Ivy Park At Palos Verdes

Allegation investigated: Staff does not ensure residents' behavioral needs are being met.

On 11/05/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a subsequent Complaint Visit to the facility listed above. LPA met with Executive Director, Brenda Myer, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today's visit, LPA inspected the facility, interviewed Staff S2 a second time, received a Physician’s Report (01/09/2025), Physician’s Fax Report (09/22/2025), Resident R1 and R2 Charting notes, Staff In-Service Logs, and Staff Relias training logs. During a subsequent visit conducted on 10/17/2025, LPA inspected the facility, interviewed Staff S1, S3-S7, and received and reviewed documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Physician’s Reports, Physician’s Fax Report (03/25/2025), and Optum Referral (dated 03/04/2025). During the initial visit on 10/15/2025, the LPA inspected the facility, interthe state’s words, verbatim · CDSS document, Nov 5, 2025 · control 11-AS-20251008205238

Allegation investigated: Facility staff are mismanaging resident's medications.

On 10/15/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Complaint Visit to the facility listed above. LPA met with Executive Director, Nestor Eligio and Breanda Myers, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today’s visit LPA interviewed Residents R1-R8. During the initial visit conducted on 10/09/2025, LPA inspected the facility, interviewed Staff S1-S9, conducted a medication review, narcotic count and received and reviewed documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, staff Learner Status Report, Staff Relias Transcript, Physician’s Report, Physician’s Orders, Centrally Stored Medications, Medication Destruction Logs, and Medication Administration Records (MAR). The investigation revealed the following: Substantiatedthe state’s words, verbatim · CDSS document, Oct 15, 2025 · control 11-AS-20250930101557

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee does not ensure that there are enough staff to meet the needs of residents in care.

On 05/16/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Complaint Visit to the facility listed above. LPA met with Administrator, Joe Saldana, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today’s visit LPA, interviewed Staff S3, interviewed Residents R2-R8, interviewed Residents Responsible Party W2, and received documents pertinent to the investigation. The following documents were received and reviewed Physician’s Reports for five (5) residents, Individualized Service Plan for five (5) residents, and Assessments for five (5) residents. During a subsequent visit conducted on 05/09/2025 LPA inspected the facility, interviewed Staff S1, S2, and S4-S11, interviewed a residents Responsible Party W1, and received documents pertinent to the investigation. The following documents were received and reviewed: Staff Roster, Staff Schedule, Resident Roster, Admission Polthe state’s words, verbatim · CDSS document, May 16, 2025 · control 11-AS-20250502132635

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not respond to residents calls for assistance in timely manner resulting in resident falls

On 03/13/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a subsequent unannounced complaint visit to the facility listed above. The department met with Executive Director, Jose Saladana, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The investigation consisted of the following: During today’s visit, LPA received additional Device Activity Reports for resident pendants, Incident Reports, Healthcare Provider Communication, Resident R11 Charting Notes, and incontinent supply review. During a subsequent visit on 03/05/2025, LPA toured the facility, tested resident’s pendants, and interviewed Residents R2-R9. During the initial visit conducted on 02/20/2025, LPA toured the facility, interviewed Staff S1-S10, interviewed Residents Responsible Party W1, and received documents pertinent to the investigations. The following documents were received and reviewed, Staff Roster, Resident Roster, Preplacement Appraisal Information, Physician’sthe state’s words, verbatim · CDSS document, Mar 13, 2025 · control 11-AS-20250212160256

Allegation investigated: Facility did not refund preadmission fees. Facility did not provide copies of admission agreement.

On 12/03/2024, the department conducted a subsequent unannounced complaint visit to the facility listed above. LPA met with Regional Operations Specialist, Kathleen Olson, and the purpose of today’s visit was explained. During a previous visit conducted on 11/21/24, the department toured the facility, interview Staff S1-S5, interviewed Residents R2-R8, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Resident Admission Agreement, Resident Billing Statement, Physician orders, Physician’s Report, Healthcare Provider Communication, MC Assessment and Service Plan, Hospice IDG Comprehensive Assessment and Plan of Care Report, and emails between R1’ family and the facility staff. The investigation revealed the following: Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 3, 2024 · control 11-AS-20241113145950

Allegation investigated: Staff threatened a resident with eviction. Staff do not properly maintain the facility. Staff do not provide adequate food service.

On 11/26/2024 LPA Alfonso Iniguez conducted an unannounced complaint visit. LPA Iniguez met with Kristal Jenkins/Interim Executive Director. LPA Iniguez explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Administrator Interview(A#1), Staff Interviews (S#1-S#6) and Resident’s interviews (R#1-R#6). LPA obtained and reviewed the following documents: Resident’s roster, Personnel roster, (R#1-R#6) Identification and Emergency Information, (R#1-R#6) Admissions agreements, Copies of facility menu (6 weeks) and a Health and safety check of the facility. Evaluation Report continues LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 26, 2024 · control 11-AS-20241118102021

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.