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Inspection visit

Follow-up on corrections

HEPZEBAH HOUSELicense 1976098713 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

At approximately 10:15 AM on 02/11/22, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced initial complaint investigation. LPA met with Administrator and disclosed the reason for the visit. Census: 4 During the course of the complaint investigation, LPA found deficiencies. LPA was greeted at the door by an individual without a criminal background clearance. Administrator was not present at the facility when LPA arrived, and only the individual was present. Both the individual and Administrator stated the individual was supervising residents in care because the Administrator felt ill. LPA reviewed records for Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), and Resident #4 (R4). Resident records of R1, R2, and R3 did not contain Physician Reports or reappraisals within the past 12 months. LPA conducted exit interview, issued civil penalties, discussed appeal rights, and issued report.

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.

  • 87458(a)Type B

    87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.This requirement is not met as evidence by: Based on records review, R1, R2, and R3 did not have Physician Reports or medical assesments in their facility files. This poses a potential health and safety risk to residents in care.

  • 87463(c)Type B

    87463 Reappraisals (c) The licensee shall arrange a meeting with the resident... when there is significant change in the resident’s condition, or once every 12 months, whichever occurs first.This requirement is not met as evidenced by: Based on records review, R1, R2, and R3 did not have reappraisails in their facility files.This poses a potential health and safety risk to residents in care.

  • 87355(a)Type A

    87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals... and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review.This requirement is not met as evidence by: Based on LPA observations and interviews, the individual providing supervision to residents in care did not submit a criminal background clearance to the department. This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 11, 2022 inspection of HEPZEBAH HOUSE?

This was a other inspection of HEPZEBAH HOUSE on February 11, 2022. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to HEPZEBAH HOUSE on February 11, 2022?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, d..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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.