VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Virginia Tech Adult Day Services
102 Wallace Hall
Blacksburg, VA 24061
(540) 231-3161

Current Inspector: Rebecca Berry (276) 608-3514

Inspection Date: June 20, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUND 22VAC40-61 EMERGENCY PREPAREDNESS

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 06/20/2023, 10:57am to 12:49pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of participants present at the facility at the beginning of the inspection: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with participants: n/a Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Becky Berry, Licensing Inspector at 276-608-3514 or by email at rebecca.berry@dss.virginia.gov.

Violations:

Standard #:	22VAC40-61-180-E-2
Description:	Based on a review of staff records, the center failed to ensure all staff are screened annually for tuberculosis in accordance with subdivision 1 of this subsection (22VAC40-61-180-E). EVIDENCE: 1. The most recent report of tuberculosis screening observed in the record for staff #1 was dated 04/30/2019. Staff #4 confirmed a more recent report of tuberculosis screening is not available. 2. A PPD reading dated 09/10/2021 was observed in the record for staff #3. Staff #4 confirmed a more recent report of tuberculosis screening is not available.
Plan of Correction:	As of today, 6/23/23, all current staff have completed the DSS required TB screening. They will be filed in each person?s staff record. The Healthcare Coordinator will make sure that annual assessments for staff are completed during the month of June each year. This new process was communicated to staff verbally and in writing via the staff communication log. [SIC]
Standard #:	22VAC40-61-410-E
Description:	Based on a tour of the building, the center failed to ensure cleaning products and all poisonous or harmful materials shall be kept in a locked place when not in use. EVIDENCE: 1. In the bathroom on the right, a container of Wet Ones Antibacterial Hand Wipes and a container of Home Sense Disinfecting Wipes were found in an unlocked cabinet. The Wet Ones container had the warning ?Keep out of reach of children? and the Home Sense Disinfecting Wipes container had the warning ?Store in original container in areas inaccessible to children.? 2. In the bathroom on the left, a package of Flushable Wipes was found on a shelf. There was a warning on the back of the package to ?Keep out of reach of children.? 3. On the window ledge by the door leading to the courtyard, the LI observed a can of Gorilla Spray Adhesive. The back of the can contained the warning, ?Keep out of reach of children.?
Plan of Correction:	Hand wipes, disinfecting wipes, flushable wipes, and spray adhesive were removed and locked up when they were pointed out to staff at the inspection summary on 6/202/23. Staff have been reminded verbally and in writing via the staff communication log. [SIC]