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Inspection visit

Complaint

IZENE'S HAVEN ASSISTED LIVINGLicense 1572040452 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 05/06222, Licensing Program Analysts (LPAs) L.Salazar and Alexandria Walton arrived at the facility to deliver findings on the above allegations. LPAs were greeted by Licensee, Marguerite Bruton, stated the purpose of visit and we allowed entry. COVID precautionary measures were taken at the time of entry. During the investigation, LPA reviewed resident and staff files, which were found to be incomplete. without the required LIC forms. Based on the LPAs observations the preponderance of evidence standard has been met; therefore, the above allegations are found to be substantiated. Deficiencies are being cited based on CCR Title 22. See LIC 9099D. A plan of correction was developed. Plan of correction was provided by licensee and reviewed with LPA. An exit interview was conducted with Licensee Marguerite Burton. A copy of this report and appeal rights were discussed and provided to licensee.

Citations

5 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.

  • 87412(a)Type B

    Maintain required personnel records for staff

    87412 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:(4) Written verification that the employee is at least 18 years of age, including, but not necessarily limited to, a copy of his/her birth certificate or driver's license. This requirement was not met as evidenced by LPA's request for resident records and Licensee was unable to provide the required documents in the LIC 311F.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    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 was not met as evidenced by LPA's request for resident records and Licensee was unable to provide the required documents in the LIC 311F.

  • 87411(f)Type B

    Health screening and fitness requirements

    Based on interview and record review, the licensee did not comply with the section cited above when 1 out of 1 personnel did not have a health screen within in 7 days after employment which poses a potential health, safety or personal rights risk to persons in care.

  • 87606(a)Type B

    87506(a) Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement was not met as evidenced by LPA observation of resident records. Required LIC forms are in the file, however, they are not completed in their entirety.

  • 87654Type B

    (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review.THis requirement was not met as evidenced by LPAs' observation at the time the complaint was opened, staff records were not complete and available.

FAQ · About this visit

Common questions about this visit

What happened during the May 6, 2022 inspection of IZENE'S HAVEN ASSISTED LIVING?

This was a complaint inspection of IZENE'S HAVEN ASSISTED LIVING on May 6, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to IZENE'S HAVEN ASSISTED LIVING on May 6, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87412 Personnel Records(a) The licensee shall ensure that personnel records are maintained on the licensee, administrato..."

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.