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Inspection visit

Follow-up

HERITAGE HAVENLicense 0192005065 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/10/2023 at 11:10am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Ferdinand Guiterrez, Adminstrator, and explained the purpose of the visit. While LPA L. Hall was conducting a complaint investigation (15-AS-20230807161348 ) on 8/10/2023, LPA toured the kitchen and garage of the facility. LPA also reviewed ten (10) resident files and three (3) staff files. At 10:10am, LPA observed an unexplainable amount of flies on the porch. And when inside facility flies were everywhere. At 10:22am, LPA observed a broken window and cabinet doors located in the kitchen. At 10:25am, LPA observed the fire extinguisher was last serviced on 3/3/2020. At 10:30am, LPA observed an exit door leading to the back was broken. At 11:45pm, LPA observed during record review eight (8) of ten (10) physician reports was not current and eight (8) of the (10) appraisal needs and services plan was not current. At 12:30pm, LPA observed during records review all three (3) staff does not have first aid or CPR certification. At 12:30pm, LPA observed during record review that all three (3) staff do not have current required training. Continued on LIC809. Continued from LIC809. LPA is requesting the following documents to be submitted to CCLD by 8/17/2023. Liability insurance Emergency disaster plan (LIC610E) Surety bond LIC500 (Personnel record) LIC308 (Designation of facility responsibility) Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of, appeal rights, and this report provided.

Citations

6 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.

  • 1569.625(b)(2)Type B

    1569.625 (2) In addition to paragraph (1), training requirements shall also include... 20 hours annually, eight hours of... dementia care training... and four hours.. to postural supports, restricted health conditions, and hospice car.... This training shall be... on the job, or in a classroom, and may include online training. This requirement was not met as evidence by: Based on LPAs record review the Licensee did not comply with the section cited above in having staff currently trained, which poses a potential health and safety risk to persons in care.

  • 87203Type B

    87203 Fire SafetyAll facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: Based on LPA observation the Licensee did not comply with the section cited above in having the fire extinguishers currently serviced or purchased, which poses a potential health and safety risk to persons in care.

  • 87303(a)Type B

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: Based on LPA observation the Licensee did not comply with the section cited above in having the in good repair and free of unexplainable amount of flies, which poses a potential health and safety risk to persons in care.

  • 87411(c)(1)Type B

    87411 Personnel Requirements - General (c)All RCFE staff... shall receive initial and annual training...(1) Staff... shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirment was not met as evidence by: Based on LPAs record review the LIcensee did not comply with the section cited above in having all staff firs aid certified and at least 1 staff per shift CPR certified, which poses a potential health and safety risk for persons in care.

  • 87463(c)Type B

    87463 Reappraisals (c) The licensee shall arrange a meeting with the resident, the resident’s representative, if any,... when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first, This requirement is not met as evidence by: Based on LPAs record review the Licensee did not comply with the section cited above in having current appraisal needs and services or physician's report, which poses potential health and safety risk to persons in care.

  • 87555(b)(26)Type B

    87555 (b)... food service requirements shall apply: (26)...of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidence by: Based on LPAs observation the Licensee did not comply with the section cited above in having 1 week of nonperishables and 2 days of perishable foods in facility, which poses a potential health and safety risk for persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 10, 2023 inspection of HERITAGE HAVEN?

This was a other inspection of HERITAGE HAVEN on August 10, 2023. 5 citations were issued: 5 Type B.

Were any citations issued to HERITAGE HAVEN on August 10, 2023?

Yes, 5 citations were issued (0 Type A, 5 Type B). The first citation was for: "1569.625 (2) In addition to paragraph (1), training requirements shall also include... 20 hours annually, eight hours of..."

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.