VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Hamilton West Adult Home
309 W. Washington Street
Petersburg, VA 23803
(804) 732-4530

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: Oct. 2, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Type of inspection: Monitoring Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 10/2/23 9:30 to 11:00 am The Acknowledgement of Inspection form was left at the facility for the date of the inspection. Number of residents present at the facility at the beginning of the inspection: The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents:0 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing staff observed during tour updates to facility - new floors, ramp, furnishings, painting, kitchen upgrade, etc An exit meeting was 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 Yvonne Randolph, Licensing Inspector at (x804) 662-7454 or by email at name@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-70-A
Description:	Based on a incident reported on a local news channel, the facility failed to report to the regional licensing office within 24 hours a major incident that negatively affected the life, health, safety or welfare or a resident. Evidence: 1. Facility communication notes document that the resident # 1 was last seen at the facility on 9/29./23. 2. A local news channel reported a missing resident at the facility on 9/30/2023. 3. The incident was reported to the regional licensing staff on 10/2/23 during an inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.