Facility Evaluation Report

Ivy Park at Hayward, Hayward01/16/2025Licence 019200922

Capacity170
Census104
Date signed01/16/2025 07:22:43 PM
The inspector’s account

During investigation of complaint (Control # 15-AS-20240319155109), Licensing Program Analyst (LPA) was provided the following information:

1. Pine Park Health sent order to the facility to check resident's (R1) blood pressure (BP) from 02/07/2024 to 02/14/2024. Information obtained from Pine Park Health staff confirmed there's an order. However, review of R1's record and staff record sent by staff to Pine Park Health showed R1 refused blood pressure check on 02/14/2024 and BP record from 02/16/2024 to 02/19/2024. There's was no record for 02/07/2024 to 02/13/2024. LPA interviewed S1 who was not able to provide information why R1's BP was not checked for the said ordered dates.

2. R1 had overgrown toenails. Pictures obtained by LPA showed R1 had discolored overgrown toenails about 1 to 2 inches long. LPA called the podiatrist clinic who confirmed R1 was seen in 4/2024

Deficiencies are cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of corrections by plan of correction dates and any repeat violation within 12 month period may result in civil penalty.

Deficiency and plan and proof of correction were discussed with AED.

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