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Inspection visit

Health check

A NEW HAVEN CARE HOME - BERLINLicense 0156014993 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On this day, May 25, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 2 complaint (Complaint # 15-AS-20230523113154). LPA was granted entry by staff, Leah Van Alstin, Robert Abella. administrator, arrived after several minutes, followed by Arnold Soleta, licensee. LPA informed the reason for visit. Licensee has to leave and excused himself. LPA toured the facility inside out with the administrator. LPA inspected including but not limited to living room, dining area, kitchen, ensuite and common bathrooms, kitchen, family room. side and backyard. Hot water temperature in the common bathroom was tested, and measured at 119.5 degrees Fahrenheit. LPA observed the following: -At 12:19 p.m. Lysol spray and razor in one of the common bathrooms. -At 12:21 p.m., 2 bottles Glade spray, resident's (R1) Vicks VapoRub, Desitin cream, Afrin nasal spray, topical cream, Gold Bond pain and itch relief cream, anti-fungal cream in the other common bathroom -At 12:27 p.m., Calmoseptin cream, Desitin maximum strength diaper rash paste in 2 resident's bedrooms. -At 1:15 p.m,, LIC625 for 2 residents were incomplete and/or inaccurate. One has no signature while the other one is dated 12-01-23. -At 1:30 p.m., staff (S1) record is not at the facility for review. Administrator and LPA asked, S1 stated her file is in her house. ......continued on 809C Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. A $250.00 civil penalty is assessed for repeat violation within 12 month of Regulation section 87309(a) . This Regulation was cited on February 10, 2023. Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties. Deficiencies and plan and proof of corrections were discussed with Arnold Soleta over the phone in the presence of Robert Abella. Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment. LIC9098 Proof of Correction form and copy of this report 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.

  • 87309(a)Type A

    87309 (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above for having Lysol and Glade spray, Vicks VapoRub, ointments and creams. razor readilty accessible to residents which pose immediate health and personal rights risks to persons in care, This is a repeat violation,

  • 87412(f)Type B

    87412 Personnel Records(f) All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. ....-This requirement is not met as evidenced by: -Based on records review and interview, the licensee did not comply with the section above for S1's file not in the facility which poses potential personal rights risk to persons in care.

  • 9888888Type B

    87506 Resident Records(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.-This requirement is not met as evidenced by: -Based on records review and observation, the licensee did not comply with the section above for resident LIC625 without signatures and dated incorrectly which pose potential personal rights risk to persons in care,

FAQ · About this visit

Common questions about this visit

What happened during the May 25, 2023 inspection of A NEW HAVEN CARE HOME - BERLIN?

This was a other inspection of A NEW HAVEN CARE HOME - BERLIN on May 25, 2023. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to A NEW HAVEN CARE HOME - BERLIN on May 25, 2023?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87309 (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily avai..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.