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Inspection visit

Routine inspection

BELHAVEN ESTATE IILicense 3427009462 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Talwinder Bains arrived on 02/12/24 to conduct the annual inspection. LPA met with administrator, Daniel Brooks and explained the purpose of today's visit. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (2) and staff files (2). Residents files were found to be complete. Facility was clean and well organized. All required posting were observed. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. There is a side gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use. Hot water temperature was observed to be 118 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 71 degree F. LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 02/29/24. Deficiencies are cited on LIC809D per Title 22,CCR Regulations . Exit interview conducted. Appeal Rights and copy of this report left at facility.

Citations

2 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.

  • 87412(a)Type B

    Based on Record Review for staff,S2 file, LPA observed that S2 file were missing- LIC503 (Health Screening) which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)(2)Type A

    Based on record review, facility's MAR records were missing signatures/initilas for residents, R1,R2's medications for FEB.2024 which poses an immediate health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 12, 2024 inspection of BELHAVEN ESTATE II?

This was a inspection inspection of BELHAVEN ESTATE II on February 12, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to BELHAVEN ESTATE II on February 12, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on Record Review for staff,S2 file, LPA observed that S2 file were missing- LIC503 (Health Screening) which pose..."

What type of inspection was this?

This was a inspection inspection. 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.