VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Caring Place, LLC
788 Bellwood Road
Hampton, VA 23666
(757) 726-7181

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: Sept. 19, 2024

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 22VAC40-80 THE LICENSE 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: Inspection attempted on 9/12/2024; Inspection conducted on 9/19/2024 11:45 am- 2:30 pm 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: 3 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: 2 Number of interviews conducted with participants: 2 Number of interviews conducted with staff: 1 Observations by licensing inspector: Inspector observed a meal and activity while at the center. Additional Comments/Discussion: N/A 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-50-E
Description:	Based on record review, the center failed to review the rights and responsibilities of participants annually with each participant, or, if a participant is unable to fully understand and exercise his rights and responsibilities, the annual review shall include his family member or his legal representative. Evidence of this review shall include the date of the review and the signature of the participant, family member, or legal representative and shall be included in the participant's file. Evidence: 1. The last documented review of participants rights for Participant #3 was 4/21/2023. 2. Staff #1 acknowledged the 4/21/2023 signed Resident Rights for participant #3 was the most current review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-160-B
Description:	Based on record review, the center failed to ensure there is at least two direct care staff on the premises at all times who have current certification in CPR from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. The Licensing Inspector observed that Staff #1 and #2 were the only direct care staff present in the facility at the time of the inspection on 09/19/2024. The staff record for Staff #2 did not contain verification of current certification for CPR.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-180-E-1
Description:	Based on a review of staff records, the center failed to ensure that each staff person shall obtain initial tuberculosis (TB) examination and report. Evidence: The record for Staff # 1 did not contain documentation of an initial TB screening
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-250-B
Description:	Based on review of participant records, the center failed to have a current photograph or narrative physical description of the participant. Evidence: 1. The records for participants #1 and # 2 did not contain a picture or description. 2. Staff #1 acknowledged that participant #1 and #2?s file did not contain a current photograph or narrative physical description.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-300-E-3
Description:	Based on observations made during the inspection of the center, the center failed to have medication kept in a locked compartment or area. Evidence 1. Licensing Inspector observed Resident #1?s Vizia Sterile Lubrication Eye Drops sitting on a table in the kitchen area. 2. Staff #1 acknowledged the medication was not in a locked compartment or area.
Plan of Correction:	Not available online. Contact Inspector for more information.