Inspection Reports for Eben Haven

30792 Stone Creek Ct, Menifee, CA 92584, CA, 92584

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Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 1 Oct 3, 2024
Visit Reason
An unannounced visit was conducted on 10/03/2024 to perform a required annual inspection of the facility.
Findings
The inspection found the facility generally compliant with safety and care standards, but identified one deficiency related to discrepancies in the Medication Administration Records for two residents, posing a potential health and safety risk.
Deficiencies (1)
Description
Medication Administration Record discrepancies found during the review of Resident 1 and Resident 2's medications and records, posing a potential health, safety or personal rights risk to persons in care.
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Oct 11, 2024 Staff present: 2 Residents present: 5 Fire extinguisher last serviced: Jun 4, 2024 Hospice waiver approved residents: 4 Residents receiving hospice services: 2
Employees Mentioned
NameTitleContext
Angelica AlamilloCaregiverMet with during inspection and involved in medication administration
Adeola AyodeleFacility RepresentativeArrived during visit and received report
Janette RomeroLicensing Program AnalystConducted inspection and signed report
Tricia DanielsonLicensing Program ManagerSupervisor named in report
Inspection Report Annual Inspection Census: 4 Capacity: 6 Deficiencies: 0 Oct 20, 2023
Visit Reason
The visit was an unannounced annual inspection to ensure the facility is following California Code of Regulations, Title 22, Division 6.
Findings
No deficiencies were observed during the inspection. The facility was found to have proper infection control, environmental safety, personnel records, client records, food service, health-related services, and disaster preparedness in compliance with regulations.
Report Facts
Food supply duration: 7 Food supply duration: 2 Bathroom temperature: 110 Facility temperature: 73
Employees Mentioned
NameTitleContext
Elizabeth OdunjoAdministratorMet during inspection and signed receipt of report
Cheryl GoodrichLicensing Program AnalystConducted the inspection
Angelica Alamillo OchoaCaregiverMet at front door and granted entry to Licensing Program Analyst
Jazmond D HarrisLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Oct 15, 2021
Visit Reason
Licensing Program Analyst Jesse Gardner made an unannounced visit to the facility to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was observed to have sufficient hand hygiene supplies, cleaning and disinfecting provisions, and proper use of face coverings. The facility has a designated infection control lead responsible for tracking COVID-19 cases, maintaining PPE supplies, and ensuring staff training on infection control.
Employees Mentioned
NameTitleContext
Angelica AlamilloCaregiverMet with Licensing Program Analyst during inspection and discussed infection control practices.
Jesse GardnerLicensing Program AnalystConducted the unannounced annual inspection.
Elizabeth OdunjoAdministratorFacility administrator named in the report header.
Inspection Report Complaint Investigation Census: 5 Capacity: 6 Deficiencies: 0 Aug 12, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff failed to provide proper supervision, which resulted in a fall.
Findings
The investigation found the allegation to be unsubstantiated based on interviews and observations. Staff did not leave the resident unsupervised, and there was insufficient evidence to prove the alleged violation occurred.
Complaint Details
The complaint alleged staff failed to provide proper supervision resulting in a fall. The finding was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Anna BuenoLicensing Program AnalystConducted the complaint investigation
Elizabeth OdunjoAdministratorFacility administrator met during the investigation

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