VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Humphrey's Retirement Home
3405 Chamberlayne Avenue
Richmond, VA 23227
(804) 329-1316

Current Inspector: Shelby Haskins (804) 305-4876

Inspection Date: March 19, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND

Comments:

Type of inspection: Complaint Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 03/19/2024 10:19am to 11:19am The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint incident was received by VDSS Division of Licensing on 01/25/2024 regarding allegations in the area(s) of: Resident Care and Related Services, Resident Accommodations and Related Provisions Buildings And Grounds Number of residents present at the facility at the beginning of the inspection: 9 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Upon arrival, the inspector observed one resident in the facility?s common areas watching TV. The administrator informed inspector that the majority of the residents were at a day support program. Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the (complaint(s)/self-report) but identified during the course of the investigation can also be found on the violation notice. 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 Shelby Haskins, Licensing Inspector at (804) 305-4876 or by email at Shelby.Haskins@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-840-A
Complaint related:	Yes
Description:	Cats are ferile and there are a vast number of them in and out of the home. Administrator said that there are about 10 on the property and 3 inside of the facility. Inspector discussed how the cats could be carrying disease, illness and possibly rabies.
Plan of Correction:	The staff, resident member, and Administrator is making an team effort of keeping the cat out of the house. We have been in contact with numerous organizations to research how to remove outdoor cats in an humane manner
Standard #:	22VAC40-73-870-A
Complaint related:	No
Description:	The facility's front door was broken in three places and was not securely locked/closed. There was also a door bell on the front door that was broken and had exposed electrical wires.
Plan of Correction:	The contractor onsite who is replacing old windows will repair the dent. The doorbell will be remove.
Standard #:	22VAC40-73-870-B
Complaint related:	No
Description:	The inside of the facility was very foul in smell and odor.
Plan of Correction:	The new windows are being put in place to help with the ventilation and we will continue to clean by wiping down and mopping floors.
Standard #:	22VAC40-73-870-H
Complaint related:	No
Description:	Based on the observation of the facility/grounds, it was determined that the facility did not ensure that handrails were provided on all stairways. Evidence 1. The inspector observed that facility did not have handrails on the exterior stairs leading to the front door of the facility. 2. Staff #1 confirmed that there were not handrails on the exterior stairs leading to the front door.
Plan of Correction:	The contractor on-site has looked at this project and have given us an estimated cost for supplies and labor.