Ivy Park at Bradford.

During their interview, S1 stated that on January 2, 2026, it had been raining on and off and R1 was "insistent" on getting their girlfriend a phone. Per S1, R1 was able to leave the facility unassisted and did so from time to time. S1 stated shortly after R1 left to the cell phone store on foot, they received a call from the Hospital stating R1 had fallen outside of the cell phone store. Per S1, R1 did have a walker, however, R1 was able to ambulate without it and only used the walker occasionally. S1 stated they were unsure if R1 had their walker prior to leaving the facility or if R1 had been using the walker at the time of their fall. During their interview, R1’s responsible party, Witness 1 (W1) stated they were unsure if R1 had their walker prior to leaving the facility, however, stated R1 was able to ambulate without it, and often did so at their own discretion. During their interview, R1 was unable to confirm or deny if they had their walker prior to leaving the facility or if they been using the walker at the time of their fall. Based on record review of R1’s LIC602 and LIC624, and due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff did not ensure that resident had their required mobility aid prior to leaving the facility. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Executive Director (ED) Rose Calabrese and the purpose of the inspection was discussed. During the inspection, LPA and ED conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building used for assisted living and an adjacent one-story building used for Memory Care. Resident bedrooms were observed to have the required furnishings. LPA observed resident beds had linens and blankets. The facility’s call system was tested in select resident bedrooms and observed to be operable. The facility has three courtyard areas, each with multiple shaded sitting areas. LPA observed residents in common areas, engaging in leisure activities such as puzzles, cards, and group discussion. Residents were also observed resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 109.0 - 121.4 F degrees. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and annual fire alarm report indicated last inspection was conducted on January 13, 2026. Carbon monoxide detectors are located outside every resident’s bedroom and tested operational. Fire extinguishers are located in every facility hallway and were observed to be fully charged with service tags dated October 28, 2025. Kitchen appliances and laundry washers and dryers were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. (Cont. LIC809-C) 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 Medication was observed to be centrally stored in medication carts, which are stored and locked in the medication room. LPA reviewed medication and medication administrator records for select residents. LPA conducted file review of ten resident files and five staff files. LPA interviewed seven residents and five staff. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Health Services Director (HSD) Neha Patel and explained the purpose of the inspection. During the inspection, LPA and HSD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and observed the following: The facility consists of a two-story building used for assisted living and an adjacent one-story building used for Memory Care. Delayed egress was tested and observed to be operational. Resident bedrooms were observed to have the required furnishings. LPA observed resident beds had linens and blankets. The facility has three courtyard areas, each with a shaded sitting area. LPA observed residents in common areas, engaging in leisure activities such as puzzles, live music, and socializing. Residents were also observed resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 113.1-119.1 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed. Food menu and activities calendar were posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors are on a sprinkler system and annual fire alarm report indicated last inspection was conducted on October 4, 2024. Carbon monoxide detectors are located outside every resident’s bedroom and tested operational. Fire extinguishers are located on opposite ends of every facility hallway and were observed to be fully charged with service tags dated October 7, 2024.(Cont. LIC809-C) 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 Kitchen appliances, washer, and dryer were all observed to be operable. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication was observed to be centrally stored and locked in the medication room. LPA reviewed medication and medication administrator records for select residents. LPA conducted record review of eight resident files and five staff files. LPA interviewed five residents and five staff. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.