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Inspection visit

Follow-up on corrections

HAYWORTH TERRACELicense 1983204201 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On May 1, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit to the facility in connection with complaint #11-AS-20251110142021. The LPA met with Assistant to the Administrator Terri Han and House Manager Miran Bae 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: 87458 Medical Assessment(a)(b). The investigation revealed that the facility did not comply with Title 22 regulations. LPA identified that there was no current medical assessment for Resident #1 (R1), and (LIC 602 or equivalent) must be completed before admission and kept updated. No assessment included the resident’s diagnoses, functional capacity, and care needs. The resident’s Physician’s Report is missing, and or any formal medical assessment. 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 Terri Han. A copy of this report is provided along with the appeal rights.

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.

  • 873039i(1)(A)(B)(C)Type B
  • 87458(a)(b)Type B

    87458 Medical Assessment -(a) Prior to a person's acceptance as a resident, the licensee shall obtain documentation of a medical assessment... to be kept in the resident's record.(b)The licensee shall obtain an updated medical assessment when required by the Department.This requirement is not met as evidence by: Based on record review, the licensee did not ensure that (R1) had a current medical assessment, as required by Title 22. The resident’s Physician’s Report (LIC 602) was not obtained and maintained in the resident’s record. This failure poses a potential health and safety risk to residents in care,

  • 87466Type A

    Regular observation and documentation of resident changes

    87466 – Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance...observation reveals unmet needs… brought to the attention of the resident's physician and the resident's responsible person, if any.This requirement is not met as evidence by Based on interviews and record reviews, the facility did not ensure that (R1) received timely medical attention after a fall, allowing more than 6 hours to pass before seeking emergency services. This poses an immediate health and safety risk to residents in care.

  • 87468.1(a)(2)Type A

    Safe, healthful, comfortable accommodations

    87468.1 Personal Rights of Residents in All Facilities - (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations...This requirement is not met as evidence by Based on interviews and record reviews, the facility did not ensure that (R1) was free from neglect and received safe accommodations after a fall. As a result of this failure, the resident sustained multiple fractures and injuries. This violation poses an immediate health and safety risk to residents in care.

  • 87211(a)(1)(D)Type B

FAQ · About this visit

Common questions about this visit

What happened during the May 1, 2026 inspection of HAYWORTH TERRACE?

This was an other inspection of HAYWORTH TERRACE on May 1, 2026. 1 citation were issued: 1 Type B.

Were any citations issued to HAYWORTH TERRACE on May 1, 2026?

Yes, 1 citation was issued (0 Type A, 1 Type B).

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.