Facility condition and maintenance
Cited in 7 reports, with 9 deficiencies in total.
Mar 24, 2026Sep 16, 2025Aug 21, 2025May 29, 2025May 29, 2025May 14, 2025Feb 20, 2025
IVY PARK AT SAN RAMON
9199 FIRCREST LANE, San Ramon CA 94583
162 bedsLatest official report Jul 28, 2026Licensed
Additional info
- Telephone
- (949) 744-5200
- Licensee
- WELL IVY 6 TENANT LLC;OAKMONT MANAGEMENT GROUP LLC
- Administrator
- MORGAN, OREISHA
- Contact
- MORGAN, OREISHA
- License first date
- Apr 8, 2022
- License effective date
- Apr 8, 2022
- District office
- OAKLAND ASC · (510) 286-4201
- Regional office
- 15
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 10 Type A and 23 Type B deficiencies for this facility.
- Most recent inspection
- Mar 24, 2026
- Most recent deficiency
- Mar 24, 2026
1 later report, on Jul 28, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 35 Contra Costa County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 38 reports for this facility: 18 inspections, 17 complaint investigations, and 3 licensing or administrative records.
Those records contain 10 Type A and 23 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 18
- Recorded deficiencies
- 33
- Type A deficiencies
- 10
- Type B deficiencies
- 23
- Substantiated complaints
- 11
- Repeated topics
- 7
More than the typical 9
3 in the last 12 months
Well above the typical 7
11 in the last 12 months
Well above the typical 1
2 in the last 12 months
Well above the typical 4
9 in the last 12 months
Well above the typical 1
5 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Staffing, personnel, and training
Cited in 4 reports, with 5 deficiencies in total.
Resident rights
Cited in 4 reports, with 4 deficiencies in total.
Fire safety and emergency preparedness
Cited in 3 reports, with 3 deficiencies in total.
Admission, assessment, and eviction
Cited in 2 reports, with 2 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(16)
- Regulation authority
- CCR
What the official deficiency says
(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(16)To written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency. This requirement was not met as evidence by: Based on record review and interview R1 did not receive a written 30 day notice of room change prior to the change which poses a potential personal rights risk to resident in care
Official plan of correction
Facility has implemented a new system of documenting and notifing residents and their responsible parties of room changes and provided the new form to CCLD. POC clear
Deadline recorded: Nov 19, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 19, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(2)
- Regulation authority
- HSC
What the official deficiency says
87465(h)(2) Incidental Medical and Dental Care “Once ordered by the physician, medications shall be given according to the physician’s directions.” Residents’ medications must be safeguarded to ensure they are administered only to the prescribed individual and strictly in accordance with the physician’s directions. This requirement is not met as evidenced by: Based on observation and record review, the licensee did not ensure the safeguarding of residents’ medications. Medications were found unsecured and accessible, creating a risk that residents may receive medications not prescribed to them or that doses may not be administered as directed. This poses an immediate health and safety risk to residents in care.
Official plan of correction
The licensee shall immediately implement corrective measures to ensure all medications are stored securely and accessible only to trained staff. The licensee shall retrain staff on medication safeguarding policies and procedures. Documentation of staff training and photographs of corrected storage practices shall be submitted to Community Care Licensing by 10/10/2025.
Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 10, 2025
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- HSC
What the official deficiency says
87468.2(a)(4) – Personal Rights of Residents in All Residential Care Facilities for the Elderly “To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.” Residents shall be provided with safe, healthful, and comfortable accommodations, which includes the proper administration of prescribed medications to ensure resident health and safety. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure that medications were administered as prescribed. Documentation confirmed that staff failed to follow physician’s orders regarding medication administration, resulting in missed and/or delayed doses. This posed a potential health and safety risk to residents in care.
Official plan of correction
The licensee shall provide immediate retraining for all staff responsible for medication administration, with emphasis on adherence to physician’s orders and proper medication administration procedures. Proof of completed staff training, including attendance records and training materials, shall be submitted to Community Care Licensing by 10/10/2025.
Deadline recorded: Oct 10, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 10, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(d) The following shall apply... to all facilities:(2)The premises shall be maintained in a state of good repair... This requirment was not met as evidence by: Based on observations and interview the facility did not comply with the following by R1's call button being in disrepair which poses a potential safety and personal rights violation to residents in care
Official plan of correction
By POC facility agrees to inspect and replace residents personal call buttons as neccessary and notify CCLD
Deadline recorded: Sep 23, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 23, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(e)(2)
- Regulation authority
- CCR
What the official deficiency says
(e) Water supplies and plumbing fixtures shall be maintained as follows:(2)Faucets...Hot water temperatur ... not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).... This requirement was not met as evidence by: Based on interview the facility did not comply with the following by not having hot water in 1 of 2 of R1's showers which poses an immediate safety and personal rights violation to residents in care.
Official plan of correction
Facility has obtained a new boiler system and the hot water issue has been resolved.
Deadline recorded: May 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Each licensee shall furnish ... reports...but not limited to, the following: this requirement was not met as evidence by: Based on interview the facility did not comply with the following by not reporting incidents as required which poses a potential safety and personal rights violation to residents in care
Official plan of correction
ED states that previous HWD has resigned and new staff has been adequately trained on procedure
Deadline recorded: May 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 29, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(d) The following shall apply... to all facilities:(2)The premises shall be maintained in a state of good repair... Based on observations and interview the facility did not comply with the following by the call buttons being in disrepair which poses a potential safety and personal rights violation to residents in care
Official plan of correction
By POC ED agrees to have an order for replacment of call buttons that are in disrepair along with their notification counterparts. LPA will return to inspect the call buttons when relaced
Deadline recorded: Jun 5, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 5, 2025
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)
- Regulation authority
- CCR
What the official deficiency says
(a) A plan ...by compliance with the following: this requirement was not met as evidence by: Based on record review the facility did not comply with the following by having an inaccurate MAR which put into question the validity of the entries which poses a potential safety and personal rights violation to residents in care.
Official plan of correction
System has been updated and staff was retrained on how to adequetly document medications.
Deadline recorded: May 29, 2025. A deadline is not proof that correction was completed.
Corrective action reported
Correction deadline recordedDeadline May 29, 2025
Complaint
Allegations4 substantiated · 4 unsubstantiated · 0 unfounded · 4 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87307(d)(2)
- Regulation authority
- CCR
What the official deficiency says
(d) The following shall apply... to all facilities:(2)The premises shall be maintained in a state of good repair... Based on observations and interview the facility did not comply with the following by the elevator, fireplace, and other utilities being in disrepair which poses a potential safety and personal rights violation to residents in care.
Official plan of correction
Elavator, fireplace, and washing utilities have been repaired or replaced. ED is currently developing a solution for replacment of call buttons that are in disrepair along with their notification counterparts. By POC ED agrees to have an order for all carpets to be replaced in assisted living and send a copy of the work order to ccld. LPA will return to inspect when new carpets are installed.
Deadline recorded: May 21, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 21, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
(a) Each licensee shall furnish ... reports...but not limited to, the following: this requirement was not met as evidence by: Based on interview the facility did not comply with the following by not reporting incidents as required which poses a potential safety and personal rights violation to residents in care
Official plan of correction
ED states that previous HWD has resigned and new staff has been adequately trained on procedure
Deadline recorded: May 14, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 14, 2025
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)
- Regulation authority
- CCR
What the official deficiency says
(a) A plan ...by compliance with the following: this requirement was not met as evidence by: Based on record review the facility did not comply with the following by having an inaccurate MAR which put into question the validity of the entries which poses a potential safety and personal rights violation to residents in care.
Official plan of correction
By POC facility agrees to review the regulation and notify CCLD
Deadline recorded: Jul 2, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 2, 2025
Correction not verified in available records
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87463(f)
- Regulation authority
- CCR
What the official deficiency says
(f) The licensee shall .., communicate ... any significant change ...Documentation...shall be added to the resident’s record. this requirement was not met as evidence by: Based on record review and interview the facility did not comply with the following by previous HWD updating residents care plan and not notifying the appropriate parties and not providing the care specified which poses a potential personal rights violation to residents in care.
Official plan of correction
HWD has since resigned and new staff has been trained appropriately.
Deadline recorded: May 14, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 14, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Fire safety and emergency preparednessType A
- Official classification
- Type A
- Official code
- 87203
- Regulation authority
- CCR
What the official deficiency says
All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic This requirement is not met as evidence by: Based on observation the fire exit in stairwell behind door six was blocked by an industrial shampoo machine which posed an immediate health and safety risk to residents in care.
Official plan of correction
Staff removed and stored shampooer in a safe location not blocking a fire exit.
Deadline recorded: Jun 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements. Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not providing R1 with diet prescribed by physician which poses a potential health and safety risk to the persons in care.
Official plan of correction
Executive Director has agreed to work with R1 and create a nutritional plan to follow doctor's order for gluten and lactose free diet. Executive Director will submit plan to CCLD by POC date.
Deadline recorded: Aug 11, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 11, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident…(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above by not following doctor's order for R6's medication which poses an immediate health and safety risk to persons in care.
Official plan of correction
Administrator has agreed to retrain medication technician staff on medication administration. Administrator will submit staff sign-in sheet and training materials to CCLD by POC date.
Deadline recorded: May 11, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 11, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology