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Inspection visit

Incident investigation

EHIMAS RESIDENTIAL CARELicense 3427009031 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 8-31-22 at 9:58am, Licensing Program Analysts (LPAs) Michael Bilger and Renee Campbell arrived unannounced to conduct a case management visit based on various incidents occurring between 5-20-22 and 8-19-22. LPAs met with Administrator Justice Ehimamiegho and explained the purpose of the visit. LPAs also interviewed Administrator, staff1 (S1), and reviewed facility file documentation. LPAs also reviewed police report call log. Based on record review it was determined that a total of 38 9-1-1 calls where made between the dates of 5-20-22 and 8-19-22. Upon further review, it was determined that facility did not ensure incident reports sent to Licensing department for multiple incidents occurring between this time period. In addition, during this case management, it was determined through record review that an incident occurred which resulted in a 9-1-1 call by a resident1 (R1) on 7-9-22, alerting police of an alleged altercation between R1 and R2. This same 9-1-1 call also alerted police of an alleged altercation between R2 and R3. LPAs also interviewed R2 and R3. Based on interviews and staffing schedule reviewed, it was determined that two staff members were on duty at time of alleged incident in which R1 called 9-1-1. Based on today’s case management, citations are issued under Title 22, division 6, chapter 8, and health and safety code. An exit interview was conducted with Justice Ehimamiegho and a copy of this report was left with Justice. Appeal rights provided.

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.

  • 87555(b)(3)Type B

    General Food Service (b) The following food service requirements shall apply: (3)Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This requirement was not met as evidenced by Based on observation, facility did not maintain adequate amounts of snacks for residents in care. This poses a potential health and safety risk for residents in care.

  • 87211(a)(D)Type A

    Reporting Requirements. (a) Each licensee shall furnish to the licensing agency...(1) A written report shall be submitted to the licensing agency...within seven days of the occurrence...(D)Any incident which threatens the welfare, safety or health of any resident...The requirement was not met as evidenced by: Based on record review and interview, licensee did not ensure reports sent to licensing agency for multiple incidents occurring between 5-20-22 and 8-19-22. This poses an immediate health and safety risk to residents in care.

  • 87555(b)(31)(B)Type B

    General Food Service (b)The following food service requirements shall apply: (31) Dishes and utensils shall be disinfected: (B) In facilities not using mechanical means,... the addition of a sanitation agent to the final rinse water. This requiremebnt was not met as evidenced by Based on observation and interview, Facility did not use a sanitation agent while hand washing dishes in the final rinse. This poses a potential health and safety risk for residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 31, 2022 inspection of EHIMAS RESIDENTIAL CARE?

This was a other inspection of EHIMAS RESIDENTIAL CARE on August 31, 2022. 1 citation were issued: 1 Type A (serious).

Were any citations issued to EHIMAS RESIDENTIAL CARE on August 31, 2022?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "General Food Service (b) The following food service requirements shall apply: (3)Between-meal nourishment or snacks shal..."

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.