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Inspection visit

complaint

A NEW HAVEN CARE HOMELicense 0156007401 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Record review showed staff did not change R1’s diaper or reposition R1 overnight. Interview with staff indicated that staff conduct diaper changes every 2-3 hours. However, staff stated that R1 was heavy to lift and would yell when staff tried to reposition R1. On hospice’s initial visit on 3/12/2022, R1 was found wearing two diapers and laying on top of chux pads. R1’s wound was already at a stage 4 when hospice began treating R1. W3 stated that a wound can develop from a stage 1 to a stage 4 within a couple hours if the resident is not repositioned, remains in the same position for hours, and their diapers are not changed. Based on the Department’s investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . Health and Safety Code, are being cited on the attached LIC9099D. A $500.00 immediate civil penalty is being assessed on this day. Civil penalty determination related to serious bodily injury is pending. A formal conference with CCLD will be schedule at a later time. Exit interview conducted with Arnold. A copy of this report, civil penalty, and appeal rights provided.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.269(a)(10)Type A

    Enumerated rights; severability. To be free from neglect,...humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidience by: Based on investigation, licensee did not comply with the section cited above resulting in R1 sustaining a stage 4 pressure injury which poses an immediate health and safety risk to the persons in care.

  • 87211(a)(1)(A)Type B

    Reporting Requirements. A written report shall be submitted to the licensing agency...Death of any resident...This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not submitting death reports for R2 which poses a potential health and safety risk to the person in care.

  • 87355(e)(2)Type B

    Criminal Record Clearance. All individuals subject to a criminal record review...Request a transfer of a criminal record clearance...This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by not associating S1 to the facility which poses a potential health and safety risk to the person in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 21, 2022 inspection of A NEW HAVEN CARE HOME?

This was a complaint inspection of A NEW HAVEN CARE HOME on September 21, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to A NEW HAVEN CARE HOME on September 21, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "Enumerated rights; severability. To be free from neglect,...humiliation, intimidation, and verbal, mental, physical, or ..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.