374604747-5-22-2025-08-AS-APAO-DH5PCE-20250529111147

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604747
Report Date: 05/22/2025
Date Signed: 05/22/2025 11:06:13 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/14/2024 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20241014144500

FACILITY NAME:	IVY PARK AT SABRE SPRINGS		FACILITY NUMBER:	374604747
ADMINISTRATOR:	DAYNES, ROBERT		FACILITY TYPE:	740
ADDRESS:	12515 SPRINGHURST DRIVE		TELEPHONE:	(858) 391-9160
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92128
CAPACITY:	100	CENSUS: 99	DATE:	05/22/2025
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Executive Director Rob Daynes		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff did not treat resident with dignity and respect.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Rob Daynes.

On 10/14/2024 it was alleged that Staff did not treat resident with dignity and respect. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, records review, and LPA observations. Staff interviews did not corroborate the allegation, as staff consistently informed not hearing of or witnessing another staff treating a resident without dignity. Staff informed that the resident in question, R1, had become more reclusive and resistant to care due to a change in condition.

An outside medical professional familiar with R1's care at the facility informed not observing any dignity issues between staff and R1. (Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20241014144500

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: IVY PARK AT SABRE SPRINGS	FACILITY NUMBER: 374604747
	VISIT DATE: 05/22/2025

NARRATIVE

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(Continued from LIC9099 p.1)

The outside source corroborated staff statements regarding R1's resistance to care and change in condition. The outside source further informed that R1 had been making emotionally-charged statements about their care that were not really happening, such as insinuating that they do not have a choice in activities of daily living (ADLs), as if they were being forced. The outside source informed that staff had become resourceful in making sure R1's care needs were met and did not have any concerns.

During and unannounced facility visit LPA walked the floor in question and only observed the stairwell door to close loudly, which was not near R1's room. LPA observed R1's room door slightly ajar during the visit while R1 was sleeping. LPA did not observe the caregivers on the floor to be loud or deal with any resident in a way that violated their dignity.

Interviews were attempted with R1, however R1 was observed to be sleeping during the facility visit and unable to be interviewed.

No facility records were found to affirm or refute the allegation.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Executive Director Rob Daynes, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2025

LIC9099 (FAS) - (06/04)

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