VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jan's Residential Home I
307 N. High Street
P. O. Box 666
Blackstone, VA 23824
(434) 298-0993

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: Jan. 27, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-80 THE LICENSING PROCESS.

Comments:

An unannounced monitoring visit was completed on January 27, 2020, from 9:00 a.m. to 12:15 p.m. for Jan's Residential Home I. Upon arrival the assigned Licensing Inspector and the Central Regional Licensing Administrator met with the facility's administration team in order to initiate the monitoring inspection. Specific records were reviewed based upon the facility's incident report. During the monitoring inspection, the licensing inspector and the licensing administrator reviewed additional documents such as the following: MARs, physician orders, resident notes, and incident reports. No violations were cited during the monitoring inspection. You may contact me at (804) 662-9432 or email me at Vashti.Colson@dss.virginia.gov to discuss any questions you may have. Thank you for your cooperation during this inspection.