Ivy Park At Mission Viejo

Allegation investigated: Facility staff failed to provide adequate treatment after a resident sustained a burn on the premises. Facility staff did not provide adequate measures to ensure resident did not sustain a burn while in care.

** This report was amended due to typographical error"" On May 20, 2026, at 9:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver complaint investigation findings. LPA met with Administrator (ADMIN) Foudhil Manadi and explained the purpose of the visit. The investigation consisted of the following. LPA Kim toured the facility with ADMIN Manadi. LPA requested and obtained copies of the resident roster and staff roster. LPA Kim reviewed and obtained copies of R1-R6s records, which include Admission Agreement, Identification and Emergency Information, home health notes, physician's reports, pre-appraisals, reappraisals, progress notes, and other pertinent documents. The investigation revealed the following: Continued on LIC9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, May 20, 2026 · control 22-AS-20250519154715

Allegation investigated: Staff does not treat residents with dignity and respect. Staff does not assist residents with toileting. Residents' hygiene needs are not being met. Facility does not have adequate staffing to meet residents' needs.

On April 6, 2026, Licensing Program Analyst (LPA) Jessica Cho made an unannounced visit for the purpose of continuing the investigation into the above allegations. LPA met with Business Officer Director (BOD) Joan Shattler and stated the reason for the visit. On January 12, 2024, the Department received the complaint. The complaint investigation was initiated on January 18, 2024. During the course of the investigation, LPA conducted a walk through of the memory care unit and successfully interviewed six of seven residents since one resident was preoccupied at the time of the interview. LPA also interviewed three staff and obtained the following resident documentation for review: Resident Rosters, Personnel Reports, Face Sheets with photos, Medical Assessments (LIC 602s), and Individualized Service Plans (ISPs). The following was determined: Regarding the allegation, Staff does not treat residents with dignity and respect, it is alleged that the caregivers laughed instead of helping a mthe state’s words, verbatim · CDSS document, Apr 6, 2026 · control 22-AS-20240112171918

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 is providing an unknown medication causing residents to choke. Staff harasses resident. Staff did not inform responsible party of incident.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above as well as to deliver findings. LPA was greeted and granted entry by Executive Director Foudil Manadi after stating the purpose of the visit. The initial investigation visit took place on May 1, 2025. During the visit, LPA requested and obtained the facility's current resident census, the employee roster as well as resident records for a total of five currently admitted residents, including their physician reports and charting notes. A tour of the assisted living medication room was conducted along with a review of the centrally stored medication and medication administration records. Two staff interviews and one resident interview also took place. Four additional staff interviews were conducted during the follow-up visit. CONTINUED ON FORM LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 16, 2025 · control 22-AS-20250425081047

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: Facility did not provide records to authorized representative

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA interviewed Administrator as well as reviewed email string. Regarding the allegation that facility did not provide records to authorized representative, the investigation revealed the following: Facility received request for records for Resident 1 (R1) on Friday, July 5, 2024. Records were sent to authorized representative in the afternoon on Monday, July 8, 2024. Law firm confirms receipt of records on July 8, 2024. Health and Safety Code requires records to be "provided promptly and not to exceed 2 business days". Facility adhered to the regulatory turn around time. Therefore the allegation is deemed unfounded, meaning the allegation is false could not have happened and/or is without a reasonable basis. Exitthe state’s words, verbatim · CDSS document, Aug 1, 2024 · control 22-AS-20240729154235

Allegation investigated: Lack of staff.

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the required 10 day visit to begin the investigation into the allegation listed above. LPA met with Foudhil Manadi, Executive Director, and explained the reason for the visit. Based on the information obtained during this investigation the department has concluded the investigation into the above mentioned allegation. Findings are based upon this investigation which included interviews conducted, tour of the memory care unit and copies of pertinent documents obtained. It is alleged that the facility has a lack of staff in the memory care unit. Records review revealed that at the time of visit the facility census is 105 of that census the memory care units census is 34. The facility roster reflects that the facility has a total of 48 caregivers on board. 24 caregivers are assigned to the memory care unit and an additional 2 Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 4, 2024 · control 22-AS-20240529163033

Allegation investigated: Facility staff did not seek timely medical attention for resident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA interviewed staff as well as reviewed and obtained pertinent documentation such as hospital discharge paperwork. Regarding the allegation that facility staff did not seek timely medical attention for resident, the investigation revealed the following: Facility notes dated 03/22/2024 indicate Resident 1 (R1) was being seen by Nurse Practitioner and started antibiotics and prednisone for coughing/ congestion. Resident was receiving breathing treatments along with medication management as indicated on facility documents. Facility documents indicate R1 was non-compliant with treatments as well. On 03/29/2024, 911 was called due to resident wheezing and difficulty breathing. Resident was admitted to Providence Missithe state’s words, verbatim · CDSS document, May 6, 2024 · control 22-AS-20240502140416

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.

Allegation investigated: Staff did not issue a proper eviction notice to resident in care

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA interviewed staff and resident as well as reviewed and obtained pertinent documentation such as eviction notice and facility notes. Regarding the allegation that staff did not issue a proper eviction notice to resident in care, the investigation revealed the following: On 06/08/2023, Resident 1 (R1) was provided a "Letter of Concern" by facility administrator. The letter was to address an incident of a narcotic being stored in the resident's room as well as inappropriate touching of staff members. The letter provided the verbiage from house rules that were being violated. On 02/05/2024, R1 was provided a 30 day eviction notice outlining multiple instances of inappropriate behavior towards staff. Per admission athe state’s words, verbatim · CDSS document, Feb 27, 2024 · control 22-AS-20240222131129