VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Clean Hands Pure Hearts Adult Day Center LLC
1421 Kempsville Road
Chesapeake, VA 23320
(757) 819-6774

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: July 3, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 63.2 LICENSURE AND REGISTRATION PROCEDURES 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Technical Assistance:

Required Postings

Comments:

Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: An announced initial inspection was conducted on 07/03/2024 from 9:35 am to 11:00 am. 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: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: There were no participants in care at the time of the inspection. A tour of the interior and exterior area of the center was conducted and measurements were taken of the areas that will be used by the participants. Water temperatures were sampled and the first aid kit was reviewed. Additional Comments/Discussion: Required Postings, Resident and Staff Records. 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 (Donesia Peoples), Licensing Inspector at (757) 353-0430 or by email at donesia.peoples@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-460-E
Description:	Based on the onsite observation, the center failed to ensure sturdy grab bars or safety frames shall be installed beside all toilets used by participants. Evidence: 1. During the observation of the female restroom that will be available for participants, grab bars or safety frames were not installed beside all the toilets.
Plan of Correction:	Grab bars are being installed in the women's stall.
Standard #:	22VAC40-61-530-B
Description:	Based on observation, the center failed to ensure a fire and emergency evacuation drawing showing primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguishers shall be posted in a conspicuous place. Evidence: 1. During the tour of the center, the facility?s emergency evacuation plan did not include the following: areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguishers.
Plan of Correction:	Emergency evacuation plan has updated to reflect the areas of refuge, assembly area, telephone, fire alarm box, and fire extinguishers