A New Haven Care Home-Springtown

Type of visit: Required - 1 Year

On 10/20/2023 at 9:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Eljon Palad and explained the purpose of the visit. Administrator, Robert Abella arrived 30 minutes later. The facility’s fire clearance was approved for 6 non-ambulatory residents of which 2 residents maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 2/9/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.9 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last fire drill was conducted on 10/3/2023. LPA reviewed 5 resident and 3 staff files starting at 10:10AM. LPA reviewed a sample of resident's medications starting at 12:25PM. LPA interviewed 2 residents and 2 staff at 1:36PM. At 11:00AM, LPA observed R3 does not have TB test result on file during record review. At 11:30AM, LPA observed facility does not have home health written agreement for R2. (Continue on LIC809C...) At 1:30PM, LPA observed doctor's order (dated 4/18/2023) for some of R3's medications was different than the actual medications R3 has at the facility. Doctor's order was for Budesonide Inhalation and Albuterol-Ipratropium. However, R3 has Fluticasone Propinate inhaler noted on MAR. LPA observed R3 had an open bottle of Tums Antacid, but does not have a doctor's order. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Oct 20, 2023

Allegation investigated: Staff do not assist resident(s) with medications as needed. Staff remove interior door knob(s) to prevent resident(s) from exiting. Centrally stored medicines are not kept in a safe and locked place. Night supervision staff are not available to assist in the event of an emergency.

On 7/20/2023 at 9:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Lead Caregiver, Maria "July" Naval. During the course of investigation, LPA interviewed 3 residents and 4 staff. LPA also obtained and reviewed documents including: staff schedule, physician's report, medication list, MAR (Medication Administration Record), and emergency information. Staff do not assist resident(s) with medications as needed. Interview with residents revealed that staff would administer medications to residents. Residents stated no medications were missed or not given. (Continue on LIC9099C...) Unsubstantiated Staff remove interior door knob(s) to prevent resident(s) from exiting. On 1/26/2022, LPA observed front door's door knob was intact with turn lock. Interview with residents indicated the front door was operational without missing door knob. Centrally stored medicines are not kept in a safe and locked place. On 1/26/2022, LPA observed medications were locked in the medication cabinet. LPA did not observe unlocked medications on visits dated 1/26/2022 and 7/14/2023. Night supervision staff are not available to assist in the event of an emergency. Interview with staff revealed that call button system is wireless and on call night staff will take the wireless system with them to the caregiver's room at night time. There are two live-in staff at the facility. Interview with residents indicated that night staff would assist residents when call button is activated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Jul 20, 2023 · control 15-AS-20220119154020

Type of visit: Required - 1 Year

On 11/22/2022 at 8:50AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct an Infection Control Inspection. LPA met with staff, Mariajuly Naval. Administrator, Robert Abella arrived 20 minutes later. Upon entry, staff conducted COVID-19 screening for LPA. LPA observed hand sanitizer at screening station. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common areas, garage, and outdoor areas. LPA observed cough etiquette, signs & symptoms, and physical distancing are posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hand washing posters were posted at sinks and bathrooms. Hot water was measured at 119.3 degrees F in the hallway bathroom sink. During record review, LPA observed visitors log and temperature log for both residents and staff. LPA observed facility has a copy of Mitigation Plan on file. Facility staff had FIT testing for N95 respirators completed and completion certificates were reviewed. LPA observed PPE, food supplies, and paper supplies are sufficient. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 22, 2022