IVY PARK AT SACRAMENTO

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

A plan for incidental medical and dental care shall be developed by each facility. The plan shall...provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews and record reviews, staff did not properly assisted resident R1 with medication administration.On at least one occasion between April and May 2026, staff handed medication to R1 and left without confirming ingestion. This poses a potential health, safety, and/or personal rights risks to residents in care.

Official plan of correction

Per discussion with AD, prior to this visit, the facility initiated corrective action plans including retraining of staff members who are assisting residents with medication administration. Per discussion, AD will submit a written plan on what have been done to ensure compliance. Plan and proof of retraining to be submitted to the Department by POC due date.

Deadline recorded: Jul 30, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as evidenced by: Deficient Practice Statement Based on a review of records, the licensee did not comply with the section cited above in 1 out of 81 background clearances when 1 caregiver did not have their clearance transferred to this facility. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/02/2025 Plan of Correction The Designated Facility Administrator associated this employee prior to the completion of this inspection. This POC has been cleared. They also stated they would compare the roster of employees with their Guardian roster monthly to ensure that all transfer requests are completed.

Official classification

Type B

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

“(f) Basic services shall at a minimum include: … (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing … ” This requirement was not met as evidenced by: Based on interview and record review, a resident required assistance with dressing, with donning and doffing their hearing aid, and needed access to clean clothing as appropriate; however, on at least one occasion, this resident did not receive personal assistance as needed, which poses a potential health, safety, and/or personal rights risk.

Official plan of correction

Licensee agrees to provide staff with training regarding personal rights and basic services, and agrees to provide LPA Moleski with a training record by POC due date. vincent.moleski@dss.ca.gov

Deadline recorded: Jul 18, 2025. A deadline is not proof that correction was completed.