VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hidden Treasures Residential Living
201 Dodge Street
Stuarts draft, VA 24477
(540) 490-1093

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date: May 15, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Technical Assistance:

None

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: 05/15/2024 8:45am ? 4:00pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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: 05/15/2024 8:45am ? 4:00pm 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 3/14/2024 regarding allegations in the area of Medication Administration. Number of residents present at the facility at the beginning of the inspection: 18 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Y Number of resident records reviewed: 5 Number of staff records reviewed: 3 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: There were 2 staff members, and 18 residents present at the facility upon entrance. 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 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-670-1
Complaint related:	Yes
Description:	Based on staff record review and staff interviews, the facility failed to ensure each staff administering medication is authorized to do so by 54.1- 3408 of the Virginia Drug Control Act. Evidence: 1. Staff 1 has an ?Eligibility to test/Provisional Practice? Letter dated 06/22/2023. 2. According to the medication administration record (MAR), staff 1 signed as the person responsible for administering Medications to resident 3 on 4/29/2024 and 4/30/2024, and residents 1,2,4 and 5 on 5/4/2024,5/5/2024, 5/9/2024, 5/10/2024, 5/13/2024, and 5/14/2024. 3. Staff schedule for 4/29/2024, 4/30/2024, 5/4/2024, 5/5/2024, and 5/9/2024 show staff 1 scheduled from ?7-7p? 4. Staff 3 stated staff 1 ?didn?t pass the test? 5. Staff 2 confirmed Staff 1 was scheduled to administer medications on dates 4/29/2024, 4/30/2024, 5/4/2024,5/5/2024, 5/9/2024, 5/10/2024, 5/13/2024, and 5/14/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.