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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604747
Report Date: 05/31/2026
Date Signed: 05/31/2026 11:18:16 PM

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
03/11/2025 and conducted by Evaluator Nacole Patterson
COMPLAINT CONTROL NUMBER: 08-AS-20250311114348
FACILITY NAME:IVY PARK AT SABRE SPRINGSFACILITY NUMBER:
374604747
ADMINISTRATOR:DAYNES, ROBERTFACILITY TYPE:
740
ADDRESS:12515 SPRINGHURST DRIVETELEPHONE:
(858) 391-9160
CITY:SAN DIEGOSTATE: CAZIP CODE:
92128
CAPACITY:100CENSUS: 100DATE:
05/31/2026
UNANNOUNCEDTIME BEGAN:
06:30 PM
MET WITH:Report Mailed to LicenseeTIME COMPLETED:
11:00 PM
ALLEGATION(S):
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Licensee did not assess residents according to their level of care.
Licensee did not ensure resident records were complete and current.
INVESTIGATION FINDINGS:
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The following determination of findings have been made by Licensing Program Analyst (LPA) Nacole Patterson regarding the above allegations. This report was mailed to the Licensee.

On 03/11/2025 it was alleged that Licensee did not assess residents according to their level of care, and Licensee did not ensure resident records were complete and current. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, resident, outside sources, and records review. Staff interviews were consistent regarding the facility's assessment procedures for residents. Staff informed that the only resident with an assessment adjustment during the timeframe of complaint was Resident 1 (R1). The assessment procedures outlined by staff were consistent with R1's onboarding and assessment documents. Staff informed that while R1 was appropriately assessed to be placed in the Assisted Living section of the facility, R1 experienced a change of condition shortly after admission showing cognitive decline. Staff informed that the facility continued to monitor R1 and enacted safety measures that consistently matched R1's level of acuity and cognition. (Continued on LIC9099 p.2)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2026
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-20250311114348
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: 05/31/2026
NARRATIVE
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(Continued from LIC9099 p.1)

R1 was interviewed privately during and unannounced facility visit. R1 was observed to have long-term memory recall during interview, however R1 exhibited some confusion about present day, such as how long they had lived at the facility. R1 was oriented to person, place, and partially time. R1 had a safety monitoring device on their person and understood what it was for and that they could not leave the facility on their own. While R1 exhibited some memory issues, they did not present as an inappropriate fit for the Assisted Living section of the facility with the safety device in place.

Review of facility records showed that R1 moved into the facility on 02/19/2025. The assessments and onboarding paperwork for R1 were observed to be dated on 02/19/2025 or earlier. The documents dated after the 02/19/2025 were related to R1's change in behavior that presented after admission. The facility's assessment documents were consistent with the assessment documents submitted by R1's Responsible Person and doctor. This showed that R1 was accurately assessed to live in the Assisted Living section of the facility based on the information available at the time of admission. Incomplete admission and/or assessment documents were not found.

LPA contacted an outside advocacy agency familiar with the facility. The agency representative informed that they had no concerns regarding the facility. Requests for additional information from the concerned party were not responded to.

LPA observations during interview with R1 were consistent with the documentation regarding R1's level of cognition. During subsequent facility visits for unrelated investigations, LPA observed that R1 had moved into the Memory Care section of the facility. This showed that the facility continued to evaluate and adjust R1's level of care over time.

The evidence showed that the facility conducted numerous assessments to evaluate R1's fit for the facility. While R1 did suffer mild cognitive impairment, precautions were in place for R1 to live safely in the Assisted Living section. The evidence additionally showed that upon R1 exhibiting a change in condition, facility staff assisted R1 with additional evaluations and communicated the changes to R1's Responsible Person and doctor. R1 was moved into the Memory Care section of the facility as their cognitive impairment progressed.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. This report and the Licensee/Appeal Rights (LIC9058 03/22) were mailed to the Licensee.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2026
LIC9099 (FAS) - (06/04)
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