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Inspection visit

Follow-up on corrections

ELDERLY HAVENLicense 3746045862 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Natasha Persaud conducted a Case Management - Deficiencies visit. LPA identified herself and discussed the purpose of the visit with Staff, Priscilla Cardozo. LPA spoke with Licensee, Mohammad Rahman via telephone, while at the facility. Administrator, Syeeda Seli Akhter-Rahman arrived during the visit. Today, LPA was at the facility for a complaint investigation. LPA observed Resident #1 (R1) had a bubble pack of medication, milk of magnesia and a bag of other medications stored in their room. R1's medications are locked in the facility's centrally stored medication cabinet. However, R1 had possession of those listed items. The Licensee stated they were not aware R1 had medications in their room. LPA requested R1's records but staff was unable to locate the file. LPA also requested a former resident's file, but staff were unable to locate it. Deficiencies were observed and cited on the attached LIC 809D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Syeeda Seli Akhter-Rahman whose signature below confirms receipt of these rights.

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.

  • 87465(h)(2)Type A

    Store centrally held medications in locked secure place

    Incidental Medical and Dental Care: “(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.” This requirement was not met, as evidenced by: Based on observations, the licensee did not ensure medications were inaccessible to 5 out of 5 [R1-R5] residents, which poses an immediate health and safety risk to residents in care.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    Resident Records. A separate, complete, and current record shall be maintained for each resident in the facility, readily available to facility staff and to licensing agency staff and shall contained specified information. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not maintain records for 1 out of 5 [R1-R5] residents and a former resident, which poses a potential health, safety and personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 5, 2026 inspection of ELDERLY HAVEN?

This was an other inspection of ELDERLY HAVEN on January 5, 2026. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to ELDERLY HAVEN on January 5, 2026?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Incidental Medical and Dental Care: “(h) The following requirements shall apply to medications which are centrally store..."

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.