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Inspection visit

Routine inspection

AT HAVEN HOME IILicense 2472091998 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On 2/20/24, Licensing Program Analyst (LPA) B. Miranda conducted a required unannounced Annual Inspection visit. LPA introduced self, stated purpose of visit, and allowed entrance by staff. Administrator Jasmin Burns was contacted and arrived shortly after. LPA observed the facility to be clutter free, exits to be free from obstruction, and odor free. LPA observed 4 residents sitting at the kitchen table and 2 residents sitting in the living room area. LPA toured the facility inside and out to include entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. All fire exit routes were free and clear of obstructions. Majority of medications are stored in a locked cart the office, LPA did observe some medication unlocked and accessible to residents. Majority of toxins, cleaning supplies, knives and sharp objects are secured, LPA did observe some degrease solution to be unlocked and accessible to residents. In an unlocked drawer LPA observed a hammer and screw driver. Carbon monoxide detector was tested and in working condition. Water temperature was checked in various facets and read at 96.7 degree Fahrenheit. LPA observed various toilets to have a mildew/mold ring and one resident's shower to have mold. LPA reviewed a sample of employee records which were missing current training verification. Three staff members are not properly associated with the facility. LPA reviewed resident files which were not current or up to date. S1 is missing current physician report and PRN on file. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator.

Citations

8 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.

  • 1569.625(b)(2)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA reviewed staff files were did not have 20 hours of annual training.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    Based on observation, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed mold in resident's shower and mildew/mild ring in various toilets.

  • 87303(e)(2)Type A

    Provide resident hot water for personal care

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA tested various facets throughout the facility which did not reach at least 105 degrees.

  • 87309(a)(1)Type A

    Store disinfectants separately from food supplies

    Based on observation, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. In an unlocked kitchen drawer LPA observed a screw driver & hammer. I cabinet LPA observed degrease spray.

  • 87309(b)Type A

    Resident access to hazardous items with safety review

    Based on observation & interview, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. In an unlocked cabinet in the kitchen LPA observed medication for R1.

  • 87355(e)Type A

    Address and clearance obligations before facility work

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care. LPA reviewed LIS personnel report which did not have S1, S2, or S3 listed on the reports. S1, S2, & S3 are not associated with the current facility.

  • 87465(d)Type B

    Assist PRN administration when symptoms unclear

    Based on observation, interview, record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87613(a)(2)Type B

    Based on observation, interview, & record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. LPA reviewed staff files were did not have current training for specialized care needs.

FAQ · About this visit

Common questions about this visit

What happened during the February 20, 2024 inspection of AT HAVEN HOME II?

This was an inspection of AT HAVEN HOME II on February 20, 2024. 8 citations were issued: 4 Type A (serious) and 4 Type B.

Were any citations issued to AT HAVEN HOME II on February 20, 2024?

Yes, 8 citations were issued (4 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 which poses/p..."

What type of inspection was this?

This was an 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.