Ivy Park at Studio City

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Allegation investigated: Staff did not ensure that the facility passageways were kept free of obstructions

At 09:30am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced visit in response to the above-mentioned allegation. LPA met with the Administrator, Kandis Williams, and explained the reason for the visit. On 07/22/2026, LPA contacted the Fire Inspector to request a fire clearance visit. During today's visit LPA requested resident and staff roster. At approximately 09:50am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 10:00am - 12:30pm, LPA conducted an interview with the Administrator, Fire Inspector and five (5) out of seven (7) residents. Continue on LIC9099-C Substantiated Allegation: Staff did not ensure that the facility passageways were kept free of obstructions Upon arrival, LPA was informed that the Fire Inspector had already conducted the inspection at around 8:00am on 07/23/26. LPA contacted the Fire Inspector and was informed that during the inspection it was discovered when someone sits on the bench near the elevator, the egress door cannot fully close, creating a potential fire safety hazard. The elevator doors measure approximately 42 inches in width and open directly into an alcove measuring approximately 80 inches wide by 80 inches deep before transitioning into a wider communal hallway. Along the right-hand wall immediately adjacent to the elevator door frame, a settee measuring approximately 52 inches long by 28 inches deep had been permanently placed in the alcove. Because this furniture projects 28 inches into the landing area, the usable passageway width is reduced from 80 inches to approximately 52 inches, creating a narrowed and obstructed pathway directly at the elevator exit. LPA was also informed that the settee on the 4th floor had been removed, providing clear passage for residents exiting the elevator. The Administrator interviewed acknowledged that the settee had been placed in the alcove and confirmed it had remained in that position for an extended period. The Administrator stated they were not aware that this placement reduced the required clearance for safe passage at the elevator landing. Five (5) out of seven (7) residents interviewed reported that the settee had been placed in the same location, but noted that the previous settee was smaller and narrower. Therefore, based on corroborating statements from the Administrator, Fire Inspector, and multiple residents, the allegation that staff did not ensure the facility passageways were kept free of obstructions is Substantiated. Deficiency issued on LIC9099-D Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jul 23, 2026 · control 31-AS-20260721145722

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(d)(6) · Plan of correction due date: Jul 30, 2026

Personal Accommodations and Services: d) The following space and safety provisions shall apply to all facilities: 6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on Fire Inspector observation, and interviews, the licensee did not comply with the section cited above to ensure the elevator door/passageway on the 4th floor was free of obstruction, which posed a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 23, 2026

Plan of correction: During the physical plant tour, LPA verified that the settee on the 4th floor (by the elevator) had been removed, providing clear passage for residents exiting the elevator. Deficiency is cleared during today's visit

Type of visit: Required - 1 Year

On 02/19/2026, Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Kandice Vergara Williams - Executive Director and explained the purpose of today’s visit. The facility is licensed to serve (121) elderly adults ages 60 and above, of which (121) can be non-ambulatory and (8) Bedridden. The facility has an approved hospice waiver for (20) residents. The facility is a four (4) story structure, consisting of the following: Ninety one (91) private resident bedrooms with own bathrooms. The third floor (The Evergreen Unit) is reserved for memory care residents and is equipped with a delayed egress system. There are separate dining rooms, activity rooms, wellness/ medication rooms and patios in Evergreen Memory Care Unit and Assisted Living Units. There are three laundry rooms, administrative offices, kitchen, hair salon and library, theater in the facility. There is no swimming pool or body of water on premises. Facility has a number of patio areas with adequate shading and a separate covered patio on the third floor for the memory care residents. At 11:50 am, LPA conducted a tour of the physical plant with the Administrator and observed the following: Facility is equipped with fire doors, delayed egress doors, fire sprinklers, fire extinguishers, cameras in patio and garage. There is internet, cable and telephone available for resident use. Facility conducts quarterly Fire and Disaster Drills, the last drill was conducted on 01/22/2026. LPA observed several fires extinguishers throughout the facility. All fire extinguishers were observed to be full; there is a scheduled fire extinguisher maintenance scheduled tomorrow, 02/20/2026, to be conducted by a contracted professional company. Smoke and mono-oxide detectors are maintained by the local fire department annually, therefore the detectors were not tested on today's visit. Continued on 809-C Facility’s main door is the primary entry/exit access. Screening/Reception area is located immediately upon entrance. Required postings were displayed at the reception area. In addition, the facility has eight (8) exit doors, two (2) exit doors on each floor with two (2) elevators. LPA observed evacuation chair by the stairwells. Roof access is inaccessible to residents. Exit routes are clearly labelled and posted throughout the facility. LPA observed the facility as clean, sanitary, and appropriately furnished in common areas. Kitchen: Facility has a commercial kitchen with two refrigerators, one walk in refrigerator, one walk in freezer, two stoves, one baking oven and ice cream freezer. LPA observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days located in the refrigerator, freezer, and pantry. Food was properly labeled and stored. Sharps and knives are stored in the kitchen; inaccessible to residents. Detergents and chemicals were locked in a storage room in the kitchen. Common Areas: There are living rooms with screened fireplaces on the first floor and the third floor. There are dining room and bistro on the first floor and the third floor. There are multiple activity rooms, libraries, television rooms, patios through out multiple floors, a hair salon on the second floor and a theater on the fourth floor. There are public restrooms in all floors. LPA visited two public bathrooms, in two separate floors and they both were observed to be clean and sanitary. Laundry: Facility has three laundry rooms, on floors two, three and four, each with two washers and two dryers. LPA observed all the machines in functional capacity. Laundry detergents and chemicals are automatically dispensed. Bedrooms: LPA toured multiple resident bedrooms on all four floors for safety, privacy, and comfort .The bedrooms were inspected and observed to maintain required furnishings and sufficient lightings and bed linens. All bedrooms were observed to be clean and clear of obstructions. LPA observed that a signal system is activated by a pull cord in each bathroom and bedroom. At 12:42pm in room# 220, LPA pulled the assistance cord; caregiver responded within 2 minutes. At 1:05pm LPA pulled that assistance cord in room# 412 and a caregiver responded in 2 minutes. Continued on 809-C Bathrooms: LPA toured multiple resident bathrooms on all four floors; all were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, non-slip mats, anti-slip floors). Hot water temperature measured between 108.7 °F. and 112.5°F; within the required range. At 1:15pm in bathroom# 311A, LPA pulled the assistance cord; caregiver responded within 3 minutes. Medications: Facility has two separate Wellness/Medication rooms and in Evergreen Memory Care Unit and Assisted Living Unit. All medications were observed to be locked in medications carts, inaccessible to residents. LPA reviewed Medication Administration Records (MARs) for eight (8) residents and compared them to the medication count and found no discrepancies. Multiple First Aid kits and the First Aid Manual were observed in the Wellness Rooms as well. Due to time constraints, LPA was unable to complete today's annual inspection. LPA will return to facility to review administrative, staff and resident records and to complete the inspection at a later date. No deficiencies sited during today's visit. Exit interview was conducted, and copy of the report was given to facility Administrator.the state’s words, verbatim · CDSS document, Feb 19, 2026

Allegation investigated: Staff is not ensuring resident is receiving proper wound care.

On 12/04/25 at 10:30AM Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced subsequent complaint visit to the facility to conclude the investigation regarding the above allegation. LPA met with Tammie Sampedro - Interim Executive Director and Health Services Director Lindsay Light and advised of the complaint. On 06/13/25 the Community Care Licensing Division received a complaint regarding Resident 1 (R1). On 06/13/25 the complaint was referred to Investigation Branch (IB). On 06/16/25 IB returned the complaint to the Regional Office (RO) for investigation. The Initial investigation was conducted on 06/13/25 by Licensing Program Analyst (LPA) Jose Tan when he met with Daisy Hernenandez, Business Office Manager. On this date LPA Tan interviewed staff and residents and obtained pertinent documents. LPA Tan was unable to interview Resident 1 (R1) but was informed that R1 was hospitalized and will not come back to the facility. Continued on LIC9099-C Unsubstantiated On 09/09/25 and 11/06/25 LPA Shahbazian conducted subsequent complaint visits and interviewed staff and gathered pertinent documents. LPA Shahbazian conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. No immediate health issues were observed. Regarding the allegation: Staff is not ensuring resident is receiving proper wound care. It is being alleged that R1 was found to have stage IV pressure wounds that may have developed while in care. Interview with family member (W1) revealed that R1 had recurring UTIs and wounds. W1 stated on 04/19/25 R1 was admitted to Ivy Park with a neck brace and catheter but the wounds were not very serious. Record review of a Healthcare Center Order Summary Report dated 04/19/25 reveals that resident had many medical issues, including personal history of other malignant neoplasm of skin with mention of wound care but there are no specifics about type/stage of wounds or body parts. Upon R1’s move to Ivy Park on 04/22/25, the facility med tech noticed wounds to buttock and sacrum. On 04/22/25 an initial home health assessment was done by Comcare Home Health. Wounds noted on buttock, sacrum and bilateral heels, with recommendations for treatment 3 times weekly but specific wound stages were not noted on the initial Comcare report. Comcare Home Health nurses were scheduled to visit R1 3 times weekly for changing the catheter and wound care, including cleansing, applying medication and covering with foam dressing and repositioning resident. On 05/17/25 new wound on right shoulder and buttock was noticed, after returning from a hospitalization period. On 6/4/25 resident had a change in appetite and inflamed shoulder wound. R1 was sent back to Kaiser Panorama City Hospital and W1 was notified. LPA’s interviews with facility staff revealed that R1 was admitted to facility without clear indication of wounds. Facility med techs were responsible for cleansing and changing the dressings, as needed. Care givers were responsible for repositioning R1 every 2 hours and to ensure wounds are protected and by placing pillows near wounds. Interview with W1 revealed that it is unclear when and in which facility wounds appeared and worsened. Based on record reviews and interviews, it is determined that facility provided care and arranged for wound and physical care. The progression of R1’s wounds did not indicate neglect or failure to seek medical care. There is insufficient information to prove that the wounds worsen while R1 was in care of the facility, therefore, the allegation is deemed Unsubstantiated at this time. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Dec 4, 2025 · control 31-AS-20250612084010

Allegation investigated: Licensee does not ensure toilet paper is provided to residents in care

Licensing Program Analysts (LPA)s Nadia Shahbazian and Tuesday Cabiness conducted an unannounced subsequent complaint visit to the facility to conclude the investigation regarding the above allegation. LPAs met with the Executive Director/Administrator, Maria Quizon, and advised of the complaint. During the course of the investigation, interviews with staff and residents were held. A review of admission records for 8 residents and facility plan of operation was also conducted. In regards to the allegation, it was reported that licensee does not provide personal supply of toilet paper to residents. On September 05, 2025, Administrator sent a reminder letter to all residents, stating that company’s long-lasting policy is for residents to supply their own personal supplies, although facility will provide some supplies in emergency situations. Based on the reminder letter, facility can assist residents to obtain supplies, at an extra cost or will assist with setting up delivery services, such as Amazon or Target. Continued on 9099-C Unsubstantiated Continued from LIC 9099 Based on interviews and the information obtained, several residents stated that they were not aware that toilet paper is not provided. Most residents were not concerned, since they were already purchasing their own personal supplies. Only two residents interviewed, mentioned that they have been provided toilet paper by the facility staff, upon asking and there should not be additional charges added to their rent. Based on review of admission records for residents, LPAs verified that personal supplies are listed as responsibility of residents, therefore, the allegation is deemed Unsubstantiated at this time. An exit interview was conducted, and a copy of this report was given.the state’s words, verbatim · CDSS document, Oct 6, 2025 · control 31-AS-20250912114435

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Nadia Shahbazian and Gary Tan conducted a Pre-Licensing Inspection and met with the Executive Director Faraz (Dan) Kashani at 10:00 AM. LPAs explained the purpose of today’s visit. The facility is fire cleared for one hundred tweny one (121) non-ambulatory residents, eight (8) of whom may be bedridden. The facility is a four (4) story structure, consisting of the following: Ninety one (91) private resident bedrooms with own bathrooms, dining rooms, laundry rooms, activity rooms, offices, kitchen, outdoor patios, salon, and wellness and medication rooms. The third floor is reserved for memory care. At 11:15 LPAs inspected facility for Fire Safety, Personal Accommodations and Services, Food Service, and Medication Procedures. Hot Water temperatures were measured on randomly selected resident rooms on all floors and measured between 115.2 to 117.9 and LPAs ensured that grab bars were properly installed in every bathroom. Resident rooms were randomly inspected for health and safety. LPAs observed that a signal system is activated by a pull cord in each bathroom and bedroom. The signal system was tested from random resident rooms on several floors. Facility is also equipped with a signal system, activated when any exit door is opened. There are two exit doors on each floor with two (2) elevators. LPAs observed evacuation chairs by the stairwells. Continued on 809-C There is no swimming pool or body of water on premises. Facility has a number of patio areas with adequate shading and a separate covered patio on the third floor for the memory care residents. LPAs visited the dining room and inspected the kitchen located on the first floor. The refrigerators, freezers and kitchen equipment were inspected to be in compliance with Title 22 regulations. LPAs observed that all sharp knives, cutlery and kitchen cleaners were kept locked in the kitchen. Chemicals and laundry detergents were also kept locked in laundry areas. Facility has adequate perishable and nonperishable food supplies. Storage rooms, garage and medication room were also inspected. First-aid kits are complete, medication cards were observed to be locked on several floors. LPAs ensured that the wellness center medical procedures were up to current and several resident medications were reviewed. In addition to the Pre-Licensing inspection, Component III was conducted with the administrator. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report will be provided.the state’s words, verbatim · CDSS document, Feb 6, 2025