Facility Evaluation Report

Ivy Park at Hayward, Hayward06/04/2025Licence 019200922

Capacity170
Census94
Date signed06/04/2025 03:39:05 PM
Name of licensing program analystAlicia Delmundo
Name of licensing program managerBennett Fong
The inspector’s account

While the Department conducted investigation of complaint (Control # 15-AS-20230801150316) and upon review of records and interviews, it was learned that fift assist had to be called each time in order to get R1 up. Facility staff admitted that R1 would fall “every single day”. All facility staff interviewed stated they did not believe they could provide the level of care R1 required but kept R1 at the facility anyway.

LPA discussed the above with Executive Director (ED) Nansiela 'Nancy' Randhawa.

Deficiency is from Title 22 California Code Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty.

Deficiency and plan and proof of correction were discussed with the ED.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

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