Routine inspection·October 7, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Springwell Haven. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 3 residents and the home currently has 1 resident on hospice. Administrator Cristy Valerio arrived during the visit. Upon entry, LPA observed two residents medications on the dining room table unsecured. LPA Lyman along with Caregiver Nenita Hernandez toured the facility at 7:30 AM. LPA toured the physical plant, checked food service, first aid kit and reviewed records. The home consists of five resident bedrooms, 2 common restrooms, 1 resident restroom, caregiver room, staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident rooms are single and double occupancy. At 7:40 AM, LPA observed Resident 3 (R3) has bed rails at head and foot of bed. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.2 and 118 degrees F in all facility bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards. First aid kit had all the elements including thermometer, tweezers and scissors. LPA observed toxins are secured during today's visit. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. At 7:45 AM, LPA observed unsecured medications in the unlocked caregiver room. Smoke detectors and carbon monoxide detectors tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there are no safety concerns noted. Exit gates are unlocked and operational. LPA observed ample emergency food and water. Facility does not have proof of required quarterly emergency drills. LPA reviewed the emergency disaster plan and infection control and plans are thorough and complete. CONTINUED ON LIC 809C DATED 10/07/2024. Facility provides activities in the form of exercise, and music therapy. LPA reviewed six resident files and three staff files. Resident files contained required documents including admission agreements, physician reports and resident appraisals. Staff files reviewed contained required documentation of medical clearance/ TB, CPR training and criminal record clearance as well as required training. LPA reviewed medication storage and administration. LPA observed facility staff are checking R1's blood sugar. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.