Senior Care Records.

Complaint Investigation Report

Ivy Park at Rockville, Fairfield01/04/2022Licence 486803653

Census115
Date signed01/04/2022 11:12:33 AM
The inspector’s account

LPA observed two other times that residents pulled call system chords that had a time of 19:19 minutes and 18:47 minutes. During an unannounced complaint visit conducted on 10/19/21, LPA pulled the call system chord in a resident’s room and staff arrived 20 minutes later (photo taken). Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Mikayla Muehleisen and Appeal rights were given.

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