Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Ivy Park At Santa Rosa for the purpose of conducting a Case Management-Incident Inspection. LPA was greeted at the door by Administrator, Stephanie Limberg, and was granted access into the facility.

During the Case Management-Incident inspection, LPA requested the following document for an incident that was submitted to CCL on April 22, 2023:

During the Case Management-Incident inspection, LPA reviewed the LIC 602 at the facility and found that the resident was NOT on a Special Diet. Furthermore, facility followed all proper procedures as it relates to this incident report.

Also on this date and time, LPA followed up with another incident report that was submitted on May 5, 2023 regarding a resident to resident altercation at the facility. LPA interviewed the Administrator and the two residents. LPA learned that both residents have no recollection of what occurred and have assimilated back into the community. Furthermore, LPA learned that the Care Plans will be updated for both residents in care.

No deficiencies were observed or cited during today's Case Management-Incident inspection. Exit interview was conducted and a copy of this report was given to the facility Administrator.