VIRGINIA DEPARTMENT OF SOCIAL SERVICES

RAH Winthrop Manor
2100 Idlewood Avenue
Richmond, VA 23220
(804) 278-8982

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: Oct. 18, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Type of inspection: Monitoring Date of inspection and time the licensing inspector was on-site at the facility on the day of the inspection: 10/18/22, 12:30-4:00 pm The Acknowledgement of Inspection form was signed and left at the facility for the date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 10/4/22 regarding allegations in the area of Resident Care and Related Services. An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported one non-compliance with standard(s) or law, and a violation in the area of Administration and Administrative Services was issued. 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. 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. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Yvonne Randolph, Licensing Inspector at (804) 662-7454 or by email at yvonne.randolph@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-70-C
Description:	Based on an investigation of a self-reported incident, the facility failed to submit a written report with all required information regarding the incident within 7 days of the date of the incident, Evidence: The facility notified the licensing office of a missing resident on 10/3/2022. A full written report including the name of staff in charge at the time of the incident, name address and telephone numbers of witnesses was not received as of 10/18/22.
Plan of Correction:	As per regulations, a full written report for all incidents will be submitted to licensing within the specified timeframe.