Skip to main content

Inspection visit

complaint

HAVENS AT ANTELOPE VALLEY ASSISTED LIVING, THELicense 1976097201 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

In regard to the allegation facility did not notify authorized representative about hospital visit, this allegation is substantiated. LPA reviewed the resident's records and observed the complainant is documented as the authorized representative which is noted on the Admissions Agreement. Also, the Power of Attorney for the resident states the complainant was appointed as the resident's agent (attorney-in-fact). LPA reviewed all incident reports received from the facility during 2021. However, an incident report was not sent to CCL regarding the hospitalization of the resident. Also, LPA interviewed current staff and previous staff who stated did not know if the family member was notified regarding the hospitalization of the resident. Deficiency is cited on LIC 9099 D. Appeal rights were discussed, exit interview conducted, and a copy of the report was given to the Administrator.

Citations

1 citation 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.

  • 87211(a)(1)(d)Type B

    (a)(1) a written report shall be submitted to the licensing agency & to the person responsible for the resident within seven day of the occurrence of any of the events….(d) any incident which threatens the welfare, safety or health of any resident….This requirement was not met as evidenced by: Due to LPA's review of the resident records, the review of the incident reports received from the facility, and the complainant's statement, the facility failed to report the hospitalization of the resident to both parties.

FAQ · About this visit

Common questions about this visit

What happened during the May 12, 2022 inspection of HAVENS AT ANTELOPE VALLEY ASSISTED LIVING, THE?

This was a complaint inspection of HAVENS AT ANTELOPE VALLEY ASSISTED LIVING, THE on May 12, 2022. 1 citation were issued: 1 Type B.

Were any citations issued to HAVENS AT ANTELOPE VALLEY ASSISTED LIVING, THE on May 12, 2022?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a)(1) a written report shall be submitted to the licensing agency & to the person responsible for the resident within s..."

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

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.