Ivy Park at Bradford

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Allegation investigated: -Staff financially abuses former resident 2-Staff has not issued refund to former resident

Licensing Program Analyst (LPA) Sam Haddadin conducted an unannounced complaint investigation visit. Upon arrival, LPA met with Business Office Manager (BOM) who granted entry into the facility and was informed of the purpose of the visit. The allegations were that “Staff has not issued refund to former resident” and “Staff financially abuses former resident.” During the investigation, LPA interviewed four staff members and four residents. Four out of four staff members denied the allegations and stated they had no knowledge of the facility withholding a refund or financially abusing R1. Four out of four residents denied the allegations and stated they had not experienced financial or other misconduct by facility staff. LPA attempted to interview R1 by telephone; however, R1 was unable to hear or understand LPA’s questions due to cognitive impairment and could not provide a reliable statement. Regarding the allegation that “Staff has not issued refund to former resident,” RP stated that R1 left the facility following a fall on February 1, 2026, subsequently received skilled nursing care, and did not return to the facility. {***CONTINUE 9099C***} Unsubstantiated RP requested a full refund because R1 did not reside at the facility for the remainder of February 2026. LPA reviewed the facility’s incident report, E mail communication, Residence and Services Agreement, and account records. The records confirmed that R1 was transported from the facility on February 1, 2026. RP provided written notice on February 18, 2026, that R1 would move to another care facility beginning February 20, 2026, but did not give thirty-day notice. The Residence and Services Agreement required 30 days’ written notice when the resident or responsible party elected to terminate the agreement. RP did not provide the required 30-day notice before relocating R1. Therefore, the facility continued charging rent through the applicable notice period. The account records reflected that the facility applied existing credits and a prorated rent credit for the period after the 30-day notice requirement ended. LPA interviewed the Business Office Manager (BOM) who stated that the facility did not refuse to readmit R1. BOM stated that facility staff advised RP that R1 could return to the facility and would reassess R1’s condition and care needs to determine the appropriate level of care. BOM stated that RP declined to return R1 because RP had obtained a physician’s report from an outside source indicating that R1 required additional care and should not return to the facility. During the interview with the RP, they confirmed that the facility offered to readmit and reassess R1, but RP elected to place R1 at another care facility. Regarding the allegation that “Staff financially abuses former resident,” LPA interviewed 4 staff members and 4 residents who denied the allegations. LPA did not obtain evidence showing that facility staff misappropriated or mishandled any residents’ financials. Therefore, the allegations that “Staff has not issued refund to former resident” and “Staff financially abuses former resident,” are Unsubstantiated. Although the allegation may have happened or may be valid, there is not preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided to Health Services Director (HSD) Neha Patelthe state’s words, verbatim · CDSS document, Aug 6, 2026 · control 22-AS-20260605134143

Allegation investigated: Staff did not ensure that resident had their required mobility aid prior to leaving the facility

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Executive Director (ED) Rose Calabrese and explained the purpose of the inspection. Complaint alleges Staff did not ensure that Resident 1 (R1) had their required mobility aid prior to leaving the facility. During the course of the investigation, LPA conducted record review of R1’s Physician Report (LIC602) and Incident Report (LIC624). Per R1’s LIC602 dated November 22, 2024, R1 is ambulatory, independent with activities of daily living, and able to leave the facility unassisted. Per LIC624 dated January 5, 2026, on January 2, 2026 at 4:08 p.m., a local Hospital called the facility to inform them that R1 was at the Emergency Room and had arrived at 2:23 p.m. via ambulance, after falling outside of a phone store. (Cont. LIC9099-C) Unsubstantiated During their interview, S1 stated that on January 2, 2026, it had been raining on and off and R1 was "insistent" on getting their girlfriend a phone. Per S1, R1 was able to leave the facility unassisted and did so from time to time. S1 stated shortly after R1 left to the cell phone store on foot, they received a call from the Hospital stating R1 had fallen outside of the cell phone store. Per S1, R1 did have a walker, however, R1 was able to ambulate without it and only used the walker occasionally. S1 stated they were unsure if R1 had their walker prior to leaving the facility or if R1 had been using the walker at the time of their fall. During their interview, R1’s responsible party, Witness 1 (W1) stated they were unsure if R1 had their walker prior to leaving the facility, however, stated R1 was able to ambulate without it, and often did so at their own discretion. During their interview, R1 was unable to confirm or deny if they had their walker prior to leaving the facility or if they been using the walker at the time of their fall. Based on record review of R1’s LIC602 and LIC624, and due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff did not ensure that resident had their required mobility aid prior to leaving the facility. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, May 29, 2026 · control 22-AS-20260108165946

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Executive Director (ED) Rose Calabrese and the purpose of the inspection was discussed. During the inspection, LPA and ED conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building used for assisted living and an adjacent one-story building used for Memory Care. Resident bedrooms were observed to have the required furnishings. LPA observed resident beds had linens and blankets. The facility’s call system was tested in select resident bedrooms and observed to be operable. The facility has three courtyard areas, each with multiple shaded sitting areas. LPA observed residents in common areas, engaging in leisure activities such as puzzles, cards, and group discussion. Residents were also observed resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 109.0 - 121.4 F degrees. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and annual fire alarm report indicated last inspection was conducted on January 13, 2026. Carbon monoxide detectors are located outside every resident’s bedroom and tested operational. Fire extinguishers are located in every facility hallway and were observed to be fully charged with service tags dated October 28, 2025. Kitchen appliances and laundry washers and dryers were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. (Cont. LIC809-C) Medication was observed to be centrally stored in medication carts, which are stored and locked in the medication room. LPA reviewed medication and medication administrator records for select residents. LPA conducted file review of ten resident files and five staff files. LPA interviewed seven residents and five staff. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Health Services Director (HSD) Neha Patel and explained the purpose of the inspection. During the inspection, LPA and HSD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building used for assisted living and an adjacent one-story building used for Memory Care. Delayed egress was tested and observed to be operational. Resident bedrooms were observed to have the required furnishings. LPA observed resident beds had linens and blankets. The facility has three courtyard areas, each with a shaded sitting area. LPA observed residents in common areas, engaging in leisure activities such as puzzles, live music, and socializing. Residents were also observed resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 113.1-119.1 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed. Food menu and activities calendar were posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and annual fire alarm report indicated last inspection was conducted on October 4, 2024. Carbon monoxide detectors are located outside every resident’s bedroom and tested operational. Fire extinguishers are located on opposite ends of every facility hallway and were observed to be fully charged with service tags dated October 7, 2024.(Cont. LIC809-C) Kitchen appliances, washer, and dryer were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication was observed to be centrally stored and locked in the medication room. LPA reviewed medication and medication administrator records for select residents. LPA conducted record review of eight resident files and five staff files. LPA interviewed five residents and five staff. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Apr 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Claudia Gutierrez and Rose Ruppert made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs met with Health Services Director (HSD) Neha Patel and explained the purpose of the inspection. Executive Director (ED) Rose Calabrese arrived at 9:30 a.m. During the inspection LPAs, HSD, and ED conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building complex for assisted living and an adjacent one-story building used for Memory Care. Delayed egress was tested and observed to be operational. All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. The facility has three courtyard areas, each with a shaded sitting area. LPAs observed residents in the facility common areas and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 113.7-120.9 F degrees. LPAs observed emergency disaster plan with means of exiting and emergency phone numbers listed. Food menu and activities calendar were posted and visible. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and inspected quarterly. Carbon monoxide detectors are located outside every resident bedroom and tested operational. At least two fire extinguishers are located along every hallway in the facility, and were observed to be fully charged with service tags dated October 30, 2023. Kitchen appliances, washer, and dryer were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication room was observed to be locked; however, over-the-counter medication was observed to be in Resident 1’s (R1’s) bathroom cabinet. R1 is diagnosed with dementia per Physician Report (LIC602A); a Deficiency was cited on today’s date. LPA reviewed eight resident files and five staff files. LPA interviewed five residents and five staff.(Cont. LIC809-C) Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Mar 22, 2024