VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Spring Oak Louisa
440 West Main Street
Louisa, VA 23093
(540) 967-4600

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: Dec. 20, 2022 and Dec. 28, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS ARTICLE 1 ? SUBJECTIVITY 32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS 63.2 GENERAL PROVISIONS 63.2 PROTECTION OF ADULTS AND REPORTING 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 FACILITIES AND PROGRAMS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-80 COMPLAINT INVESTIGATION 22VAC40-80 SANCTIONS

Technical Assistance:

1) Technical assistance provided during the December 28, 2022, initial inspection, concerning the following: Buildings/ Grounds and Personnel in regards to standards: 870 A and 260 A/260 C.

Comments:

Type of inspection: Initial Date(s) of inspection: 12/ 20/2022 and 12/28/2022 Time the licensing inspector was on-site at the facility for each day of the inspection: 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: Twenty-two- (22) The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: Six- (6) Number of staff records reviewed: Five- (5) Number of interviews conducted with residents: Interviews were conducted during medication pass observation and the building tours. Number of interviews conducted with staff: Three- (3) Observations by licensing inspector: Buildings/Grounds, medication administration observation, resident direct care services, 96-hour emergency foods and record reviews. Additional Comments/Discussion: The first initial inspection was attempted on December 20, 2022, but the inspection was rescheduled due to the facility?s quarantine status. Upon the facility?s reduction of COVID-19 cases another initial inspection was scheduled for December 28, 2022. Technical assistance provided during the December 28, 2022, initial inspection, concerning the following: Buildings/ Grounds and Personnel. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website should the facility be issued a license to operate. 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 a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Vashti Colson, Licensing Inspector at (804) 662-9432 or by email at Vashti.Colson@dss.virginia.gov