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Inspection visit

Follow-up on corrections

HAYWORTH TERRACELicense 1983204202 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On December 04, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit to the facility in connection with complaint #11-AS-20250624090908. The LPA met with assistant to the administrator Terri Han and administrator Cavin Yoo and explained the purpose of the visit. The Department determined the facility is not in compliance with Title 22 Regulations and is cited as follows: 87465(e)(1-4) Incidental Medical and Dental Care. The investigation revealed that the facility did not comply with Title 22 regulations. LPA identified that care staff were providing over-the-counter medications to Resident #1 (R1) without a physician's written authorization, prescription, or other documentation indicating the name of the medication, the dosage, and the reason for administration. The Department determined the facility is not in compliance with Title 22 Regulation and is cited as follows: 87405(a) Administrator - Qualifications and Duties. The facility has Staff #1 (S1) identified as the administrator since October 2025, and requests for the required documents for an RCFE Administrator have not been provided to the Department. Based on interviews, observation, and record reviews, the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8. Deficiencies are issued, and an exit interview is conducted with Cavin Yoo. A copy of this report is provided along with the appeal rights.

Citations

2 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.

  • 87405(a)Type B

    Certified administrator requirements and substitute coverage

    87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement was not met as evidence by:Based on record review and interview the licensee fail to provide the require proof that the administrator qualifications by submission of required RCFE documentations. This violation poses a potential health and safety risk to all residents in care.

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  • 87465(e)(1Type B

    87465 Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file... Both the physician's order and the label shall contain at least all of the following information. This requirement was not met as evidence by:Based on record review and interview the licensee fail to provide did not comply with Title 22 regulations. LPA identified that care staff were providing over-the-counter medications to Resident #1 (R1) without a physician's written authorization, prescription, or other documentation and the reason for administration.This violation poses a potential health and safety risk to all residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the December 4, 2025 inspection of HAYWORTH TERRACE?

This was an other inspection of HAYWORTH TERRACE on December 4, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to HAYWORTH TERRACE on December 4, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified admini..."

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.