VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Raspberry Hill Adult Daytime Center
1381 Crossings Centre Dr., Suite A
Forest, VA 24551
(434) 525-4422

Current Inspector: Cynthia Jo Ball (540) 309-2968

Inspection Date: April 29, 2021

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 monitoring inspection was initiated on 04/28/2021 and concluded on 04/29/2021. The director or in-charge person was contacted by telephone to initiate the inspection. There were six participants present and three staff. The inspector emailed the director/person in charge a list of items required to complete the inspection. The Inspector reviewed two participant records and two staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the director/person in charge COVID-19 guidance posted on the ADCC webpage.

Violations:

Standard #:	22VAC40-61-230-D
Description:	Based on document review, the facility failed to address assess needs on Plans of Care (POC). EVIDENCE: 1. The Participant Assessment dated 3/22/2021 for participant 1 shows this person is hard of hearing, and this need is not addressed on the POC dated 3/22/2021. 2. The Participant Assessment dated 3/2/2021 for participant 2 shows this person requires supervision with ambulation and this need is not addressed on the POC dated 2/2/2021
Plan of Correction:	Address each need and document in the Plan of Care appropriately, sign, and date.
Standard #:	22VAC40-61-260-C
Description:	Based on resident record review and interview, the facility failed to obtain an annual physical exam for a participant. EVIDENCE: 1. An email from staff 1 indicated the physical exam for participant 2 was overdue, and this was confirmed in a telephone interview with staff 1. 2. The most recent physical for participant 2 is dated 3/3/2020.
Plan of Correction:	Send reminders out in advance for adequate scheduling. Verified with family, participant has Dr. appointment for May 14, 2021.
Standard #:	22VAC40-61-300-C
Description:	Based on documentation and interview, the facility failed to have an order for a medication. EVIDENCE: 1. The physical dated 3/2/2020 for participant 2 shows that Meclizine is administered at the center. 2. Staff 1 states the medication was discontinued and is no longer given at the center, and a note was made that the medication was discontinued on 4/8/2020. 3. A telephone order was taken on 4/8/2020 and it was never signed by the physician.
Plan of Correction:	All verbal orders are to be signed within the allotted time frame, 10 working days.