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Ascend Health Adult Retreat
6421 Chesterfield Meadows Drive
Chesterfield, VA 23832
(804) 641-0952

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: July 10, 2020 and July 13, 2020

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 GROUNDS
22VAC40-61 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:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on July 10, 2020 and concluded on July 13, 2020. The director was contacted by telephone to initiate the inspection. There were 3 participants present and 5 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 participant?s records and 2 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and the violation was documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the director COVID-19 guidance posted on the ADCC webpage. Please specify how the violation will be corrected. The plan must contain: 1) step(s) to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). Thank you for your cooperation during this inspection. I can be reached at Kimberly.M.Davis@dss.virginia.gov or (804) 662-7578.

Violations:
Standard #: 22VAC40-61-220-E
Description: Based on the review of a participant record, the facility failed to ensure that each participant assessment was reviewed and updated at least every six months.


Evidence: The assessment for Participant # 2 was last dated 12-9-19.

Plan of Correction: Director will include participant assessment reviews at six month plan of care reviews.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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