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Inspection visit

Routine inspection

HEAVENLY CASTLE CARE INCLicense 1572092666 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPA)'s Shawna Doucette and Brianna Miranda arrived at the facility unannounced to conduct an annual inspection. LPA was granted entry by Staff Siranoush Musayelya. 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 72 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 10/03/43. LPA checked water temperature which measured at 96.2 F. There was outdoor seating for the residents. Resident, medication and staff records were reviewed. LPA observed a medication error for R3 on two of R3's prescribed medications. Pill count was off by one on both of the prescribed medications. Current first aid and CPR were reviewed. R1, R2 and R3 did not have Hospice Care Plans. A copy of this report with plans of correction with appeal rights were provided to Administrator. Civil penalty was issued for repeat medication error.

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.

  • 87633(b)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R1, R2 and R3 not having a Hospice Care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(h)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee does not have any documentation in Hospice binders for residents on hospice, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(h)(5)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee does not have a statement signed by R2's roommate agreeing to share a room with R2 who is on hospice, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee not having training for staff for hospice care for R1, R2 and R3, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87303(e)(2)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in water measuring at 96.2 F in residents bathroom, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R3 pill count being 1 pill off in two of R3's prescribed medications, which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 19, 2024 inspection of HEAVENLY CASTLE CARE INC?

This was a inspection inspection of HEAVENLY CASTLE CARE INC on November 19, 2024. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to HEAVENLY CASTLE CARE INC on November 19, 2024?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R1, R2..."

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.