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Inspection visit

Follow-up on corrections

HOVLEY CARE LLCLicense 3364255662 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of investigating a complaint (#18-AS-20210818093958). During LPA Colvin's inspection, LPA Colvin observed additional items that needed to be addressed with the Administrator. Below is a summary of what was observed: During LPA Colvin's inspection today, LPA Colvin was unable to access staff files, as they were not on site at the facility. Facilities are required to have all files available to Licensing to inspect at all times. D eficiency cited . Additionally, during LPA Colvin's review of resident files, LPA Colvin observed that one resident (R1) is classified as bedridden based on their Physician's Report from 2/25/21. The facility does not currently have a fire clearance for bedridden residents and does not have a program plan for caring for bedridden residents as well. Usually, a violation of the fire clearance would result in an immediate civil penalty of $500, however, LPA Colvin was informed by the Administrator that R1 has been served with a 30-day eviction notice. Health and Safety code 1569.49(c)(2)(A)(ii) states that if the eviction process has been initiated, the facility shall not be cited civil penalties. LPA Colvin will still be citing a deficiency and the facility shall either have R1 relocated or apply for bedridden clearance through Community Care Licensing. Deficiency cited . An exit interview was conducted where this report and appeal rights were discussed. A copy of this report, LIC809D, and appeal rights was provided to caregiver Carmita Smith during the exit interview. All reports additionally will be emailed to the Administrator as well.

Citations

4 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.

  • 1569.72(a)(2)Type A

    Residents requiring skilled nursing or intermediate care; bedridden residents: (a) ...no resident shall be admitted or retained in a residential care facility for the elderly if any of the following apply: (2) The resident is bedridden...This requirement was not met as evidenced by: Based on record review, the Licensee did not comply with the above regulation with 1 of 4 residents (R1). LPA Colvin observed in R1's Phsycian's Report dated 2/25/21 that R1 is bedridden. The facility is licensed and has fire clearance for non-ambulatory only. This is an immediate safety risk for R1.

  • 87412(g)Type B

    Personnel Records: (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. This requirement was not met as evidenced by: Based on observations and interviews, the Licensee did not comply with the above regulation with all staff files. LPA Colvin was unable to review staff files as they were not on site and not provided to LPA Colvin during the inspection. This is a potential safety and personal rights violation to all residents.

  • 1569.49(c)(2)(A)Type A

    Civil penalties...for deficiencies: (c) The department shall assess an immediate civil penalty of five hundred dollars ($500)...for any of the following serious violations: (2) (A) Fire clearance violations, including, but not limited to...inoperable smoke alarms... This requirement was not met as evidenced by: Based on observations and interviews, the Licensee did not comply with the above regulation with 1 of 6 smoke detectors. LPA Colvin observed the smoke detector in the hallway in-between the resident bedrooms on the right of the facility to be inoperable. This is an immediate safety hazard for all residents.

  • 87303(a)Type B

    Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: Based on observation and interviews, the Licensee did not comply with the above regulation with two facility appliances/fixtures. LPA Colvin observed the kitchen microwave and kitchen sink to be in disrepair (start button on microwave and leaking sink pipes). This is a potential personal rights violation.

FAQ · About this visit

Common questions about this visit

What happened during the August 20, 2021 inspection of HOVLEY CARE LLC?

This was a other inspection of HOVLEY CARE LLC on August 20, 2021. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to HOVLEY CARE LLC on August 20, 2021?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Residents requiring skilled nursing or intermediate care; bedridden residents: (a) ...no resident shall be admitted or r..."

What type of inspection was this?

This was a 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.