Inspection visit

ComplaintApril 12, 2025

AT HAVEN HOME IILicense 2472091992 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

On 04/12/25, Licensing Program Analysts (LPAs) L. Salazar and M. Vega arrived to the facility unannounced to do deliver findings on the above allegations. LPAs were greeted by house manager, Myra stated the purpose of the visit and were allowed entry. Staff contacted Administrator vis telephone. LPAs met with House manager Myra Torres to discuss the findings of the complaint allegations. During the investigation, LPA Salazar conducted interviews and records review. Records review show Resident R1 had a blister on their heel in September of 2024 and Home Health was ordered. Compassion Home Care Home Health records obtained for the period of 11/08/24 through 01/06/2025 states R1 to have an unstageable presssure injury on their heel and R1 should be transferred to Skilled Nursing for care. Interviews with Administrator and facility staff state facility was not observing or caring for the wound since they were not skilled professional. Based on the information received, the preponderance of evidence standard has been met; therefore, the above allegations are found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. An immediate civil penalty is being assessed in the amount of $500 for observation of resident resulting in a prohibited condition. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of clients in care. An exit interview was conducted with Administrator Jasmin Burns via telephone and house manager Myra Torres. A copy of this report and appeal rights were discussed and will be emailed by next business day. A plan of correction was developed by Administrator and reviewed with LPA at the time of visit.

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.

1569.618(c)(3)Type B
Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 2 staff files did not have up to date fFirst Aid/CPR training which poses/posed a potential health, safety or personal rights risk to persons in care.
1569.625(b)(1)Type B
Based on observation of staff records , the licensee did not comply with the section cited above in 1 out of 2, Staff 2 records did not have mentioned trainings, which poses an immediate health, safety or personal rights risk to persons in care.
87466Type A
Regular observation and documentation of resident changes
87466 Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as...a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement was not met as evidenced by LPAs observation of records review of incident report dated 09/20/24 stating the heel wound was a small blister and Home Health records dated 11/07/24 stating R1's wound is an unstageable pressure ulcer. Interviews with staff state they did not observe or care for R1's heel wound because they are not nurses and home health services are being received. An immediate civil penalty in the amount of $500 is hereby assessed. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of clients in care.
Read full inspector narrative
87615(a)Type A
87615 Prohibited Health Conditions(a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly:LPAs observation of Home health records dated 11/07/24 stating the heel wound is an unstageable pressure ulcer and an exception to retain a prohibited condition was not submitted. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of clients in care.
1569.317Type B
Based on observation and record review, the licensee did not comply with the section cited above did not have absentee notification plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 12, 2025 inspection of AT HAVEN HOME II?

This was a complaint inspection of AT HAVEN HOME II on April 12, 2025. 2 citations were issued: 2 Type A (serious).

Were any citations issued to AT HAVEN HOME II on April 12, 2025?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 2 staff fil..."

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 CCLD View original report

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 June 22, 2026. If you believe any information is inaccurate, report it here.

Complaint·April 12, 2025