identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator Douglas Rice. LPA requested records for pull chord history from 3/15/23 to 3/31/23 at which Administrator stated he was unable to provide due to the system recording over every 2 days. Administrator submitted days of 4/7/23 and 4/8/23. LPA interviewed staff, residents, and witnesses. LPA obtained a copy of the Fire Departments report regarding this incident. Based on records review and interviews, facility had one staff on duty who was not present at the facility for approximately 30 minutes. Facility staff did not answer pull chords for residents in care. SubstantiatedRead the full finding— CDSS inspection report, June 8, 2023 · control 24-AS-20230330093440

Licensing Program Analyst (LPA) Darius Williams and LPA Shawna Doucette conducted a follow up complaint visit. LPA's met with Administrator, Douglas Rice and discussed the purpose of the visit. LPA Williams interviewed witnesses, the Administrator, and reviewed records. On 3/28/2023, LPA Williams pulled a chord in room 206, which notifies the facility signal system. Staff took approximately 4 minutes and 32 seconds to respond, taken via LPA Williams phone timer. However, according to Kern Fire Department (KFD) record, on 3/29/2023 at approximately 11:02 pm, KFD responded to a residents peronsal pendant. When KFD arrived, no staff could be located in assisted living (addressed on complaint control # 24 - AS - 20230330093440). *Continued on LIC 9099-C* SubstantiatedRead the full finding— CDSS inspection report, June 8, 2023 · control 24-AS-20230321111428

On 05/22/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. During the investigation, LPA conducted interviews, reviewed medical records and telecommunications documentation. Telecommunication messages of date and time stamp videos show R1's room was not cleaned in a timely manner. LPA observed the LIC602 for Resident R1 dated 10/12/22, which states R1 does not have the capacity for self-care which includes ability to feed self. Interviews with staff state R1 is able to feed self and does not need assistance. Based on the information received, the preponderance of evidence standard has been met, therefore, the above allegations are found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. If not corrected, this posRead the full finding— CDSS inspection report, May 22, 2023 · control 24-AS-20221209104049

On 04/14/23, Licensing Program Analyst, (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. During the investigation, LPA toured the facility and Resident R1's room, conducted interviews and records review. LPA observed R1's room and bedding to be clean, free from odor, pests, and debris. R1 was observed in a king size bed that has an adjustable base at the bottom. R1 demonstrated on a hand held remote control, how they reposition their bed if needed. LPA's observed R1's hair and nails to be trimmed and clean. Records review show R1 has been receiving Hospice services and at the end of life. Hospice records show R1 sleeps 18+ hours a day and has a decreasing appetite and eats 25 – 50% of meals per day and often refuses meals. LPA reviewed facility's menus for the month of November and December 2022. LPA observed facility menus to offeRead the full finding— CDSS inspection report, April 14, 2023 · control 24-AS-20230131114452

On 04/14/23, Licensing Program Analyst, (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. During the investigation, LPA toured the facility and Resident R1's room, conducted interviews and records review. LPA interviewed R1 who denies feeling intimidated by any staff. R1 stated they believe staff speak loudly because it is common that the residents in the facility experience hearing loss. LPA observed R1's Medication Administration Records and Centrally Stored Medication and Destruction Record to accurately reflect the medication doses have been given according to physician's order. Based on the information received, we have found that the complaint was Unfounded, meaning that the allegations are false, or are without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted with Administrator and a copyRead the full finding— CDSS inspection report, April 14, 2023 · control 24-AS-20230109154022