VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Spring Arbor Cottage of Salisbury
14020 Steeplestone Drive
Midlothian, VA 23113
(804) 897-3332

Current Inspector: Shelby Haskins (804) 305-4876

Inspection Date: Sept. 13, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 63.2 PROTECTION OF ADULTS AND REPORTING 22VAC40-80 COMPLAINT INVESTIGATION

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: 09/13/2024 Arrival time: 10:30am Departure time: 1:00pm 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 8.21.2024 regarding allegations in the area(s) of: 22VAC40-73-(3) Personnel, 22VAC40-73-(4) STAFFING AND SUPERVISION, 22VAC40-73-(6) RESIDENT CARE AND RELATED SERVICES, 63.2-(16) PROTECTION OF ADULTS AND REPORTING, 22VAC40-80-(G7) COMPLAINT INVESTIGATION Number of residents present at the facility at the beginning of the inspection: 43 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of staff records reviewed: 12 Number of interviews conducted with staff: 2 Observations by licensing inspector: Inspector reviewed staff file of all Registered Medication Aides (12 total) along with confirming all Registered Medication Aides licenses (10) and provisional Registered Medication Aides licenses (2) from Virginia Department of Health Professions. Inspector also reviewed Medication Administration Records (MAR?S). Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. 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 Shelby Haskins, Licensing Inspector at (804) 305-4876 or by email at Shelby.Haskins@dss.virginia.gov.