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Inspection visit

Routine inspection

HEAVENLY CASTLE CARE INCLicense 1572092667 citations on this visit
7 citations recorded

Inspector’s narrative

What the inspector wrote

LPA Shawna Doucette arrived at the facility unannounced to conduct an annual inspection. LPA was granted entry by Staff Vachagan Margaryan and Staff Arusyak Ayvazyan. LPA explained the purpose of the visit and staff contacted Administrator Hasmik Nshanyan who responded to the facility to assist with the visit. A tour of the facility was conducted with the Administrator. The residence was set at 68 F temperature and free of passageway obstructions inside and outside. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked cabinet in the kitchen. Cleaning supplies were locked in the laundry room. Smoke detectors and carbon monoxide detectors were checked and operating. Fire drill was last conducted 10/18/23. LPA checked water temperature which measured at 111.2 F. There was outdoor seating for the residents. Resident, medication and staff records were reviewed. LPA observed a medication error for R1. R1 ran out of all medications however the start date was 10/16/23 for 30 pills which indicates R1 should have 7 pills remaining. R1 was out of PRN medications and facility did not have a log for the PRN medication. Current first aid and CPR were reviewed. R2 and R3 did not have Hospice Care Plans. Staff records indicate Staff Arusyak Ayvazyan was not cleared to be working in the facility. Refer to 809d for deficiencies. Civil Penalty was issued. A copy of this report with plan of correction and appeal rights were provided to the Administrator.

Citations

7 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.

  • 1569.17(c)(1)(A)Type A

    Based on observation and record review, the licensee did not comply with the section cited above in Staff Arusyak Ayvazyan not being fingerprint cleared prior to working in the facility, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)(11)Type B

    Based on record review, the licensee did not comply with the section cited above in not having health screenings for staff, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on record review, the licensee did not comply with the section cited above in R1 running out of medications 7 days before the medications should have run out, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(b)Type A

    Based on interview and record review, the licensee did not comply with the section cited above in R1 ran out of PRN medications and medications were not refilled, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(d)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in R1's PRN was not logged date or time which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(e)Type B

    Based on record review, the licensee did not comply with the section cited above in not having a written order from a physican on a prescription blank for all residents in care, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)Type B

    Based on interview and record review, the licensee did not comply with the section cited above in not having a hospice care plan for R2 and R3 which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 7, 2023 inspection of HEAVENLY CASTLE CARE INC?

This was a inspection inspection of HEAVENLY CASTLE CARE INC on November 7, 2023. 7 citations were issued: 3 Type A (serious) and 4 Type B.

Were any citations issued to HEAVENLY CASTLE CARE INC on November 7, 2023?

Yes, 7 citations were issued (3 Type A, 4 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above in Staff Arusyak Ayvazy..."

What type of inspection was this?

This was a inspection inspection. inspection 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.