VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hillside Residential Living
403 N. Coalter Street
Staunton, VA 24401
(540) 885-0191

Current Inspector: Jessica Gale (540) 571-0358

Inspection Date: Aug. 2, 2024 and Aug. 6, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 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: 08/02/2024 11:00am-11:45am, 08/06/2024 11:00am-11:46am. 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 07/30/2024 regarding allegations in the area(s) of: Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 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: 1 Number of interviews conducted with residents: 1 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 some, but not all of the allegation(s) area(s) of non-compliance with standard(s) or law were: 22VAC40-73-530-A A violation notice was 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 Jessica Gale, Licensing Inspector at 540-571-0358 or by email at Jessica.gale@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-530-A
Complaint related:	Yes
Description:	Based on resident and staff interview, the facility failed to ensure any resident who does not have a serious cognitive impairment shall be allowed to freely leave the facility. Evidence: 1. Resident 1 stated `[staff 1] hasn?t been letting me out for a long period of time and is punishing me for stuff? 2. When staff 2 was asked if there are specific guidelines that they are to follow with staff 1, staff 2 responded ?[resident 1] is not allowed to leave until [staff 1] returns from vacation. 3. Staff 1 stated a behavior plan was developed by staff 1, resident 1, guardian of resident 1, and case worker in order to keep [resident 1] safe. 4. The typed behavior plan dated 7/01/2024 states the following, ?[resident 1] will be placed on a behavioral plan due to recent behaviors at Hillside. This is the plan that [resident 1] and myself [staff 1] came up with. In order to go out of the facility on walks, to the library or just to get out for some fresh air [resident 1] needs to follow the following rules in order to due so!?. ?You can not have as much freedom as you want as you have to follow the rules of Hillside Residential Living.?
Plan of Correction:	The behavior plan put in place was for resident 1 safety from an outside abusive male however all involved will readdress this behavior plan will be adjusted!