VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Spring Oak Bedford
931 Ashland Ave
Bedford, VA 24523
(540) 586-8232

Current Inspector: Jennifer Stokes (540) 589-5216

Inspection Date: July 11, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDINGS AND GROUND 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: 07/11/2023 12:06PM until 1:30PM 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 07/06/2023 regarding allegations in the areas of: resident care and related services and buildings and grounds An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: buildings and grounds A violation notice was issued; any violation(s) not related to the complaint 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 Jennifer Stokes, Licensing Inspector at 540-589-5216 or by email at Jennifer.Stokes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-880-C
Complaint related:	Yes
Description:	Based on observations during a tour of the physical plant, the facility failed to ensure that the temperature in all areas used by residents does not exceed 80 degrees Fahrenheit. EVIDENCE: During a walk-through of the facility?s assisted living building between 12:54PM and 1:13PM, the licensing inspector (LI) and staff 1 recorded the following temperatures that exceeded 80 degrees Fahrenheit: 81 degrees Fahrenheit in the walkway/hall outside of the entrance into B cottage and C cottage; 82 degrees Fahrenheit in the library, the bottom level of C cottage, and in room C-1; 82.5 degrees Fahrenheit in the activities room and in the walkway/hall outside of the entrance into D cottage; 83 degrees Fahrenheit in the walkway/hall outside of the entrance into E cottage and 87.5 degrees Fahrenheit in the sitting area/common area between F/G cottage and E cottage near the elevator.
Plan of Correction:	Facility will ensure that all Common areas/halls are under 80 degrees