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Inspection visit

Complaint

HAVEN@22ND AVENUE ASSISTED LIVINGLicense 4156010404 citations on this visit
4 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation that facility staff are not trained, according to the reporting party, the Licensee admitted she short-staffed and the new staff are not trained. In addition, according to the reporting party, the Licensee's sister who is the assigned facility cook is not trained. During the investigation, LPA reviewed training records and interviewed the Licensee. According to the Licensee, it was acknowledged that the new staff present were trained regarding COVID-19 protocols and screening procedures and was given training log documentation. In addition, LPA requested training documentation for the Licensee's sister, however, the Licensee was unable to provide LPA training documentation for her sister who handles the resident's food. Regarding the allegation that the facility dogs bit a visitor, according to the reporting party, on 12/8/22, he/she visited the facility and a caregiver opened the door with two dogs barking at his feet. In addition, the reporting party indicated that the dogs bit his/her legs. During the investigation, LPA interviewed the Licensee and the Licensee admitted the day of the incident, she had two new staff members present at the facility and they were not aware that they needed to put the dogs in the room prior to opening the front door. The Licensee indicated that the dogs bit the visitor and provided the visitor with the dogs rabies shots. Animal control was called and the dogs were quarantined for 10 days. Based on the information collected and interviews conducted, it was determined that the preponderance of evidence standard has been met; therefore, the above allegations are determined to be SUBSTANTIATED. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 9099D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Licensee and a copy is provided with appeals rights.

Citations

5 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.

  • 87303(a)Type B

    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.

  • 87411(a)Type B

    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.

  • 87411(d)(1)Type B

    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.

  • 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.

  • 87412(c)Type B

    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.

FAQ · About this visit

Common questions about this visit

What happened during the December 23, 2022 inspection of HAVEN@22ND AVENUE ASSISTED LIVING?

This was a complaint inspection of HAVEN@22ND AVENUE ASSISTED LIVING on December 23, 2022. 4 citations were issued: 4 Type B.

Were any citations issued to HAVEN@22ND AVENUE ASSISTED LIVING on December 23, 2022?

Yes, 4 citations were issued (0 Type A, 4 Type B). The first citation was for: "87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times...for t..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.