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Inspection visit

Routine inspection (multi-day)

AT HAVEN HOME IILicense 2472091993 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) M Vega and L Salazar conducted an unannounced Case Management Annual Continuation visit at approximately 10 am and was greeted by Staff, House Manager - Myra Torres. Upon arrival, LPAs observed some residents in the common area watching television. All staff at facility today were found fingerprint cleared and associated to the facility. On today's unannounced inspection, LPA M Vega observed the common rooms to be free from obstruction and clear well-lit pathways. Kitchen clean free of unsecured medications, sharps and cleaning toxins. The kitchen has been updated since the last visit, cabinets have been painted. Retested Water temperature at 3 points in the facility. Room 3 tested 105.6 Degrees F, Room 5 tested at 117.1 degrees F, Room 9 tested at 120.9 Degrees F. Cabinets and areas of concern addressed in original report were cleaned and clear of dust and exterior did not have any obstructions. Uneven pavement has been fixed. Two (2) resident files were reviewed and observed complete with Admission Agreements, Physician Reports, Needs and Services Plans/IPP current. Two (2) Staff 1 (S1) and Staff 2 (S2) files were reviewed. Staff 1 found complete with employment applications, fingerprint clearances, Health checks and CRP/First Aid certifications current to January 19, 202, training missing for S2. Exit interview was conducted and a copy of this report LIC809, Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809-D. If not corrected, the violation will have a direct and immediate risk to the health, safety, or personal rights of the residents in care. Continuation on LIC 809 C An exit interview was conducted with House Manager. A copy of this report and appeal rights were discussed and provided at the time of visit. Obtained permission from administrator for House manager Myra to sign forms.

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 an other inspection of AT HAVEN HOME II on April 12, 2025. 3 citations were issued: 3 Type B.

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

Yes, 3 citations were issued (0 Type A, 3 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 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.