VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adult Care Center of Roanoke Valley
2321 Roanoke Boulevard
Salem, VA 24153
(540) 981-2350

Current Inspector: Angela Marie Swink (276) 623-6575

Inspection Date: Dec. 17, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-60 ADMINISTRATION 22VAC40-60 PERSONNEL. 22VAC40-60 SUPERVISION. 22VAC40-60 BUILDINGS AND GROUNDS. 22VAC40-60 ADMISSION, RETENTION AND DISCHARGE. 22VAC40-60 PROGRAMS AND SERVICES. 22VAC40-60 EMERGENCY PREPAREDNESS. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

The LI for The Adult Care Center of Roanoke Valley conducted an unannounced renewal study at the facility on 12/17/19 from 9am until 12pm and observed 26 participants to be inc are. Participant and staff records as well as other forms of facility documentation were reviewed and interviews were conducted with staff. The morning activities and mid day meals were observed. Please respond back to your LI with your plan of correction. If you have any questions please feel free to contact your LI at 540-309-2968.

Violations:

Standard #:	22VAC40-60-460-A
Description:	Based on physical plant observations, the facility failed to ensure all areas of the building were well lighted. EVIDENCE: 1. The hallway past the nursing station was noted to have an inoperable light fixture in the ceiling.
Plan of Correction:	The ballast was replaced in the light fixture on 12/18/19.
Standard #:	22VAC40-60-570-C
Description:	Based on a review of participant records, the facility failed to ensure that a participant plan of care was signed by the individual completing the plan. EVIDENCE: 1. The sic month plan of care review of participant 4, completed on 9/20/19 did not have a signature of the person who completed the plan under the signature section on the last page of the form.
Plan of Correction:	A monthly audit will be conducted to review the signature of the person who completed the plan under the signature section on the last page of the form for each participant care plan.