VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Harmony at Oakbrooke
301 Clearfield Avenue
Chesapeake, VA 23320
(757) 315-6900

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

Inspection Date: March 1, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 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: 8:05am-12:00pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint # 56897 was received by VDSS Division of Licensing on 1/5/2023 regarding allegations in the area(s) of: Personnel Buildings and Grounds Activities Number of residents present at the facility at the beginning of the inspection: 27 Memory Care 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: 2 Number of interviews conducted with staff: 5 Observations by licensing inspector: Licensing Inspector was unable to gain immediate access into the building upon arrival. LI waited approximately 10 minutes with a home health worker who had been waiting before LI arrived. Home health worker states she had waited 30 minutes for someone to come to open the door. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) 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 #:	22VAC40-73-150-B
Complaint related:	Yes
Description:	Based on communications with former staff, it was determined that the facility failed to immediately employ a new administrator or appoint a qualified acting administrator so that no lapse in administrator coverage occurs. Evidence: The Department received information that the facility?s administrator was no longer employed by the facility effective 2/9/2023. As of the date of this violation notice, the department has received no documentation or communication from the licensee of the employment of a new administrator or appointment of a qualified acting administrator.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-290-B
Complaint related:	Yes
Description:	Based on observation and interview made during the tour of the building, the facility failed to implement a procedure for posting the name of the current on-site person in charge in a place that is conspicuous to the resident and the public. Evidence: A posting of the on-site person in charge was not observed during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-870-A
Complaint related:	Yes
Description:	Based on observation, the facility failed to ensure the interior and exterior of the building shall be maintained in good repair. Evidence: 1. During the tour of the safe secure unit, the Licensing Inspector observed dark stains on the carpet in the hallways of the safe and secure unit. The inspector also observed several cloth chairs in the entrance hallway which were stained. 2. Staff members #1, #2, #3, and #4 acknowledged the hallway carpet and furniture were stained.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-870-B
Complaint related:	Yes
Description:	Based on observations made during the tour of the physical plant, the facility failed to have the building well ventilated and free from foul, stale, and musty odors. Evidence: 1. On 3/1/2023 during the onsite inspection, Licensing Inspector detected the strong smell of urine throughout the secure unit. Licensing Inspector toured resident rooms and detected the smell of urine. 2. Staff members #1, #2, #3, and #4 acknowledged the safe secure unit had a strong odor of urine.
Plan of Correction:	Not available online. Contact Inspector for more information.