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Inspection visit

complaint

HAVEN'S HOUSE OF ASSISTED LIVINGLicense 4868040123 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Furthermore, during interviews with an outside provider, it was disclosed to the LPA that the resident was bedridden which requires a higher level of care needs (See LIC 9099D). LPA reviewed the STD 850 Fire Clearance and observed that the facility is Fire Clearance approved for 4 residents that are Non-Ambulatory and 0 bedridden residents. Facility is not licensed to care for residents that are Bedridden (See LIC 9099D). Complaint alleges that staff do not administer medications to resident(s) according to physician’s instructions. LPA could not review the Medication Assessment Record (MAR) for Resident #1 because the facility did not retain the MAR for Resident #1 (See LIC 9099D). Furthermore, during an interview conducted on March 27, 2023 (See LIC 812-Interview-Administrator) with the Administrator, LPA learned that the facility did not retain an LIC 602 and the MAR for Resident #1. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Licensee/Administrator. Complaint alleges that staff did not seek medical assistance for residents in a timely manner. During the course of the investigation, LPA conducted interviews and learned that the Responsible Party was responsible for coordinating medical appointments which was canceled and was not rescheduled by the Responsible Party. Furthermore, LPA also learned that the residents ride on the day in question was canceled and that no notification was sent to the Administrator of the cancelation. Administrator coordinated a ride via ambulance to get Medical Assistance in a timely manner. Complaint alleges that staff do not respond to resident’s request for assistance in a timely manner. During the course of the investigation, LPA conducted interviews and could not prove or disprove that the facility staff do not respond to resident’s request for assistance in a timely manner. A finding that the complaint allegations of Staff are not adequately trained, Staff did not seek medical assistance for resident in a timely manner and staff did not respond to resident’s request for assistance in a timely manner are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.

Citations

3 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.

  • 87202(a)(2)Type A

    87202(a): All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal.(2) Bedridden personsThis requirement was not met as evidenced by: Based on a review of the STD 850 and an interview with an outside provider, facility retained a resident that was bedridden. Facility is currently Fire Clearance approved for 4 Non-Ambulatory residents which 0 can be bedridden. This is an immediate health, safety and personal rights risk to the resident(s) in care.

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  • 87459(a)(4)Type A

    87459(a): The facility shall assess the person's need for personal assistance and care by determining his/her ability to perform specified activities of daily living. Such activities shall include, but not be limited to:(4) Transferring, including the need for assistance in moving in and out of a bed or chair.This requirement was not met as evidenced by: Based on interviews that were conducted, resident was bedridden which requires a higher level of care for the resident that was in placement. Facility is licensed to retain 4 residents that are Non-Ambulatory which 0 can be bedridden. This is an immediate health, safety and personal rights risk to the resident(s) in care.

  • 87506(a)Type B

    87506(a): The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff.This requirement was not met as evidenced by: During the investigation, facility did not retain resident records which included the Medication Assessment Record (MAR) that documents medication administration. This is a potential health, safety and personal rights risk to the resident(s) in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 10, 2023 inspection of HAVEN'S HOUSE OF ASSISTED LIVING?

This was a complaint inspection of HAVEN'S HOUSE OF ASSISTED LIVING on April 10, 2023. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to HAVEN'S HOUSE OF ASSISTED LIVING on April 10, 2023?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "87202(a): All facilities shall maintain a fire clearance approved by the city, county, or city and county fire departmen..."

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.

SourceView on CCLDView original report

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