IVY HOME, THE

1322 12TH STREET, Santa Monica CA 90404

Facility 191601433 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 3, 2025Licensed

Additional info
Licensee
IVY BOARD AND CARE, INC., THE
Administrator
RAFAEL BRAVO
Contact
RAFAEL BRAVO
License first date
Aug 31, 1992
License effective date
Aug 31, 1993
District office
EL SEGUNDO ASC · (424) 544-1075
Regional office
11
Clients served
935 - ELDERLY

Summary

The available records show 5 Type B deficiencies for this facility.

Most recent inspection
Sep 3, 2025
Most recent deficiency
Sep 3, 2025

No later report is available, so the records do not show what happened afterward.

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 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 3 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 0 Type A and 5 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
3

Fewer than the typical 4

1 in the last 12 months

Recorded deficiencies
5

More than the typical 1

3 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
5

Most this size have none

3 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

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.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA identified stafff #1 and staff #2 did not have current CPR/First Aid Certificate completed on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Licensee will ensure that all staff have completed CPR/First Aid training completed and proof of completed certificate on file. Licensee stated will to submit current completed CPR/ First Aid Training for Staff #1-#2 by POC date ernand.dabuet@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(a)
Regulation authority
CCR

What the official deficiency says

(a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated, in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. LPA identified Resident #2 did not have an Appraisal, updated, in writing as frequently once every 12 months. The resident diagnosed with Dementia has not had an update appraisal since 2018. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Licensee will ensure to adhere to Title 22 87463(a) and submit an updated Resident Appraisal for Resident #2 by POC date ernand.dabuet@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(3)
Regulation authority
CCR

What the official deficiency says

87608 Postural Supports (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify This requirement is not met as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and review the licensee did not comply with the section cited above. LPA identified Resident #1-#2 both had full bed rails and did not have physicians orders on file. Residents were not on hospice. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/17/2025 Plan of Correction Licensee will adhere to Title 22 87608 (a) and either remove full bed rails or obtained a physicians authorization by POC due date and submit corrections to ernand.dabuet@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above.LPA and the administrator observed and reviewed 2023 annual to address deficiencies identified during the last annual visit. Specifically, there remains a lack of evidence that Staff #1, #2, and #3 have received the required First Aid Training, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/06/2024 Plan of Correction Administrator stated will submit First Aid Training for Staff #1-#3 on provided by POC date david.espana@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above. Licensing Program Analyst (LPA) David España. and Ivan Bravo, Administrator did not observe First Aid Training for Staff #1-#3, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2023 Plan of Correction Administrator stated will audit all resident files for completeness, and shall complete/submit copy of written record of First Aid Training for Staff #1-#3 on provided by POC date david.espana@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Complaint

Allegations0 substantiated · 1 unsubstantiated · 0 unfounded

No deficiencies recorded in this report

Source 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