Inspection Reports for The Havens at Antelope Valley

The visit was an unannounced complaint investigation conducted in response to a complaint alleging that staff did not ensure the facility was kept clean, safe, and sanitary.

The investigation substantiated the allegation that two out of four laundry rooms were not maintained in a clean, safe, and sanitary condition, with issues including unsecured waste bin lids, PPE gloves left on the floor, uncovered waste containers, and canned alcoholic beverages left on the floor. No other immediate health and safety hazards were observed.

The complaint was substantiated. The allegation was that staff did not ensure the facility was kept clean, safe, and sanitary, specifically regarding the laundry rooms. The investigation included interviews with nine residents and two staff members, and a physical plant tour. The findings confirmed the allegation.

The visit was an unannounced complaint investigation conducted due to allegations that staff were leaving residents in soiled clothing for extended periods and not meeting residents' toileting needs.

Based on interviews with residents and staff, record reviews, and physical observations, there was insufficient evidence to verify the allegations. Residents were observed to be clean, well-groomed, and in good health, and staff were found to be conducting rounds and assisting residents appropriately. The allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included residents being left in soiled clothing for extended periods and staff not meeting toileting needs. Interviews with residents and staff, as well as observations and record reviews, did not support these claims.

The visit was an unannounced subsequent Case Management visit to deliver findings regarding an incident reported on 2025-05-02 involving alleged inappropriate physical force by a staff member towards a resident.

Interviews and investigation revealed that a resident reported a staff member used inappropriate physical force causing pain, but there were no witnesses and insufficient evidence to prove the allegation. No deficiencies were cited and no immediate health or safety hazards were observed.

The complaint involved an allegation that staff member S1 used inappropriate physical force on resident R1 by pushing their head down twice. The resident could not name the staff member definitively. Interviews with staff and resident did not provide enough evidence to substantiate the claim. The facility conducted an internal investigation which was inconclusive.

An unannounced Case Management visit was conducted regarding an incident reported on 2025-05-02 involving a staff member allegedly using inappropriate physical force towards a resident.

The Licensing Program Analyst conducted interviews, record reviews, and a physical plant tour. No health or safety hazards were observed during the visit. Further review of the incident is pending and the analyst may return to the facility.

The complaint involved Resident one (R1) reporting that Staff member (S1) used inappropriate physical force causing pain. The investigation is ongoing with no immediate hazards found.

An unannounced Case Management visit was conducted in conjunction with a complaint control #31-AS-20250324153245 to investigate the facility's failure to report an incident involving a resident's fall and hospitalization.

The facility failed to submit a required incident report to the Community Care Licensing Department regarding a resident's multiple falls and hospitalization, which poses a potential health and safety risk. The Executive Director admitted unawareness of the reporting requirement.

Complaint control #31-AS-20250324153245 triggered the visit. The complaint was substantiated by the finding that the facility did not report the resident's incident as required.

The visit was conducted as a Case Management follow-up on a self-reported incident alleging a physical and verbal altercation between a resident and a staff member on 2025-01-10.

Based on record review and interviews, there was insufficient evidence to prove that the staff member physically harmed the resident. No immediate health and safety issues were observed during the visit.

The complaint involved an alleged physical and verbal altercation between Resident 1 and Staff 1 on 2025-01-10. The resident reported delayed medication administration and scratches on their hands. The staff member denied physical contact. The resident has a history of false reporting and self-inflicted wounds. The complaint was not substantiated.

An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in good repair with no immediate health or safety hazards observed. Common areas, kitchen, medication storage, resident and staff records were all compliant and well maintained.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff do not provide residents with activities, specifically that arts and crafts and rides to outings are not provided.

The investigation found that the facility provides residents with activities and accommodates sufficient space for activities. Observations included residents engaged in various activities, sufficient supplies, posted activity schedules, and interviews confirmed adequate activity provision. The allegation was deemed unsubstantiated.

The complaint alleged that staff do not provide residents with activities, including arts and crafts and rides to outings. The allegation was investigated through interviews, observations, and record review and was found to be unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate allegations that the licensee was not following proper infection control protocols.

The investigation found that the facility followed proper infection control protocols regarding a resident diagnosed with Scabies, including timely family notification, isolation, and reporting to the licensing department. Interviews with staff and residents confirmed adherence to infection control plans, and the allegation was deemed unsubstantiated.

The complaint alleged that the facility was exposed to Scabies and did not disclose this to family members. The investigation revealed that the facility informed the family promptly, quarantined the resident for five days, changed all bedding, and reported to the Community Care Licensing Department. Interviews with nine out of eleven residents confirmed no concerns with infection control. The allegation was unsubstantiated.

An annual required unannounced inspection visit was conducted to evaluate compliance with licensing regulations.

The facility was found to be in compliance with no deficiencies observed. The physical plant, safety systems, resident rooms, common areas, and medication management were all inspected and found functional and properly maintained.

The visit was conducted as an unannounced complaint investigation regarding allegations that staff did not accurately assess a resident's needs and inappropriately placed the resident in the Assisted Living Unit instead of the Memory Care Unit.

The investigation included interviews and record reviews which determined that the resident's Physician’s Report was complete prior to admission and placement in the Assisted Living Unit was appropriate. The resident was alert, oriented, and did not require Memory Care placement. The allegation was deemed unsubstantiated.

The complaint alleged that staff did not accurately assess resident R1's needs and placed R1 in the Assisted Living Unit instead of the Memory Care Unit. After investigation, including interviews with facility staff and the resident's Hospice agency Director of Nurses, the allegation was found to be unsubstantiated.

Unannounced visit conducted in conjunction with a complaint regarding failure to timely report incidents where a resident left the facility unassisted.

The licensee failed to submit required Unusual Incident / Injury Reports to the Community Care Licensing Department within seven days for at least two incidents involving a resident leaving the facility unassisted between 03/24/2024 and 04/13/2024.

Complaint control #31-AS-20240412163855 triggered the visit. The complaint was substantiated based on interviews and record reviews confirming failure to report incidents timely.

An unannounced complaint investigation visit was conducted to investigate the allegation that staff did not administer resident's medications as prescribed.

The investigation found that resident R1 missed medications on 03/08/24 and 03/09/24 due to a miscommunication and delay in updating the medication system after hospital discharge. The allegation was substantiated and citations were issued.

The complaint was substantiated. The allegation was that staff did not administer resident's medications as prescribed. Record reviews and interviews confirmed missed medications for resident R1 on 03/08/24 and 03/09/24.

The visit was an unannounced complaint investigation conducted to address allegations including staff pushing residents, failure to ensure residents are bathed, failure to clean resident rooms, and failure to provide laundry service to residents.

The investigation found all allegations to be unsubstantiated after interviews with residents, staff, managers, and family members. Residents and staff uniformly denied the allegations, and no evidence was found to support the claims.

The complaint investigation was triggered by multiple allegations: staff pushed residents, staff do not ensure residents are bathed, staff do not clean resident rooms, and staff do not provide laundry service. After interviewing 12 residents, 12 staff members, 2 managers, and 3 family members, all allegations were found unsubstantiated.

The visit was an unannounced case management inspection to tour the memory care renovation section of the assisted living facility.

The Licensing Program Analyst toured the memory care wing, observed keypad locations for delayed egress, and inspected resident suites and common areas. No health or safety issues were observed during the tour.

The visit was an unannounced complaint investigation regarding an allegation that staff were not following COVID-19 protocols.

The investigation found the allegation to be unsubstantiated after interviews with the reporting party and twelve residents who confirmed staff were properly following COVID-19 guidelines.

The complaint alleged staff were not following COVID-19 protocols. The allegation was found unsubstantiated based on interviews with the reporting party and residents confirming compliance.

The visit was an unannounced annual inspection to evaluate the facility's compliance with licensing requirements.

The inspection found no health or safety issues and no deficiencies. The facility was observed to be clean, well-maintained, and adequately supplied, including PPE and food supplies. The new memory care wing was under construction with completion imminent.

The visit was an unannounced complaint investigation regarding allegations that staff were not providing residents with adequate food service, not meeting residents' needs, not following COVID-19 protocols, not ensuring residents' rooms were locked, and not keeping the facility free of dust.

The investigation found no health or safety issues during the visit. Resident interviews and facility checks showed that meals were delivered timely during the COVID-19 outbreak, residents' needs were met, COVID-19 protocols were followed, rooms could be locked, and the facility was kept clean and free of dust. All allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included inadequate food service, unmet resident needs, failure to follow COVID-19 protocols, unlocked resident rooms, and facility dust issues. Interviews with thirteen residents and facility inspections did not support these allegations.

The visit was an unannounced case management incident investigation triggered by a call reporting that a call was not answered by staff after 8:00 pm and that a caller was allowed entry into the facility without proper verification.

The investigation found that caregivers carry cell phones connected to the facility phone number and promptly answer calls. A resident left and returned during evening hours, and a caregiver opened the front door for the resident. There were no deficiencies identified during this visit.

The complaint involved an incident where a call was not answered after 8:00 pm and a caller was allowed entry by a security guard. The complaint was investigated and found to be unsubstantiated as caregivers promptly answered calls and the door was opened for a resident, not an unauthorized person.

The visit was conducted as a Case Management - Incident type to request resident documentation regarding an incident report received by the Community Care Licensing (CCL).

No health or safety issues were observed during the tour, and there are no deficiencies to report at this time.

The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that a resident sustained a stage 4 pressure injury while in care and other related allegations including denial of access to home healthcare services and failure to meet resident care needs.

The investigation found the allegation that the resident developed a stage 4 pressure injury while in care to be unfounded. However, the allegation that the resident was denied access to home healthcare services was substantiated, citing a violation of PIN 24-04-ASC, resulting in delayed wound care and progression of the pressure injury from stage 1 to stage 2. Other allegations regarding special diet, communication, laundry, and room cleanliness were unsubstantiated.

The complaint investigation was initiated due to allegations that a resident sustained a stage 4 pressure injury while in care, was denied access to home healthcare services, and had unmet care needs. The stage 4 pressure injury allegation was found unfounded. The denial of access to home healthcare services was substantiated, violating PIN 24-04-ASC and resulting in delayed wound care. Other care-related allegations were unsubstantiated.

An unannounced complaint investigation visit was conducted to investigate an allegation that the facility was in disrepair due to cloudy water.

The investigation found that the water in the resident's apartment and other apartments was clear and not cloudy. The allegation of cloudy water was unsubstantiated after interviews and water testing.

The complaint alleged cloudy water in the facility. The investigation included interviews with staff and a resident, and water testing. The allegation was found to be unsubstantiated.

The visit was an unannounced complaint investigation triggered by allegations that the facility did not notify an authorized representative about a hospital visit and was not providing access to medical records to the authorized representative.

The allegation that the facility did not notify the authorized representative about the hospital visit was substantiated due to failure to report the hospitalization and notify the family. The allegation that the facility did not provide access to medical records was unsubstantiated as the requested documentation was sent to the complainant's attorney.

The complaint was substantiated regarding failure to notify the authorized representative about the hospital visit. The allegation regarding denial of access to medical records was unsubstantiated. The investigation included interviews with staff and review of resident records and incident reports.

The visit was an unannounced complaint investigation to address allegations that staff were not answering call bells timely, residents were not receiving medications timely, dining room tables were not cleaned properly, and staff did not attend to residents' medical needs in a timely manner.

All allegations were found to be unsubstantiated after interviews with residents and staff, observations of dining room sanitation, and review of residents' records. Staff response times, medication administration, dining room cleanliness, and medical assistance were all found to be adequate.

The complaint investigation was unsubstantiated. Allegations included delayed call bell responses, untimely medication administration, improper cleaning of dining tables, and delayed medical assistance. Interviews and observations showed these allegations were not supported.

The inspection visit was conducted to investigate a complaint received on 08/09/2021 regarding illegal eviction, staff failing to provide a safe environment, failure to meet residents' needs, and failure to issue a refund.

The investigation substantiated the allegation that staff failed to provide a safe environment when a resident left the facility through an open fire exit door. The allegations of illegal eviction, failure to meet residents' needs, and failure to issue a refund were unsubstantiated. A deficiency was cited related to the failure to maintain a safe environment.

The complaint was substantiated regarding staff failing to provide a safe environment when a resident left the facility through an open fire exit door left open by construction workers. The resident should not leave without assistance. Other allegations of illegal eviction, failure to meet residents' needs, and failure to issue a refund were unsubstantiated.

The visit was an unannounced complaint investigation triggered by multiple allegations received on 2021-02-18 regarding resident care issues at Havens at Antelope Valley Assisted Living.

All allegations including failure to meet resident hygiene, fluid intake, incontinence needs, medication mishandling, wound treatment, and billing errors were investigated and found to be unsubstantiated based on interviews, record reviews, and observations.

The complaint investigation addressed nine allegations related to resident hygiene, fluid provision, incontinence care, medication handling, wound treatment, and billing accuracy. Each allegation was found unsubstantiated after interviews with residents and staff, review of records, and observation.

The visit was an unannounced complaint investigation triggered by allegations that staff were not responding to residents' call lights in a timely manner and that the food quality was poor.

The investigation found no substantiation for the allegations. Interviews with residents and staff, as well as a physical tour, revealed no health or safety issues. Residents reported timely response to call lights and improved food quality with adequate staff coverage confirmed by schedules.

The complaint was unsubstantiated. Allegations included staff not responding promptly to call lights and poor food quality. Interviews with residents and staff, along with review of staff schedules, confirmed adequate staffing and improved food quality. No complaints or issues were observed during the investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations including staff threatening a resident with eviction, unexplained weight loss of a resident, staff not allowing a resident to leave his room, and staff searching through a resident's personal belongings.

The investigation found all allegations to be unsubstantiated. Staff did not verbally threaten eviction but assisted with billing issues; no extreme weight loss was witnessed; residents were quarantined during confirmed COVID cases which explained room confinement; and staff searched resident belongings only at the resident's request and presence.

The complaint investigation was unsubstantiated based on interviews with staff, residents, and review of records. The facility followed COVID quarantine guidelines, and the eviction notice was a 30-day termination letter not implemented. Staff assisted the resident with banking and billing issues and searched belongings only with resident consent.

The visit was an unannounced case management inspection regarding an incident report sent to the Community Care Licensing on March 22, 2022, involving allegations of unkind behavior by a staff member towards residents and a resident's personal rights violation.

The Health & Wellness Director conducted a full internal investigation, resulting in the termination of the staff member involved. Staff informed the affected residents, who were comfortable with the outcome. No deficiencies were reported at this time.

The complaint involved a staff member (S2) speaking unkindly to three residents and a resident reporting a violation of personal rights. The complaint was substantiated by the Health & Wellness Director's investigation, leading to the termination of the staff member.

Unannounced complaint investigation visit to investigate allegations including staff stealing from a resident, lack of dignity in staff-resident relationships, non-working air conditioning unit, and unmet incontinence needs.

The investigation substantiated all allegations: staff stole food from a resident and caused distress, the resident was not accorded dignity, the air conditioning unit in the resident's room was not working requiring a room change, and staff response times to the resident's pendant calls were often delayed beyond policy standards.

The complaint investigation was substantiated. Allegations included staff stealing from a resident, lack of dignity in staff-resident interactions, non-working air conditioning unit, and delayed staff response to resident's incontinence needs. Evidence included interviews, video footage, and response time reports.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 07/13/2020 alleging that the facility is understaffed.

The investigation found that the facility was understaffed, resulting in residents waiting over thirty minutes for staff assistance. Ten out of sixteen residents interviewed confirmed delays, and the allegation was substantiated with a cited deficiency under LIC 9099 D.

The complaint was substantiated based on interviews and investigation findings. Ten of sixteen residents reported waiting over thirty minutes for assistance, and staff acknowledged being short-handed.

Unannounced complaint investigation visit conducted due to an allegation that staff did not provide proper medication assistance to a resident in care.

Investigation found that on 2/4/22, 2/5/22, and 2/6/22, five residents completely missed all of their medications and twenty-six residents received their medication late, posing an immediate health and safety risk. The administrator admitted staffing shortages caused the issue and corrective actions were taken including hiring new staff.

The complaint was substantiated based on interviews and documentation review. The allegation involved improper medication assistance resulting in missed and late medications for residents.

The inspection was an unannounced required one-year annual visit to evaluate the facility's compliance with regulations.

The facility was found to be in compliance with no deficiencies reported. Observations included proper COVID-19 precautions, well-maintained resident apartments, adequate food storage and preparation, and clean common areas.

An unannounced complaint investigation was conducted to investigate allegations that staff were not following State of California COVID-19 guidelines and were endangering the health of residents.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed wearing masks, social distancing was possible in break areas, and the alleged car and craft show was cancelled. COVID testing records showed timely receipt of tests.

The complaint alleged staff worked after a positive COVID test, congregated without masks in break areas, delayed COVID testing, and hosted a car and craft show. The complaint was unsubstantiated based on interviews and observations.

The visit was an unannounced case management incident investigation regarding the personal rights of a resident.

The facility was observed to be neat and clean with adequate food supplies and proper hygiene signage. Interviews and record reviews were conducted, and no deficiencies were found at this time. Further investigation is needed regarding the incident.

Investigation of an incident report regarding the personal rights of a resident; further investigation needed; no deficiencies reported at this time.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations including staff causing injury, rough handling of residents, unqualified hospice services, hiding call buttons, unmet therapy needs, and understaffing.

Most allegations were found to be unsubstantiated after interviews with residents, staff, and review of records. However, the allegation that staff failed to assist residents in a timely manner with incontinent care was substantiated, resulting in a cited deficiency.

The complaint investigation was unannounced and addressed allegations including staff causing injury, rough handling, unqualified hospice services, hiding call buttons, unmet therapy needs, understaffing, and failure to meet residents' hygiene needs. Most allegations were unsubstantiated except for the failure to timely assist residents with incontinent care, which was substantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations of financial abuse by facility staff and staff mismanaging a resident's clothing.

The investigation found insufficient evidence to substantiate the allegations. The $415.00 erroneous charge was removed from the resident's bill, and the missing jacket was later found by the administrator. Staff and administrator interviews did not support claims of theft or mismanagement.

The complaint involved allegations of financial abuse by facility staff and mismanagement of a resident's clothing. The complaint was deemed unsubstantiated after interviews with the resident, staff, and administrator, and review of evidence.

An unannounced complaint investigation was conducted in response to an allegation that the facility had roaches.

The investigation found no evidence of roaches or droppings during a physical tour, interviews with residents and staff, and a review of pest control records. The allegation was determined to be unsubstantiated.

The complaint alleged the presence of roaches in the facility. The allegation was unsubstantiated based on observations, interviews, and record review.