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Inspection visit

complaint

HAVEN'S HOUSE OF ASSISTED LIVINGLicense 4868040121 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Continued from LIC9099... LPA conducted interviews with S1, who confirmed that R1 had requested to go to the hospital after reporting a fall. S1 stated that they told R1 they would need to pay a transportation fee before to be taken to the hospital for his doctor appointments. R1 declined to make payment without a receipt, the administrator called 911, and R1 was transported by emergency services. S1 confirmed that later the same day, they informed the hospital that R1 would not be returning to the facility and that they dropped off his belongings at the hospital. S1 stated they did not follow up info regarding R1’s condition and could not provide any documentation to support her claim that R1 declined to return to the facility. No written statements, logs, or records were provided to indicate that R1 refused to return. Additionally, R1 had paid rent through 08/22/2025. Based on interview conducted, this allegation is Substantiated . A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC9099D (Deficiency Page), Plan of Corrections, and Appeal Rights discussed and provided to Executive Director/Administrator. Signature on form confirms receipt of documents. Continued from LIC9099... S1 denied over charging residents for the cost of medications themselves. LPA requested documentation and reviewed the admission agreement, which reflected a $6 service fee related to medication delivery. No documentation or statements were found indicating that residents were charged for medications beyond the agreed-upon delivery and transportation fee. Based record review, interviews conducted, and observations made, this allegation is Unsubstantiated . A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.

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.

  • 87468.2(a)(20)Type B

    Additional Personal Rights of Residents...(a) In addition to the rights listed in ...: (20) To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict... This requirement was not met as evidenced by: Based on interviews and LPA observation of records, it was determined Facility refused to accept the resident (R1) back from the hospital. This poses an immediate health, safety or personal rights risk to persons in care.

  • 87211(a)(1)(B)Type B

    Reporting Requirements (a)Each licensee shall furnish ..., the following: (1)A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence... (B)Any serious injury as determined ... . This requirement was not met as evidenced by: Based on observations made, Licensee did not comply with the section cited above, Licensee failed to submit special incident report to the CCL as required 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 October 7, 2025 inspection of HAVEN'S HOUSE OF ASSISTED LIVING?

This was a complaint inspection of HAVEN'S HOUSE OF ASSISTED LIVING on October 7, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to HAVEN'S HOUSE OF ASSISTED LIVING on October 7, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Additional Personal Rights of Residents...(a) In addition to the rights listed in ...: (20) To be protected from involun..."

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