Senior Care Records.

Facility Evaluation Report

Ivy Park at San Tomas, San Jose05/21/2025Licence 435202874

Capacity82
Census25
Date signed05/21/2025 12:36:05 PM
Name of licensing program analystChristine Kabariti
Name of licensing program managerJackie Jin
The inspector’s account

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management - deficiencies visit due to violations observed during tour of the facility while conducting a complaint investigation for complaint control number: 26-AS-20240923130821. LPA met with Executive Director, Kenia Padilla Sanchez.

During today visit, LPA toured the 2nd floor of the facility with the Executive Director (ED). LPA randomly entered into 11 resident apartments with the ED to include RM 232, 234, 236, 238, 237, 233, 229, 202, 201, 207, and 213.

LPA observed 9 out of 11 resident rooms had hygiene products accessible to residents in care, located in the resident bedrooms and bathrooms. Items observed included shampoo, conditioner, lotions, perfumes, soaps, nail polish, and Clorox wipes. The rooms observed with accessible hygiene products/chemicals were rooms 232, 234, 238, 237, 233, 229, 202, 201, and 213.

Based on interview with the ED, all residents on the 2nd floor are diagnosed with dementia and all the hygiene products and chemicals inside the resident bedrooms/bathrooms should be kept locked.

A deficiency was cited per California Code of Regulation, Title 22. See LIC809-D. This report was reviewed with Executive Director, Kenia Padilla Sanchez and a copy of the report and appeal rights were provided.

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