Admission, assessment, and eviction
Cited in 5 reports, with 5 deficiencies in total.
IVY PARK AT OTAY RANCH
1290 SANTA ROSE DRIVE, Chula Vista CA 91913
137 bedsLatest official report Aug 5, 2026Licensed
Additional info
- Telephone
- (619) 779-7400
- Licensee
- OTAY TENANT LLC AND OAKMONT MANAGEMENT GROUP LLC
- Administrator
- DIANA WEINSTEIN
- Contact
- DIANA WEINSTEIN
- License first date
- Aug 25, 2021
- License effective date
- Aug 25, 2021
- District office
- SAN DIEGO RO · (619) 767-2300
- Regional office
- 08
- Clients served
- 935 - ELDERLY, 983 - RCFE / DEMENTIA
Summary
The available records show 4 Type A and 18 Type B deficiencies for this facility.
- Most recent inspection
- Aug 5, 2026
- Most recent deficiency
- Jun 16, 2026
2 later reports, from Jul 20, 2026 through Aug 5, 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 91 San Diego County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 41 reports for this facility: 15 inspections, 24 complaint investigations, and 2 licensing or administrative records.
Those records contain 4 Type A and 18 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 15
- Recorded deficiencies
- 22
- Type A deficiencies
- 4
- Type B deficiencies
- 18
- Substantiated complaints
- 8
- Repeated topics
- 5
More than the typical 9
6 in the last 12 months
Well above the typical 3
4 in the last 12 months
Most this size have none
2 in the last 12 months
Well above the typical 3
2 in the last 12 months
Well above the typical 1
2 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.
Basic services and supervision
Cited in 4 reports, with 4 deficiencies in total.
Incident reporting
Cited in 3 reports, with 3 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Resident rights
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.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations5 substantiated · 1 unsubstantiated · 0 unfounded · 5 cited · investigated over 6 visits
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(8)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights… (a)… residents… shall have… the following… rights: (8) To be free from neglect… This requirement was not met as evidenced by: Based on interview and record review, the licensee did not provide medical attention for one resident (R1) after a fall as required by facility policy, which resulted in delayed medical care for their serious illness/injury. This posed an immediate health, safety and personal rights risk to 1 of 122 residents in care.
Official plan of correction
Licensee agreed to conduct an in-service retraining for all current staff on Licensee’s operative “Fall Management Protocol” (aka “Policy: 213”) and “Change of Condition Reporting” (aka “Policy: 301”) documents. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date. This is an amended version of an LIC 9099(d) originally delivered on 6/16/2026
Deadline recorded: Jun 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 17, 2026
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 08-AS-20250530085015
No deficiencies recorded in this reportInspection
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
87466 Observation of the Resident: “The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not ensure that 1 of 113 residents (R1) was regularly observed for changes in physical, mental, emotional and social functioning following their fall. This posed a potential health risk to persons in care.
Official plan of correction
Licensee agreed to conduct an in-service retraining for all current staff on Licensee’s operative “Fall Management Protocol” (aka “Policy: 213”) and “Change of Condition Reporting” (aka “Policy: 301”) documents. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.
Deadline recorded: May 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 3, 2026
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87755(c)
- Regulation authority
- CCR
What the official deficiency says
87755 Inspection Authority of the Licensing Agency: “(c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not cooperate with the licensing agency’s authority to receive a copy of a facility recording pertaining to an investigation involving 1 of 113 residents (R1). This posed a potential health and safety risk to persons in care.
Official plan of correction
As of the date of deficiency issuance, CCLD completed its investigation of R1’s fall without a preserved recording of the pertinent footage. LPA advised the facility administrator to consult with whomever is needed to learn / better understand the technical features of their video surveillance system, such that preserving future recording excerpts is done easily. Licensee was advised that repeat violations may incur a civil penalty and/or trigger a Non-Compliance Conference (NCC).
Deadline recorded: Apr 3, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 3, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded · investigated over 2 visits
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f)(1).... “Care and Supervision” means the facility assumes responsibility for…on going assistance with activities of daily living and the assumption of varying degrees of responsibility for the safety and well-being of residents. This requirement was not met as evidenced by: Based on LPA interviews and records review the licensee did not provide R1 supervision. 1 in 1 of 126 persons in care [R1] which posed a potential health and safety risk to persons in care. ·
Official plan of correction
Licensee agreed to conduct a full scale elopement driil and a training on elopements/absent without leave (AWOL), supervision for residents in care. This drill and training will be completed by POC date of 10/6/25. Licensee will provide LPA with a signed drill and training roster and training agenda. As of 9/2/25Tha R1 has a private caregiver that is with R1 24/7. This is an amended lic9099D that was orginally delivered on 9/11/25
Deadline recorded: Oct 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 6, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Feb 24, 2026 · Control 08-AS-20250410161651
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 08-AS-20250530085015
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 1569.652
- Regulation authority
- HSC
What the official deficiency says
1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds: “(a) A residential care facility for the elderly shall not require advance notice for terminating an admission agreement upon the death of a resident. No fees shall accrue once all personal property belonging to the deceased resident is removed from the living unit.” This requirement was not met, as evidenced by: Upon the death of 1 of 113 residents (R1), Licensee continued to allow fees to accrue after the deceased resident’s personal property was removed from the living unit. This posed a potential personal rights risk to persons in care.
Official plan of correction
During today’s visit, Licensee, in front of LPA: a) Issued a credit of (-$2,112.39) to the account of R1 to wipe out the room and board charges from 04/26/2025 through 05/09/2025, essentially treating 04/25/2025 (the day R1 died) as the last billable day; b) Issued a credit of (-$114.88) to reimburse R1 for their one-time pest control product/incidental expense. The total credit was therefore (-$2,227.27), and given R1 had a balance owed of $1,341.99, this resulted in an excess refund payment of (-$885.28) to R1’s estate. These actions resolve the deficiency.
Deadline recorded: Jun 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 08-AS-20250530085015
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 1569.652
- Regulation authority
- HSC
What the official deficiency says
1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds: “(a) A residential care facility for the elderly shall not require advance notice for terminating an admission agreement upon the death of a resident. No fees shall accrue once all personal property belonging to the deceased resident is removed from the living unit.” This requirement was not met, as evidenced by: Upon the death of 1 of 113 residents (R1), Licensee continued to allow fees to accrue after the deceased resident’s personal property was removed from the living unit. This posed a potential personal rights risk to persons in care.
Official plan of correction
During today’s visit, Licensee, in front of LPA: a) Issued a credit of (-$2,112.39) to the account of R1 to wipe out the room and board charges from 04/26/2025 through 05/09/2025, essentially treating 04/25/2025 (the day R1 died) as the last billable day; b) Issued a credit of (-$114.88) to reimburse R1 for their one-time pest control product/incidental expense. The total credit was therefore (-$2,227.27), and given R1 had a balance owed of $1,341.99, this resulted in an excess refund payment of (-$885.28) to R1’s estate. These actions resolve the deficiency.
Deadline recorded: Jun 13, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 13, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 08-AS-20250530085015
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements: “(a) (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…(D) Any incident which threatens the welfare, safety or health of any resident…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not submit a written report to the licensing agency and to the person responsible for 1 of 113 residents (R1) who had an incident which threatened their welfare, safety, or health. This posed a potential personal rights risk to persons in care.
Official plan of correction
Licensee agreed to submit write and submit one (1) LIC624 Incident Report (to cover both R1’s fall and hospitalization) and one (1) LIC624A Death Report (to cover the extent of what Licensee knows about R1’s death, as reported by their RP). Licensee agreed to E-mail copies of the LIC624 and LIC624A to the Department (CCLASCPSanDiegoRO@dss.ca.gov, Cc’ing LPA Nguyen) and to R1’s RP, by the POC due date.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation: “(a) The facility shall be clean, safe, sanitary…at all times.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not ensure the facility was clean and sanitary at all times. This posed a potential health and safety risk to persons in care.
Official plan of correction
As of the date of deficiency issuance, the mice observed in R1’s room have been removed and the room has been thoroughly cleaned. On 05/09/2025, the facility’s Executive Director and Regional Maintenance Director walked the room, finding no evidence of vermin. Licensee agreed to bring in a professional pest control company to inspect the facility for vermin, to ensure no future problems, and to E-mail a copy of the visit report to LPA, by the POC due date.
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
- 87507(e)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements: “(e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. The licensee shall provide additional copies to the resident or resident’s representative upon request.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not provide copy of the signed and dated current admission agreement to the representative of 1 of 113 residents (R1) immediately upon singing the admission agreement and upon request. This posed a potential personal rights violation to persons in care.
Official plan of correction
Licensee agreed to E-mail a copy of R1’s latest unaltered admissions agreement document to their responsible person (Cc’ing LPA Nguyen), by the POC due date.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Jun 16, 2026 · Control 08-AS-20250530085015
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements: “(a) (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…(D) Any incident which threatens the welfare, safety or health of any resident…” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not submit a written report to the licensing agency and to the person responsible for 1 of 113 residents (R1) who had an incident which threatened their welfare, safety, or health. This posed a potential personal rights risk to persons in care.
Official plan of correction
Licensee agreed to submit write and submit one (1) LIC624 Incident Report (to cover both R1’s fall and hospitalization) and one (1) LIC624A Death Report (to cover the extent of what Licensee knows about R1’s death, as reported by their RP). Licensee agreed to E-mail copies of the LIC624 and LIC624A to the Department (CCLASCPSanDiegoRO@dss.ca.gov, Cc’ing LPA Nguyen) and to R1’s RP, by the POC due date.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation: “(a) The facility shall be clean, safe, sanitary…at all times.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not ensure the facility was clean and sanitary at all times. This posed a potential health and safety risk to persons in care.
Official plan of correction
As of the date of deficiency issuance, the mice observed in R1’s room have been removed and the room has been thoroughly cleaned. On 05/09/2025, the facility’s Executive Director and Regional Maintenance Director walked the room, finding no evidence of vermin. Licensee agreed to bring in a professional pest control company to inspect the facility for vermin, to ensure no future problems, and to E-mail a copy of the visit report to LPA, by the POC due date.
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
- 87507(e)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements: “(e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. The licensee shall provide additional copies to the resident or resident’s representative upon request.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee did not provide copy of the signed and dated current admission agreement to the representative of 1 of 113 residents (R1) immediately upon singing the admission agreement and upon request. This posed a potential personal rights violation to persons in care.
Official plan of correction
Licensee agreed to E-mail a copy of R1’s latest unaltered admissions agreement document to their responsible person (Cc’ing LPA Nguyen), by the POC due date.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Inspection
Admission, assessment, and evictionType B
- Official classification
- Type B
- Official code
- 87507(c)
- Regulation authority
- CCR
What the official deficiency says
87507 Admission Agreements: “(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any, and the licensee or the licensee’s designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above.” This requirement was not met, as evidenced by: Based on records and interviews, Licensee or their designated representative did not sign the admissions agreement for 1 of 113 residents (R1) within seven (7) days after the resident’s admission. This posed a potential personal rights violation to persons in care.
Official plan of correction
Licensee agreed to E-mail a copy of R1’s latest unaltered admissions agreement document to their responsible person (Cc’ing LPA Nguyen), by the POC due date.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464(f)(1)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f)(1).... “Care and Supervision” means the facility assumes responsibility for…on going assistance with activities of daily living and the assumption of varying degrees of responsibility for the safety and well-being of residents. This requirement was not met as evidenced by: Based on interview and record review, two residents (R1 and R2) wandered from the facility without required supervision. This posed an immediate health, safety, and personal rights risk to 2 of 109 residents in care.
Official plan of correction
Licensee agreed to conduct training by an outside source on elopements/absent without leave (AWOL), supervision for residents in care. This training will be completed by POC date of 6/9/25. Licensee will provide LPA with a signed training roster and training agenda.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)(D)
- Regulation authority
- CCR
What the official deficiency says
REPORTING REQUIREMENTS Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Based on interviews and record review, the licensee failed to report R2's elopement to law enforcement and the licensing agency. 1 in 1 of 109 persons in care [R2] This posed a potential health and safety risk to R2.
Official plan of correction
Licensee stated the incident report would be completed and submitted to the licensing agency by POC date and a facility training will be conducted on " reporting requirements " This is an amended version of a report originally delivered on 5/14/25.
Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 9, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f) (4) Basic services shall at a minimum include, personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living. This requirement was not met as evidence by: Based on interviews and records review, the licensee did not ensure that residents received personal assistance and care as needed on a timely basis to meet the residents’ needs. This posed a potential health risk to residents in care.
Official plan of correction
Facility managment will conduct in-service trainings with all staff to ensure call buttons are attended within the standard response time.
Deadline recorded: Aug 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 5, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(25)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities: “(a)…residents…shall have all of the following personal rights: “(25) To protection of their property from theft or loss…” This requirement was not met, as evidenced by: Based on records and interviews, licensee’s staff (S1) did not ensure that 1 of 114 residents (R1) was protected from theft of loss, which posed an immediate personal rights risk to persons in care.
Official plan of correction
Per manager interview and personnel and training records: S1’s employment ended on 12/15/2023, resolving the immediate risk. Licensee also retrained remaining frontline staff on its Theft and Loss Policy on 12/28/2023. Licensee agreed to retrain remaining frontline staff on Resident’s Personal Rights (see from LIC613-C), and to submit the training sign-in sheet to LPA by 03/14/2024.
Deadline recorded: Feb 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 14, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… Based on interviews and review of records the licensee did not have personnel sufficient in numbers…to provide the services necessary to meet the needs 104 of the 104 persons in care which posed a potential risk to the health and safety of persons in care.
Official plan of correction
Facility hired more full time staff and part time staff to cover as any vacancies. Policy of call report review daily was initiated.
Deadline recorded: Feb 9, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Feb 9, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.655(a)
- Regulation authority
- CCR
What the official deficiency says
“ … (a) If a licensee ...facility for the elderly increases the rates of fees for residents ... the licensee shall provide no less than 60 days' prior written notice to the residents or the residents' representatives …” Based on records review and staff interview the licensee did not ensure that R1 was provided a 60-day prior notice to monthly rent increase. 1 in 4 of 92 persons in care. which posed a potential personal rights risk to persons in care.
Official plan of correction
Executive Director Calais Anguiano stated that the facility has reversed or credited the residents that were charged a rent increase without a 60 day prior notice. The faciltiy will conduct a staff training regarding the admission agreement and requirements. POC due 9/11/23
Deadline recorded: Sep 11, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 11, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities Residents shall be accorded dignity in his/her personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Interviews with staff and residents and records review revealed the licensee did not ensure staff spoke inappropriately to residents in care. This posed potential personal rights risks to residents in care.
Official plan of correction
Facility management provided additional training on personal rights to all employees. In addition, employee performance corrective actions were properly completed as required by facility internal personnel policies. Plan of correction has been completed. No additional follow-up warranted at this time.
Deadline recorded: Aug 28, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 28, 2023
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f) (4) Basic services shall at a minimum include, personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living. This requirement was not met as evidence by: Based on observations, interviews, and records review, the licensee did not ensure that residents received personal assistance and care as needed on a timely basis to meet the residents’ needs. This posed a potential health risk to residents in care.
Official plan of correction
Facility managment conducted in-service trainings with all staff to ensure call buttons are attended within the standard response time. Staff were also reminded to ensure calls are closed in the system once residents have been serviced. In addition, staffing levels needs were reassessed to meet residents needs. Plan of correction has been completed. No additional follow-up warranted at this time.
Deadline recorded: Aug 28, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 28, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care Services. Once ordered by the physician...medications shall be given in accordance with the physician’s directions. This requirement was not met as evidenced by: Based on staff interview the licensee did not give medications in accordance with the physician's directions.1 in 1 of [85] persons in care (R1) which posed a potential health risk to persons in care.
Official plan of correction
Per Licensee, medication error prevention training was attended by med tech staff on various dates in the month of November 2022. LPA was given a copy of the training agenda and attendance roster on 2/24/23 This is an amended version of the original report created on 2/24/23
Deadline recorded: Mar 6, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 6, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
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