Ivy Park at Tustin

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry into the facility and explained the reason for the visit. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for seventy residents, of which seventy can be non-ambulatory, eight can be bedridden, and has a hospice waiver for fifteen. The facility is a one story commercial building comprised of fifty three apartments, forty two of which are on the assisted living side and eleven of which are in memory care. The facility also consist of common areas such as dining rooms in both the assisted living and memory care, activity areas, a commercial kitchen, and staff offices. LPA Mendivil and ED Sandra Acosta Louer conducted a tour of the interior portions of the facility. On today's visit, there are fifty one residents in care. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected seven resident bedrooms located throughout the facility and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA tested the call buttons in resident bedroom and they tested operational. LPA inspected the resident bathrooms in the apartments inspected and observed them to be clean. LPA observed resident bathrooms to be equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 113.7 to 119.1 degrees Fahrenheit. LPA inspected the facility kitchen area and observed it be clean. LPA observed the facility to have a minimum two day perishable and seven day non-perishable food supply on hand. LPA observed the facility has a three day emergency food and water supply kept in a storage room. LPA observed multiple fire extinguishers to be mounted in the wall across the facility. LPA observed that the facility had their most recent Fire Inspection conducted on April 15, 2026. LPA observed that the facility fire sprinklers and smoke detectors tested operational during the inspection. LPA observed the facility conducted their last emergency disaster drill on June 11, 2026. LPA, accompanied by the ED, conducted a tour of the exterior portions of the facility. LPA observed the facility has outdoor areas for both assisted living and memory care. LPA observed the exterior to be free of obstructions and hazards. LPA observed shaded outdoor seating areas with furniture for resident use. LPA reviewed the seven resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed six staff files. All staff are background cleared and associated to the facility. Five out of six staff training records reviewed did not meet the requirements for four hours of training on hospice, postural supports and restricted health conditions. Based on the observations made during today's visit, a deficiency is being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Executive Director Sandra Acosta Louer and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Case Management - Incident

On April 1, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Incident inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Sandra Ocosta Louer was present and assisted on today's visit. LPA is following up a self reported incident report that was submitted to the Orange County Regional Office on March 30, 2026. The incident described a situation in which Staff #1 (S1) was communicating with Resident #1 (R1) via text messages. During the visit, LPA conducted two staff interviews. LPA also reviewed and collected pertinent documents for this incident. Based on the information gathered, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted Executive Director Sandra Ocosta Louer and a copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 1, 2026

Type of visit: Required - 1 Year

On July 3, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Sandra Acosta Louer later arrived to assist LPA with the inspection. LPA observed that Sandra Acosta Louer has a valid Administrator certificate which expires on January 12, 2026 The facility is a Residential Care Facility for the Elderly (RCFE) licensed for seventy residents, of which seventy can be non-ambulatory, eight can be bedridden, and has a hospice waiver for fifteen. The facility is a one story commercial building comprised of fifty three apartments, forty two of which are on the assisted living side and eleven of which are in memory care. The facility also consist of common areas such as dining rooms in both the assisted living and memory care, activity areas, a commercial kitchen, and staff offices. LPA, accompanied by the ED, conducted a tour of the interior portions of the facility. On today's visit, there are forty eight resident in care. LPA observed residents eating lunch in the dining rooms which consisted of food of their choice. LPA also observed residents returning from a scheduling outing off site. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected seven resident bedrooms located throughout the facility and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA tested the call buttons in resident bedrooms and they tested operational. LPA inspected the resident bathrooms in the apartments inspected and observed them to be clean. LPA observed resident bathrooms to be equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 108 to 114 degrees Fahrenheit. CONTINUED ON 809-C LPA inspected the facility kitchen area and observed it be clean. LPA observed the facility to have a minimum two day perishable and seven day non-perishable food supply on hand. LPA observed the facility has a three day emergency food and water supply kept in a storage room. LPA observed multiple fire extinguishers to be mounted in the wall across the facility. All fire extinguishers were observed to be charged and serviced as of October 8, 2024. LPA observed that the facility had their most recent Fire Inspection conducted on March 21, 2025. LPA observed that the facility fire sprinklers and smoke detectors tested operational during the inspection. LPA observed the facility conducted their last emergency disaster drill on May 8, 2025. LPA observed the centrally stored medication to be kept in locked medicine carts located in the medication room. LPA observed First Aid Kits in the medication room and they had all the required components. LPA observed all the facility's chemicals and toxins to be stored in a locked storage room. LPA observed other common areas such as the dining rooms, staff offices, and activity areas to be clear of any hazards. LPA, accompanied by the ED, conducted a tour of the exterior portions of the facility. LPA observed the facility has outdoor areas for both assisted living and memory care. LPA observed the exterior to be free of obstructions and hazards. LPA observed shaded outdoor seating areas with furniture for resident use. LPA tested the delay egress doors located on the exterior portions which tested operational. There are no bodies of water on the premises. LPA reviewed the seven resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication records. LPA reviewed seven staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Executive Director Sandra Acosta Louer and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 3, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jessica Cho conducted an announced subsequent Pre-Licensing continuation visit. LPA Cho was allowed entry into the facility and met with Executive Director Sandra Acosta-Louer. The purpose of today's visit was to follow-up on the issues that were present during the initial Pre-Licensing visit on July 18, 2024 The following issues were observed and required correction: To ensure the water temperature in the resident bathrooms are within the range of 105-120 degrees Fahrenheit. To post a copy of the admission agreement, licensing report(s), and resident council meeting notes or maintain a notice of their availability for the public upon request. To complete and post Page 2 of the Emergency Disaster Plan (LIC610E) (3/19) that was missing. To hang the Administrator's Certificate. Component III is waived due to the applicant having other licensed facilities and completing Component III previously. On today's visit the aforementioned items have been addressed and corrected. The aforementioned items reviewed during this visit are in compliance. The Pre-Licensing is now complete. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. An exit interview was conducted, and a copy of this report was provided at the time of this visit.the state’s words, verbatim · CDSS document, Jul 23, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility announced for the purpose of conducting a Pre-Licensing visit for a change of ownership. LPA conducted the visit with Executive Director (ED) Sandra Acosta-Louer. An initial application to operate a Residential Facility for the Elderly was received by the Department of Social Services on September 26, 2023, for a capacity of 70 residents with today's census at 47. LPA toured the initial and exterior of the facility and observed the following accompanied by the ED: Structure: Facility is a single story commercial building comprised of a total of 53 apartments, 38 in the Assisted Living (AL) and 15 apartments in the Memory Care (MC) unit with each apartment having its own bathroom. LPA observed all common areas and public bathrooms. There is a courtyard with a patio cover designated for the AL and MC and two egress doors in the MC area. Signal System: The facility does have a signal system where staff are alerted through their company issued cell phones. Bedrooms: The resident bedrooms had all required components, are spacious, and easily accommodates the residents’ furnishings. Bathrooms: Bathrooms were clean and operational. Grab bars were secure. The water temperature for five resident bathrooms measured between the ranges of 116.7 and 123.4 degrees Fahrenheit. Linens and Hygiene Supplies: Clean linens were observed to be fully stocked. Appliances: Stove burners, microwaves, washers, and dryers were inspected. Emergency Phone Numbers/Exit Plan: Posted in the entry area of the facility and readily available for review. Postings: The Complaint Poster (PUB475) and the Long Term Care Ombudsman poster were posted in the entry area of the facility and in the memory care unit along with the Residents' Rights, Theft & Loss Policy, Monthly Newsletter, and the Activity Schedule. Facility did not post a copy of the admission agreement, meeting notes, and licensing reports or notice of their availability for the public to view. Food Service and Menu: Supply of seven day non-perishable and two day perishables were observed. The sample menu was available for review. The emergency food/water supply was stored in the closet expiring in 2031. Smoke and Carbon Monoxide Detectors: Smoke detector and carbon monoxide alert systems were tested and found to be operational per the inspection report conducted on April 30, 2024 by Johnson Controls. Fire Extinguishers: Fire extinguishers were mounted in an enclosed case, fully charged, and serviced on January 10, 2024. One extinguisher is in the company vehicle. Fire Clearance: Approved on October 30, 2023 for 62 non-ambulatory and 8 bedridden residents. Toxins and Sharps: Cleaning supplies, toxins, and sharps were secured. Water Temperature: Five resident bathrooms tested. Two bathrooms were out of range, room #44 at 123.4 and room #45 at 122.9 degrees Fahrenheit. Medications, First Aid Kit & Manual: The facility had First Aid Kits which were checked and found to be in order. The First Aid kit is located in medication room and the company vehicle. The facility maintains the 2024 First Aid manual. Client and Staff Files: Client and staff records are maintained on site. Reading Material, Games, Equipment, & Materials: The facility had reading material and games present in the facility that commensurate with their plan of operation. Component III: Component III is waived due to the applicant having other licensed facilities and completing Component III previously. The following items need correction prior to licensure: Please ensure the water temperature in the resident bathrooms are within the range of 105-120 degrees Fahrenheit. Please post a copy of the admission agreement, licensing report(s), and resident council meeting notes or maintain a notice of their availability for the public upon request. Please complete and post Page 2 of the Emergency Disaster Plan (LIC610E) (3/19) that was missing. Please hang the Administrator's Certificate. Facility does not appear ready for licensure. Any items noted above during today’s visit are to be corrected by Tuesday, July 23, 2024 at 7:00am. An exit interview was conducted with Executive Director Sandra Acosta-Louer, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jul 18, 2024