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Inspection visit

Follow-up

IZENE'S HAVEN ASSISTED LIVINGLicense 1572040454 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/16/22, Licensing Program Analyst (LPA) L.Salazar and Licensing Program Manager (LPM) Melinda Hoffmann, arrived at facility unannounced to follow up on Plans of Correction in relation to Facility Evaluation Report dated 1/10/22, at which time, deficiencies were cited for Inspection Authority and Administrator Certification Requirements. LPA and LPM were greeted by Licensee, Marguerite Bruton. LPM stated the purpose of the visit and was allowed entry into the facility. LPA and LPM had temperature taken upon entry to facility as COVID precautionary measure. Plans of correction were not received on 1/24/22 and a POC visit was not conducted within 10 days of that date therefore the deficiencies are being re-cited in accordance with CCL Title 22, and new correction dates were provided, in the attached 809-D. Plans of correction were discussed with Licensee. During today's visit, it was observed that R1 has full bed rails however R1 is not on hospice and does not have a Physician's order for the full rail therefore deficiency cited in accordance with CCL Title 22. Plan of correction discussed with Licensee. Also observed today, was that R2 has a catheter and colostomy bag and there was no restricted health care plan and/or home health care plan in place to address the care with regard to these therefore deficiency cited in accordance with CCL Title 22. Plan of correction discussed with Licensee. An exit interview was conducted. During the visit, technical issues were experienced and LPA and LPM left the facility for a short time to resolve the matter before returning to obtain hard copy signatures on the report. Appeal rights were provided to Licensee.

Citations

4 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.

  • 87407(a)Type B

    Administrator Recertification Requirements (a) Administrators shall complete at least forty (40 classroom hours of continuing education during each two (2)-year ceritication period...**This requirement was not met as evidenced by Licensee not having a current Administrator certificate. This poses a potential risk to residents in care.

  • 87608(a)(3)Type A

    Maintain physician order documentation in resident record

    Postural Supports.A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. **There is no Physician's order on file for R1's full bedrails. Immediate risk to resident in care.

  • 87611(b)Type A

    General Requirements for Allowable Health Conditions(b) The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following: (1)Documentation from the physician of the following:(A) Stability of the medical condition(s); (B) Medical condition(s) which require incidental medical services;(C) Method of intervention;(D) Resident's ability to perform the procedure; and (E) An appropriately skilled professional shall be identified who will perform the procedure if the resident needs assistance.(2) The names, address and telephone number of vendors, if any, and all appropriately skilled professionals providing services.(3) Emergency contacts.**R2 was observed to have a colostomy bag and catheter and no plan of care for these were on file. Immediate risk to resident in care.

    Read full inspector narrative
  • 87755(c)Type B

    Authority to audit and copy facility records

    Inspection Authority of the Licensing Agency (c) The Licensee shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours..**This requirement was not met as evidenced by Licensee not responding to a request for audit from Licensing. This poses a potential risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 16, 2022 inspection of IZENE'S HAVEN ASSISTED LIVING?

This was an other inspection of IZENE'S HAVEN ASSISTED LIVING on February 16, 2022. 4 citations were issued: 2 Type A (serious) and 2 Type B.

Were any citations issued to IZENE'S HAVEN ASSISTED LIVING on February 16, 2022?

Yes, 4 citations were issued (2 Type A, 2 Type B). The first citation was for: "Administrator Recertification Requirements (a) Administrators shall complete at least forty (40 classroom hours of conti..."

What type of inspection was this?

This was an 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.