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Inspection visit

Post-licensing visit

HAZEL HOME FOR SENIORSLicense 3450028688 citations on this visit
8 citations recorded

Inspector’s narrative

What the inspector wrote

On today's date around 905 am Licensing Program Analysst (LPAs) Kevin Mknelly and Mai Thao arrived at the facility unannounced to conduct a Post Licensing Inspection utilizing the CARE tool. LPA met with Cleo, Administrator. LPA explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95. In addition, Staff screened LPA prior to entering the facility. LPA toured facility with staff to ensure health and safety of clients in care. Areas toured include but are not limited to: common area, 2 bathroom, 4 client bedroom, 1 staff bedroom, laundry room, garage, kitchen, and storage areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs reviewed resident, staff and facility records and conducted a medication audit. LPA and staff completed the infection control domain. Several deficiencies were noted as citations and technical violations. During the inspection, LPA and facility staff discussed the facility's infection control and mitigation plan, training requirements, staff and resident records, facility and medication quality assurances. Report continued... As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Cleo . Due to technical issues LPA was unable to leave a copy of the report with the administrator. Copy of this report and appeal rights provided via email with request for the licensee to return signed copies.

Citations

8 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.

  • 1569.625(b)(2)Type B

    Based on records review, the licensee did not comply with the section cited above in two of three caregvers which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 1569.69(a)Type B

    Based on records review, the licensee did not comply with the section cited above in 3 out of 3 staff files S1 S2 and S3 did not have proof of medication training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87212(b)(1)Type B

    Based on records review, the licensee did not comply with the section cited above in 2 of 3 caregivers do not have documented knowledge of nor designation to be a responsible party in the Administrator's absence which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type B

    Based on observation the licensee did not comply with the section cited above in chemicals unsecured in the kitchen and bathroom which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87457(c)(1)Type B

    Based on records review, the licensee did not comply with the section cited above in 3 of 4 resuidents R2 R3 and R4 which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87705(c)(3)Type B

    Based on records review, the licensee did not comply with the section cited above in 2 of 3 staff, S2 S3 do not have record of dementia training which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(d)Type B

    Based on records review, the licensee did not comply with the section cited above in 3 of 3 residents who receive PRN medications do not have PRN authorization letters on file which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(5)Type B

    Based on observatioj and records review the licensee did not comply with the section cited above in1 of 1 residents with Oxygen does not have a plan and staff training in place to assist R1 as needed 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 May 2, 2022 inspection of HAZEL HOME FOR SENIORS?

This was a other inspection of HAZEL HOME FOR SENIORS on May 2, 2022. 8 citations were issued: 8 Type B.

Were any citations issued to HAZEL HOME FOR SENIORS on May 2, 2022?

Yes, 8 citations were issued (0 Type A, 8 Type B). The first citation was for: "Based on records review, the licensee did not comply with the section cited above in two of three caregvers which poses/..."

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.