VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Golden Years Assisted Living Facility, Inc.
40 Hunt Club Boulevard
Hampton, VA 23666
(757) 825-2425

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: April 8, 2024 and April 16, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDINGS AND GROUND

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/8/2024, 4/16/2024 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 2/25/2024 regarding allegations in the area(s) of: Resident Care and Related Services Buildings and Grounds Number of residents present at the facility at the beginning of the inspection: 77 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents:3 Number of interviews conducted with staff: 3 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(s) but identified during the course of the investigation can also 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 Alyshia Walker, Licensing Inspector at 757-670-0504 or by email at Alyshia.Walker@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-870-A
Complaint related:	No
Description:	Based on observation and staff interviewed, the facility failed to ensure the interior of the building was maintained in good repair and kept clean and free of rubbish. Evidence: 1. The faceplate to an electrical outlet was missing in resident bedroom. 2. The ceiling in the hallway near resident room #23 was patched and in need of repair. 3. Staff #3 acknowledged the missing faceplate and ceiling were in need of repair.
Plan of Correction:	1. The faceplate to the electrical outlet has been replaced in the resident room by maintenance as reported. Each resident room has been inspected by the Director of Operations along with the Administrator and maintenance department. Walk-throughs are performed monthly and documented by maintenance. 2. The ceiling in the hallway in front of room #23 has been repaired by maintenance. 3. The ceiling has been repaired by maintenance. The place plate has been replaced by maintenance.
Standard #:	22VAC40-73-870-B
Complaint related:	No
Description:	Based on smell and staff interviewed, the facility failed to ensure the building was well-ventilated and free from foul, stale, and musty odors. Evidence: On 4/8/2024 and 4/16/2024 during a physical plant inspection of the facility, the facility had a strong smell of urine throughout the entire facility.
Plan of Correction:	1.Additional staffing has. been added to all departments. An evening and overnight shift has been added to laundry and housekeeping staff. 2. The facility has invested in better cleaning solutions to enhance the cleaning and overall appeal of the facility. 3. The Director of Operations and the Administrator has educated housekeeping staff on proper measuring of cleaning solutions for optimum cleaning results. 4. The leadership team makes routine rounds daily to inspect the facility for smells and odors.
Standard #:	22VAC40-73-870-D
Complaint related:	No
Description:	Based on observations made during a tour of the building, the facility failed to ensure buildings shall be kept free of infestations of insects and vermin. Evidence: 1. The licensing inspector observed a moving bed bug in a resident bedroom #49. 2. The licensing inspector interviewed several residents who stated there were roaches in their bedroom and bathroom.
Plan of Correction:	1. A contractor has been retained to stray twice weekly for roaches and bedbugs. The contract began in April. 2. Residents with personal refrigerators have been informed of the new policy going into effect on July 1, they will no longer be able to have personal refrigerators in their rooms. This will help elevate the roach issues. 3. Residents are not allowed to eat in their room unless they are sick. 4. Maintenance will spray in between the twice weekly visits as needed.