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Inspection visit

Complaint

AT HAVEN HOME IILicense 2472091992 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/26/2022 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an initial 10-day complaint visit. LPA was met by Licensee, Jasmin Burns and Facility Manager, Maria Knight. LPA toured facility and completed a Health and Safety check on residents in care. Residents observed in common areas and in rooms. LPA completed interviews with RP, Licensee and Manager. During investigation it was found that R1 was placed at facility when needing a higher level of care. LPA reviewed R1's file and did not observe a copy of a pre-appraisal assessment or physicians report. Interviews conducted showed a proper assessment was not completed prior to resident being placed at the facility. Interviews showed that R1 has a Power of Attorney (POA) for medical and monetary assistance. RP disclosed that POA was not contacted prior to R1 moving to facility. POA stated they informed facility prior to R1's move, R1 required a high level of care then available at faciilty. Manager stated that R1 signed to come to the facility. The allegations listed above are SUBSTANTIATED. Per CA Title 22, deficiencies cited in the attached 809D. Appeal Rights given. Exit interview compelted.

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.

  • 87458(b)(4)Type B

    87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement was not met as evidence by: interviews and observation. LPA conducted interviews that disclosed R1 needs a higher level of care. Records review were observed without a pre-assessment appraisal completed by facility prior to R1's move in. This posess a potential Health and Safety risk to residents in care.

  • 87468.1(a)(8)Type B

    Regular representative updates on care

    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: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement was not met as evidence by: interviews and observation. Interview conducted showed R1 has a POA that was not notified of R1's move. Records observed showed R1's file did not have an Admission Agreement signed by POA. This posess a potential Health and Safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 26, 2022 inspection of AT HAVEN HOME II?

This was a complaint inspection of AT HAVEN HOME II on April 26, 2022. 2 citations were issued: 2 Type B.

Were any citations issued to AT HAVEN HOME II on April 26, 2022?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, d..."

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

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