VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Gardens of Virginia Beach
5620 Wesleyan Drive
Virginia beach, VA 23455
(757) 499-4800

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: Feb. 25, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 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

Comments:

The Licensing Inspector completed an unannounced, non-mandated, monitoring investigation on 02/25/2022. The investigation was in reference to an initial facility self reported incident and completed on 03/14/2022. The Licensing Inspector interviewed staff, reviewed resident records and reviewed additional documentation to ensure compliance. During the inspection areas of non-compliance were observed and are contained within this violation notice. Please contact the facility Licensing Inspector, Kimberly Rodriguez at 757-586-4004 or email at kimberly.rodriguez@dss.virginia.gov for additional questions or concerns.

Violations:

Standard #:	22VAC40-73-70-A
Description:	Based on resident record review the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affect the health, safety or welfare of any resident. Evidence #1: Licensing Inspector received report of staff to resident incident on 02/14/2022. Completion of investigation found that the allegation occurred on 02/10/2022. Evidence #2: While interviewing staff #1 and #2 with local public agency on 02/25/2022, staff #1 and #2 confirmed that facility staff reported the incident four days later to facility management.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-E
Description:	Based on resident record review the facility failed to ensure the individualized service plan shall be signed and dated by the resident or his legal representative. Evidence: While reviewing the individualized service plan for resident #1, the Licensing Inspector observed resident #1's comprehensive service plan completed 9/5/2021 was not signed by the residents legal representative.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-G
Description:	Based on staff interview the facility failed to ensure the master service plan shall be maintained in a location accessible at all times to direct care staff. Evidence: While interviewing staff # 3 and #4 with public agency, both staff informed the Licensing Inspector that both staff were not aware of the location of resident #1's individualized Service Plan nor had staff #3 or #4 reviewed resident #1's individualized service plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-K
Description:	Based on observation
Plan of Correction:	Not available online. Contact Inspector for more information.