Haven@22nd Avenue Assisted Living

87411 Personnel Requirements: (d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance...(1) Principles of good nutrition, good food preparation and storage, and menu planning.Violation of this regulation is evidenced by: Based on records reviewed, the Licensee failed to provide training to the facility cook in relation to food preparation and proper food handling.

Maintain facility in clean, safe, sanitary condition

87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times...for the safety and well-being of residents, employees and visitors.Violation of this regulation is evidenced by: Based on the interview conducted, the Licensee admitted that on 12/8/22 the facility dogs bit a visitor because the facility staff failed to put the dogs away in a room prior to allowing visitors in.

Facility personnel sufficiency and competence

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...Violation of this regulation is evidenced by: Based on record reviewed and interviews conducted, it was noted that the Licensee is the only one providing care to six residents. In addition, the Licensee acknoweldged she is short-staffed and is trying to hire more caregivers.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations...Violation of this regulation is evidenced by: Based on record revieed and interviews, the facility failed to check visitor's temperature on 12/8/22. In addition, according to the Licensee, it was acknowledged that the new staff were unaware to check visitor's temperature upon arrival.

Document required staff training and orientation

87412 Personnel Records:(c) Licensees shall maintain in the personnel records verification of required staff training and orientation. Violation of this regulation is evidenced by:Licensee failed to provide hoyer lift training.

Maintain facilities for fire and panic safety

87203 FIRE SAFETY: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic.Violation of this regulation is not met as evidenced by: Based on observations and information collected, the licensee did not compy with the section cited above, as the garage attic and backyard shed was being used by staff for sleeping, which poses an immediate health, safety, or personal rights risk to persons in care.

87307(a)(2)Personal Accommodation and Services: Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough toprovide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply… Resident bedrooms shall be provided which meet, at a minimum, the following requirements… No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building…Violation of this regulation is not met as evidence by: Based on LPA's observations and interviews conducted, it was indicated that there was 2 live-in staff members who utilized the attic as a sleeping area which poses a potential health, safety or personal rights risk to persons in care.