St. Charles Lwanga House G
2208 Jolly Pond Road
Williamsburg, VA 23188
(757) 345-2388
Current Inspector: Willie Barnes (757) 439-6815
Inspection Date: Nov. 14, 2022 , Nov. 18, 2022 , Dec. 2, 2022 and Dec. 6, 2022
Complaint Related: No
- Areas Reviewed:
-
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 ACCOMMODATIONS AND RELATED PROVISIONS
22VAC40-73 BUILDINGS AND GROUND
22VAC40-73 EMERGENCY PREPAREDNESS
- Comments:
-
Type of inspection: Renewal
An unannounced renewal inspection was conducted on-site on 11-14-22 (ar 07:35/dep 08:30 a.m.). The facility census was 2. A tour of the facility conducted, water temperature taken, a review of the facility medication administration records, resident and staff records reviewed.
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 Willie Barnes, Licensing Inspector at (757-439-6815) or by email at willie.barnes@dss.virginia.gov
- Violations:
-
Standard #: 22VAC40-73-980-A Description: Based on observation and staff interviewed, the facility failed to ensure the motor vehicle that is used to transport resident in a motor, vehicle used for a field trip, there was a first aid kit that included all required items.
Evidence:
1. On 11-14-22, a check of the first aid kit for the vehicle with staff #2 was missing the following required items: tweezers, thermometer, small flashlight and extra batteries, scissors, plastic bags, disposable CPR mask, blankets, and adhesive tape. The antiseptic wipe/ointment expired on 2/19 and 10/18. The hand cleaner expired 2-28-19.
2. Staff #2 acknowledged the first aid kit for the vehicle did not have all required items.Plan of Correction: Staff #2/ on duty revised the list and items to fully equip the first aid kit for her vehicle.
Staff #1 double checked the items and list for completeness and listed expiration dates for renewal and re-equipping the entire first aid kit.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.