Senior Care Records.

Facility Evaluation Report

Ivy Park at San Jose, San Jose06/17/2026Licence 435202847

Capacity140
Census112
Date signed06/18/2026 09:02:01 PM
Name of licensing program analystMaria Partoza
Name of licensing program managerRomeo Manzano
The inspector’s account

On 06/17/2026, at 4:10 p.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced case management visit for incident that occurred at the facility on 06/12/2026. LPA met with Executive Director/Administrator (ED/ADM) Karina Nevarez, stated the purpose of the visit.

The facility self reported to the department the event that occurred on 06/11/2026 regarding the incident between 2 residents in the memory care section of the facility. Based on the report submitted, on 06/11/2026, at approximately 1:15 p.m. staff/team members heard a commotion in the activity room and observed resident 1 (R1) and resident 2 (R2) were beside one another and were angry at each other. R1 sustained a superficial scratch on his/her face below the chin and staff intervened and separated the residents.

During today's visit 06/17/2026, LPA conducted an interview with ED/ADM (S1) and Health Services Director (S2), ,who stated that the facility have notified R1s and R2S family and both families are aware of the resident's behaviors. S1 stated that R1s family member said that R1 does not like when someone get close to R1 and will ward off the person near him/her. S1 stated that no staff witnessed the actual altercation, but staff heard the commotion and turned around then intervened.

LPA collected information pertaining to the incident. At this time, this case in under review and department will conduct a follow up visit , if warranted. No deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22. A copy of the report was provided to Executive Director/Administrator, Karina Nevarez.

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