IVY PARK AT WOODLAND HILLS

Official classification

Type B

Official code

87465(h)(4)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in resident medication records were not maintained which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/26/2026 Plan of Correction The Licensee will provide staff with medication training through a third party vendor and provide a plan to oversee all medication protocols and provide proof to CCLD by POC due date.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211(a)(1)Reporting Requirements-(a)Each licensee shall furnish to the licensing agency ... including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency... within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include...This requirement is not met as evidenced by: Based on file review, the facility didnot submit incident reports involving R1 to the department as specified in the regulation, which poses a potential safety risk to persons in care.

Official plan of correction

The Executive Director agrees to review the reporting requirements regulations and will submit self certication to the department.

Deadline recorded: Jul 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above. Two out Two residents medications reviewed revealed inaccurate medication record keeping. Medications were not recorded on the centrally stored log. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

Executive Director to provide plan of correction to ensure residents medications are properly record on the centrally store medication record. Provide procedures implemented since 6/2/2025.

Deadline recorded: Sep 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(23)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (23) All readily perishable foods or beverages capable of supporting rapid and progressive growth of micro-organisms which can cause food infections or food intoxications shall be stored in covered containers at appropriate temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above. Food such as vegetables, ice cream, pies and other items observed stored in the freezer and refrigerator observed uncovered. This poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/31/2025 Plan of Correction Executive Director agreed to submit a plan of correction to ensure future compliance with section cited. Also provide in-service for kitchen staff.