Facility Evaluation Report

Ivy Park at Hayward, Hayward09/26/2024Licence 019200922

Capacity170
Census105
Date signed09/26/2024 08:53:31 PM
The inspector’s account

Licensing Program Analyst (LPA) Alicia Delmundo conducted an unannounced annual required inspection. LPA met with Associate Executive Director (AED) Rosana Frias, and informed the reason for visit.

Facility is a seven story building, the 2nd, 3rd, 4th and 5th floors of which houses assisted living residents.

Facility has LIC9282 Infection Control Plan, and updated copy provided to LPA on this same day.

LPA inspected the facility inside and out with AED. LPA inspected the common areas, activity rooms, kitchen, dining rooms, Life Enhancement area, lounge/bistro. theater, fitness center/room, courtyard and back patio. Salon, housekeeping supplies room, massage/therapy rooms on the first floor were inspected. Electrical and housekeeping supplies rooms, laundry rooms on other floors were checked. Food supplies were observed good for 7 days of non perishables and 2 days of perishables. Freezers and refrigerators temperatures are checked by kitchen staff and records kept and observed within Regulations range. LPA randomly selected 10 residents rooms for inspection - 4 rooms on 2nd floor, 2 rooms on the 3rd floor, and 3 rooms each on 4th and 5th floors.

Facility has carbon monoxide and smoke detectors that are in operating condition. Hot water temperature in one of the residents' bathroom on the 3rd floor was checked and measured at 114.6 degrees Fahrenheit. Fire extinguisher in the kitchen was observed fully charge with tag showed serviced April 4, 2024. Facility has evacuation chairs on stairwells. Facility conducts disaster drills and records showed last conducted August 26, 2024.

LPA reviewed 5 staff and 6 residents files, and interviewed 4 residents.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction