VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Living Green Assisted Home Care, LLC
7380 Lexington Drive
Mechanicsville, VA 23111
(804) 836-4517

Current Inspector: Angela Rodgers-Reaves (804) 662-9774

Inspection Date: Sept. 22, 2023

Complaint Related: No

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: On 09/22/2023 approximate time of 9:33a.m-1:02p.m The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 8 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: Reassessment to determine appropriateness of placement has been requested. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 Angela Rodgers-Reaves, Licensing Inspector at (804) 840-0253 or by email at angela.r.reaves@dss.virginia.gov Violation Notice Issued: Yes

Violations:

Standard #:	22VAC40-73-325-A
Description:	Based on the review of facility records and interviews conducted the facility failed to ensure that by the time the comprehensive ISP is completed, a written fall risk rating was completed. Evidence: Resident # 2 Upon request the facility did not submit for the inspector?s review documented evidence that a fall risk rating had been conducted for the resident within 30 day or since admission after admission.
Plan of Correction:	The facility Administrator will review the ALF Standards periodically to prevent similar oversights in the future.
Standard #:	22VAC40-73-325-B
Description:	Based on the review of facility records and interviews conducted the facility failed to ensure that the fall risk ratings were reviewed and updated as required. Evidence: Resident #1, 3, 4 Upon request the facility did not submit for the inspector?s review documented evidence that an annual fall risk ratings had been conducted for the residents.
Plan of Correction:	The correction was made the same day as per the ALF Standards. An annual fall risk rating has been conducted and placed in each of the resident's folders.
Standard #:	22VAC40-73-710-B
Description:	Based on the review of facility records, staff interviews and observation the facility failed to ensure that physical restraints were only used according to a physician's written order and with the written consent of the resident or his legal representative. Evidence: Resident #2 The inspector accompanied by the facility Administrator observed that resident #2 was in a Geri chair without a written physician?s order. During interview facility staff stated that the Geri chair is being used due to the resident?s difficulty sitting upright but did not obtain a written physician?s order to implement the task.
Plan of Correction:	Moving forward, the Administrator will ensure physician's order is received prior to accepting delivery of any such devices by the facility's staff.