Spring Oak Louisa
440 West Main Street
Louisa, VA 23093
(540) 967-4600
Current Inspector: Coy Stevenson (804) 972-4700
Inspection Date: June 7, 2023
Complaint Related: No
- Areas Reviewed:
-
22VAC40-73 PERSONNEL
- Technical Assistance:
-
Specifics on weather conditions of fire drills
Dates on Healthcare Oversight
- Comments:
-
Type of inspection: Monitoring
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 6-07-2023, 10:20 ? 11:45 a.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: 24
Additional Comments/Discussion: This was a conditional license monitoring inspection during the conditional license period.
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 Alex Poulter, Licensing Inspector at (804)662-9771 or by email at alex.poulter@dss.virginia.gov
- Violations:
-
Standard #: 22VAC40-73-250-C Description: Based on record review and interview with staff, the facility failed to ensure each staff person submitted the results of a risk assessment documenting that the individual is free of tuberculosis (TB) in a communicable form.
Evidence:
1. Staff #2 was hired 12-30-2022. The TB assessment on file was dated 4-27-2022 as of the date of inspection on 6-07-2023.
2. Staff #1 confirmed during interview a newer TB assessment had not been obtained for Staff #2.Plan of Correction: ED will ensure for new hires the TB documentation will be in the employee file
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.