Senior Care Records.

Complaint Investigation Report

Ivy Park at San Tomas, San Jose07/08/2025Licence 435202874

Census24
Date signed07/08/2025 05:19:08 PM
The inspector’s account

On January 31, 2025, LPA Simi Rai interviewed Executive Director (ED) Kenia Padilla. ED stated there was a Norovirus outbreak 2 weeks ago. ED stated the initial case was on 1/13/2025. The visitors were notified with posters at the front and throughout the building. ED stated there were 4 residents with positive Norovirus and everyone went into isolation. ED stated the Maintenance Director maintained a log for sanitization. ED stated she informed the Department of Health Services and they advised her to close the dining room. ED stated each resident would have a 3-drawer cart and each cart would have PPE supplies such as N95/masks, eye safety glasses, shoe covers, gloves, hand scantier, and gowns. ED stated the staff would prepare the meals in the kitchen, place food in individual containers and give each resident their food in their rooms. ED stated she knows the staff were following food service sanitation practices because she was on the floor as well, serving the food to the residents. ED stated last week, they started to bring residents into the dining room which needed assistance with feeding and place them 6 feet apart.

LPA Rai made the following observations during the complaint investigation visit. LPA Rai observed the kitchen area. LPA Rai observed the kitchen prep area, the dishwasher area, pantry and refrigerator/freezer. All areas were clean and clear of dust and debris. LPA Rai observed the laundry room. LPA Rai observed 3 washers, and 2 dryers. One dryer was out of service, but it going to be repaired. LPA Rai observed two resident rooms Room 213 and 103 which stored PPE supplies. LPA Rai observed boxes of gloves, masks, gowns, sanitizing wipes and trash cans with lids.

On July 8, 2025, LPA Manuel Monter interviewed residents R1-R7. R6 and R7 residents interviewed were unable to provide answers to questions LPA's posed. Residents R1-R5 stated they don't know what the facility did when there was an outbreak and have no knowledge.

LPA Manuel Monter and Marcella Tarin interviewed staff S1-S4. All staff interviewed stated the facility follows infection control protocols when there is an outbreak. All staff interviewed stated facility staff wear gloves and dispose of them when they are finished providing care inside a residents bedroom.

LPA interviewed Health Services Director (HSD). HSD stated the facility is following there infection control protocols. HSD stated kitchen staff do not provide care giving services to residents. HSD stated kitchen staff follow infection control protocols. HSD stated when there is an outbreak, the facility will deliver meals to residents apartments and provide disposable dinning wear. Page 2 Out of 6.

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