St. Charles Lwanga House G
2208 Jolly Pond Road
Williamsburg, VA 23188
(757) 345-2388
Current Inspector: Willie Barnes (757) 439-6815
Inspection Date: July 11, 2024
Complaint Related: Yes
- Areas Reviewed:
-
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 BUILDINGS AND GROUND
22VAC40-80 THE LICENSE
22VAC40-80 COMPLAINT INVESTIGATION
- Comments:
-
Type of inspection: Complaint
An on-site unannounced complaint inspection conducted by two inspectors from the Peninsula Licensing Office. Ar (07:35 a.m./Dep 08:10 a.m.). The facility administrator was not present.
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.
A complaint was received by VDSS Division of Licensing on 07-05-2024 regarding allegations in the areas of resident care and related services and building and grounds.
Number of residents present at the facility at the beginning of the inspection: 6
The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Yes
Number of resident records reviewed: 0
Number of staff records reviewed: 0
Number of interviews conducted with residents:
Number of interviews conducted with staff: 2
Observations by licensing inspector:
Additional Comments/Discussion:
An exit meeting will be conducted to review the inspection findings.
The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. However, violation(s) not related to the complaint but identified during the course of the investigation can 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov
- Violations:
-
Standard #: 22VAC40-73-40-B-4 Complaint related: No Description: Based on observation and staff interviewed, the facility failed to ensure the findings of the most recent inspection was posted in the facility.
Evidence:
1. On 7-11-24, the most recent inspection posting was dated 3-24-22.
Staff acknowledged the most recent inspection was not posted.Plan of Correction: The administrator will retrieve current inspection records and post them at the right position.
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.