Ivy Park at Escondido.

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with Administrator, Samuel De Guzman. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: The facility is a two story structure consists of memory care residents on the first floor and assisted living residents on the second floor. The facility has a main kitchen on the first floor, multiple dinning areas, activity rooms such as a library, gym, hair salon, and movie theaters, a patio and yard with sufficient seating and space for activities. LPA inspected 10 resident rooms and observed grab bars for each toilet, bathtub and shower used by residents. Water temperature was tested in the rooms observed and measured to be within regulation. Resident showers have non-skid texture floor. The rooms were kept clean and free of any odors. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home and no bodies of water observed. LPA began review of client records. ten (10) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete. LPA began review of employee records- Ten (10) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 08/28/2026. LPA observed personnel records to be available. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There are two locked rooms allocated for medication storage. One room is located on the first floor and the second is located on the second floor. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Administrator stated the smoke detectors and carbon monoxide detectors are serviced quarterly. LPA observed fire extinguishers were in compliance and last serviced March 4, 2024. The facility is conducting emergency disaster/fire drills monthly; last done on 01/13/2025. Based on the information received during this visit today in the areas reviewed, there are no deficiency that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report was reviewed with the facility representative and a copy was provided.

S1 found R1 in their room on the floor by their bed in a sitting position. S1 had conducted an assessment of R1 and asked if R1 had hit their head, if R1 was experiencing pain anywhere on their body, and observing R1 for visible injuries. S1 did not assist R1 up off the floor due to R1 expressing lower back pain and hip pain on their right side. S1 reported due to the facility’s policy, they contacted Emergency Medical Services (EMS) and did not move the resident off the floor to ensure resident’s safety. Interview with Health and Wellness Director Amber Suttie reported staff procedure regarding unwitnessed falls are for staff to assess the resident’s condition prior to assisting the resident off the floor. If residents report to staff a head injury, pain, or if resident has observable injuries, EMS is contacted for further medical assessment. Records review revealed staff notes dated 06/20/2024 at 3:45am EMS was called due to R1’s unwitnessed fall and R1 reporting to staff lower back pain and pain to the right hip area. Interview with S1 and RP revealed R1’s pendent was activated at 3:40am and EMS arrived at approximately 3:52am. This agency has investigated the complaint alleging "Victim was left on floor until fire department arrived as a result of facility staff's negligence" . We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to Executive Director Malaspina.

Based on observations, interviews and records review the allegation of uncleared adult is working at the facility is unfounded. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was reviewed and provided to Executive Director Kimberly Malaspina.

Licensing Program Analyst (LPA) Tricia Danielson arrived to the facility conducted an unannounced collateral visit regarding a complaint allegation which occurred at another facility. During today's visit, LPA interviewed one staff and Resident #1(R1). An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.