VIRGINIA DEPARTMENT OF SOCIAL SERVICES

International Rejuvenation Center
221 West Main Street
Marion, VA 24354
(276) 782-1819

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date: July 18, 2022

Complaint Related: No

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: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-18-22 start: 1:15pm concluded: 1:58pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 Crystal B. Mullins, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov Violation Notice Issued: Yes A copy of this document will be sent to the licensee/provider for signature.

Violations:

Standard #:	22VAC40-73-870-E
Description:	Based on observations made during the tour of the building, the facility failed to keep all fixtures, furnishings, sinks, toilets, bathtubs, and showers clean and in good repair and condition. EVIDENCE: 1. The common shower to the right of the kitchen area was found to be in disrepair. The ceiling is cracked in the middle of the shower. There is approximately 10-12 tiles missing in the upper corner of the shower that meets the ceiling. 2. The door to this common bathroom is split and has layers of wood that have peeled off. 3. The ceiling in the same bathroom had six or more ? inch dark dots. LI was not sure if these were bugs or a substance which had stained the ceiling. 4. The same bathroom had black dust/cobwebs all along the perimeter where the tile meets the ceiling. Based on observations made during the tour of the building, the facility failed to keep all fixtures, furnishings, sinks, toilets, bathtubs, and showers clean and in good repair and condition. EVIDENCE: 1. The common shower to the right of the kitchen area was found to be in disrepair. The ceiling is cracked in the middle of the shower. There is approximately 10-12 tiles missing in the upper corner of the shower that meets the ceiling. 2. The door to this common bathroom is split and has layers of wood that have peeled off. 3. The ceiling in the same bathroom had six or more ? inch dark dots. LI was not sure if these were bugs or a substance which had stained the ceiling. 4. The same bathroom had black dust/cobwebs all along the perimeter where the tile meets the ceiling. 5. The vent/exhaust fan on the wall beside the light switch was found to have rust on the surface in the common bathroom to the right of the kitchen. 6. The walls of the shower stall were stained and discolored with a brownish substance and the floor of the shower has paint peeling, a drain which is covered in rust, and rust spots throughout the shower floor surface in the common bathroom to the right of the kitchen.
Plan of Correction:	Cleaned and painted and fixed required items. Staff will monitor equipment for repairs. [sic]
Standard #:	22VAC40-73-880-C
Description:	Based on observations made during the tour of the building, the facility failed to provide air conditioning for all areas used by residents including common areas and the temperature shall not exceed 80 degrees Fahrenheit. EVIDENCE: 1. On the date of the inspection (7-18-22) at 1:38pm in the middle area/hall of the building where medications are kept, the LI observed the temperature to be 81.1 degrees Fahrenheit on the thermometer. 2. Again at 1:51pm the LI observed the temperature to be 81.6 degrees Fahrenheit according to the thermometer.
Plan of Correction:	Turned Air Conditioner on at start of hallway make sure staff monitors. [sic]