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: July 1, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-80 COMPLAINT INVESTIGATION

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: 07/01/2024 10:00am-11:00am. 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 6/21/2024 regarding allegations in the area(s) of admission and 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. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Additional Comments/Discussion: none An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations 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 #:	22VAC40-73-320-A
Complaint related:	Yes
Description:	Based on record review and staff interview, the facility failed to ensure a physical examination report containing all required information is received within 30-day preceding admission. Evidence: 1. The physical examination report for resident 1 admitted 5/29/2024 did not contain physician recommendation for medications. 2. Staff 1 stated in an interview that the resident arrived at the facility without medications and without physician?s orders for medications. 3. The Medication Administration Record for Resident 1 indicated that no medications had been administered to Resident 1 until 6/6/2024. 4. Staff 1 stated the physicians orders and medications were not received until 6/5/2024 and the medications were not received or given until 6/6/2024.
Plan of Correction:	Administrator acknowledges staff did not follow procedure with admission paperwork admin gave staff a verbal warning and went over procedure and will ensure facility will ensure all proper admission paperwork prior to admission.
Standard #:	22VAC40-73-450-A
Complaint related:	No
Description:	Based on record review and staff interview, the facility failed to ensure that the preliminary Individualized service plan (ISP) is signed and dated by the administrator or designee, and by the resident or his legal representative. Evidence: 1. Resident 1 admitted 5/29/2024, had a preliminary ISP dated 5/30/2024. 2. Upon request the facility did not provide a preliminary ISP that contains the signature of the administrator or designee, or the resident or legal representative. 3. Staff 1 stated, ?It wasn?t signed?
Plan of Correction:	Administrator acknowledges and reviewed ISP was not signed and has since then corrected the issue and will ensure going forward that they are signed and dated.