VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hanover Adult Center
7231 Stonewall Parkway
Mechanicsville, VA 23111
(804) 746-0743

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Jan. 22, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUNDS 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 Protection of adults and reporting. 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

An unannounced renewal inspection was conducted on 1/22/2020 by 2 licensing inspectors from approximately 11:30 a.m. - 1:30 p.m. There are currently 32 participants enrolled at the center. During the time of inspection, there were 18 participants at the center. A tour of the center was conducted. A sample of 6 participant and 3 staff records were reviewed. Facility documentation and required postings were reviewed. The lunch meal and activities were observed. The first aid kit was checked. Staff and participants were interviewed and no issues or concerns were expressed. All new personnel records were reviewed since the last inspection for criminal history record reports and all were in compliance. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the Inspector within 10 days. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Please contact me by e-mail at T.Lesley@dss.virginia.gov if further assistance is needed.

Violations:

Standard #:	22VAC40-61-180-E-2
Description:	Based on review of staff records and facility documentation, the facility failed to ensure that all staff be screened annually for tuberculosis (TB). Evidence: Staff #1 (hire date: 3/6/18) did not have an annual TB screening. The last TB screening available for review at the time of inspection was dated 3/15/18.
Plan of Correction:	1. Staff person who was inadvertently omitted from the annual TB screening, has been required to get screening. 2. Audit put in place to prevent recurrence. 3. Executive Director is responsible for each step.