VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brookdale Virginia Beach
937 Diamond Springs Road
Virginia beach, VA 23455
(757) 493-9535

Current Inspector: Lanesha Allen (757) 715-1499

Inspection Date: Aug. 6, 2020 , Aug. 10, 2020 and Aug. 13, 2020

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A complaint inspection was initiated on 08-06-2020 and concluded on 08-13-2020. A complaint was received by the department regarding allegations in the areas of Personnel. The Interim Administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the Interim Administrator a list of documentation required to complete the investigation. The evidence gathered during the investigation supported the allegations of non-compliance with standards or law, and violations were issued.

Violations:

Standard #:	22VAC40-73-200-C
Complaint related:	Yes
Description:	Based on record review and staff interview, the facility failed to ensure direct care staff met the requirements for direct staff qualifications. If the staff does not meet the requirement at the time of employment, they should successfully meet one of the requirements in this subsection within two months of employment. Evidence: 1. A complaint was received regarding direct care staff qualifications. 2. During an interview on 08-10-2020, when asked if administrative staff provide direct care to residents, staff #3 stated ?Management has spoon-fed residents when the facility is short staffed.? 3. During a separate interview on 08-10-2020, staff #2 stated that she is sometimes Manager on Duty. Staff #2 stated the ?Manager on duty assists residents with passing out trays and drinks.? Staff #2 stated that she ?assists residents with repositioning their cup or spoon in their hands.? When asked ?Do you scoop up food and put food in the resident?s mouths?? staff #2 stated ?I have.? 4. On 08-13-2020, staff #1 provided a list documenting 8 residents who require physical assistance with eating. 5. Staff #2 was hired as an ?Administrative support worker? on 04-09-2020 and was not hired as a direct care staff member. Staff #2?s job description dated 04-09-2020 did not document direct care staff duties and responsibilities. Staff #2 did not have a job description for direct care, previous direct care training, or documentation of direct care staff qualifications on file. 6. When asked if staff #2 had first aid or CPR or any direct care qualifications, staff #1 stated ?Staff #2 does not have first aid or CPR. She does not have Direct Care Qualifications, so no certificate.? 7. Staff #1 acknowledged staff #2 did not meet the direct staff qualifications to provide care to residents and did not meet the direct care qualifications within 2 months of employment.
Plan of Correction:	? The Executive Director or Designee will provide education for Health and Wellness Director, Health and Wellness Coordinator and non-direct care associates in regards to the VDSS regulations for assisting with dining needs of residents and the need of the VDSS approved training on Direct Care Staff Training Curriculum for current non-direct care staff by 9/15/2020. ? The Executive Director or Designee will provide the VDSS approved training on Direct Care Staff Training Curriculum for current non-direct care staff by 10/31/2020. ? The Executive Director, Business Office Coordinator, Health and Wellness Director or Designee will provide opportunity for future non-director care associates to receive Direct Care Staff training and education at the time of their general orientation to assist with on-going compliance.