IVY PARK AT SAN LAUREN

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in LPA observed water temperature measuring to be 122 degrees, and facility maintenance staff documented multiple resident rooms to measure above 120 degrees, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 06/22/2026 Plan of Correction Administrator will ensure facility maintenance staff audits and corrects resident bathroom water temperatures, and completes training with facility maintenance staff on water temperature being between 105 and 120 degrees, and submit to LPA by POC date of 06/22/2026.

Official classification

Type A

Official code

80078(a)

Regulation authority

CCR

What the official deficiency says

Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. This requirement was not met as evidenced by R1 eloped out of her bedroom window and subsequently called her family to inform them she had 'gotten out'. R1 was immediately returned to the facility. Elopement poses an immediate risk to the health and safety of residents.

Official plan of correction

Facility has installed new locks on the resident bedroom windows and regarding R1 have arranged one on one care until further notice. Plan of correction will be cleared at today's visit.

Deadline recorded: Jun 16, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)(3)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. (3) Ability to maintain or supervise the maintenance of financial and other records. This requirement was not met as evidenced by: Administrator did not provide requested records for the dates of 3/15/23 to 03/31/23 for the signal system at the facilty which poses a potential health, safety and/or personal rights risk to residents in care.

Official plan of correction

Plan of Correction POC Administrator agrees to submit a written plan on how this regulation with be met in the future by POC due date of 06/20/23.

Deadline recorded: Jun 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by: Facility did not report emergency services responding for R1 which poses a potential health, safety and/or personal rights risk for residents in care.

Official plan of correction

Plan of Correction POC Licensee agrees to submit an understanding of this regulation and a plan in writing on how this regulation will be met by POC due date of 6/20/23.

Deadline recorded: Jun 20, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements:(a) Each licensee shall furnish to the licensing agency…(1) A written report… within seven days of the occurrence of…(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by: Based on interviews, the facility did not submit an incident report for R1 when R1 became aggressive towards staff and other residents resulting in R1 being transported to the hospital, which poses a potential health and safety risk to persons in care.

Official plan of correction

Licensee will submit a written statement detailing steps the facility will take to ensure the requirements of section 87211 are met to the Fresno CCL office by the POC due date. Administrator agreed that staff will be trained on the requirements for section 87211 Reporting Requirement Regulations by 03/17/2022 and documentation of training topics and attendance will be submitted to the Fresno CCL office by 03/18/2022.

Deadline recorded: Mar 18, 2022. A deadline is not proof that correction was completed.