Inspection
No deficiencies recorded in this report
IVY PARK AT SAN JOSE
4855 SAN FELIPE ROAD, San Jose CA 95135
140 bedsLatest official report Jun 17, 2026Licensed
Additional info
- Telephone
- (408) 223-1312
- Licensee
- WELL IVY 6 TENANT LLC;OAKMONT MANAGEMENT GROUP LLC
- Administrator
- NEVAREZ, KARINA
- Contact
- NEVAREZ, KARINA
- License first date
- May 6, 2022
- License effective date
- May 6, 2022
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 4 Type A deficiencies for this facility.
- Most recent inspection
- Jun 17, 2026
- Most recent deficiency
- Jun 14, 2024
18 later reports, from Jul 9, 2024 through Jun 17, 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 41 Santa Clara County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 23 reports for this facility: 13 inspections, 8 complaint investigations, and 2 licensing or administrative records.
Those records contain 4 Type A and 0 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 13
- Recorded deficiencies
- 4
- Type A deficiencies
- 4
- Type B deficiencies
- 0
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 10
5 in the last 12 months
About the same as most this size
0 in the last 12 months
More than the typical 2
0 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
Most this size also have none
0 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.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
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
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Mar 11, 2026 · Control 26-AS-20250902144233
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 · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 2 unfounded
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 · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a)(4) To care, supervision, and services that meet their individual needs ... by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by; Based on interviews conducted, resident R1 had elopped from the facility on June 13, 2024 and staff did not provide R1 with Care and Supervision to met his/her needs. This poses an immideate threat to health, safety or personal rights risk to persons in care.
Official plan of correction
ADM stated she will conduct training for her staff regarding wandering residents and elopement. ADM stated she will send documentation of training to LPA by POC date, June 15, 2024.
Deadline recorded: Jun 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 15, 2024
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(b)(2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (b)In addition to the requirements as ... the plan of operation shall address the needs of residents with dementia, including:(2) Safety measures to address behaviors such as wandering, .... This requirement was not met as evidenced by; Based on interviews conducted, licensee did not have plan of operation and safety measures to address the needs of R1 who is diagnosed with dementia and eloped from facility while living in assisted living unit, was supposed to be admitted in dementia unit.
Official plan of correction
ADM stated she will submit a plan of action on how she will ensure residents with dementia and wandering behaviors who are residing in Assisted living will be kept safe from eloping from the facility.
Deadline recorded: Jun 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 15, 2024
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(2)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7)... (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Administrator did not exhibit the knowledge of applicable laws, rules and regulations resulting in serious violations involving a resident who eloped from facility which poses an immediate health safety and personal rights risk to persons in care.
Official plan of correction
ADM stated she will send a letter of understanding regading the regulation. ADM stated she will send the letter by POC date, June 15, 2024.
Deadline recorded: Jun 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 15, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87464
- Regulation authority
- CCR
What the official deficiency says
Basic Services (f)Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). Health and Safety Code section 1569.2(c) provides:(c) " Care and supervision " means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance …” This requirement was not met as evidenced by: Based on interview, and records review, the facility did not provide the necessary assistance to R1 who can’t leave facility unassisted when R1 left the facility. This poses an immediate risk to the health and safety of resident in care.
Official plan of correction
Administrator to submit plan of staff training regarding providing supervision or assistance to residents who can’t leave facility unassisted to CCL by POC date.
Deadline recorded: Jun 18, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 18, 2022
Correction not verified in available records
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