Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Ivy Terrace at Garden Grove. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 72 ambulatory of which 38 may be non-ambulatory. Facility has an approved hospice waiver for 12 residents and the facility currently has 6 residents on hospice care. Kyle Coleman has an administrator certificate expiring on 09/26/2025.

LPA Lyman along with Administrator Coleman toured the facility at 9:26 AM. LPA toured the physical plant, checked food service, facility records and the first aid kit. Facility appears to be clean, safe, and sanitary. Facility consists of one main building housing residents surrounded by a large outdoor patio. LPA observed main kitchen, dining room, beauty salon, activity areas and outside area. Resident rooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed one resident with half bed rails. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.8 and 114.2 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Staff responded within 5 minutes for emergency cord pull. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissor. LPA observed no toxins unsecured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Facility is keeping a log of freezer/ refrigerator temperatures and all were in range. Smoke detectors and fire inspections are conducted quarterly by an outside company, Cal Building Systems with the last inspection date of 07/07/2024. Facility tested fire system during the visit and alarms were operational as well as exit gate attached to alarm. CONTINUED ON LIC 809C DATED 06/18/2025