VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Vero at Chesapeake
757 Cedar Road
Chesapeake, VA 23322
(757) 263-0011

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: July 24, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS

Technical Assistance:

22VAC40-73-440

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: 07/24/2023. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 07/15/2023 regarding allegations in the area(s) of: Part X Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments. Number of residents present at the facility at the beginning of the inspection: 47 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of interviews conducted with staff: 2 Additional Comments/Discussion: All exits within safe, secure environment reviewed. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-1150-A
Description:	Based on observation, record review and interview, the facility failed to ensure doors that lead to unprotected areas be monitored or secured through devices that conform to applicable building and fire codes, including door alarms, cameras, constant staff oversight, security bracelets that are part of an alarm system, pressure pads at doorways, delayed egress mechanisms, locking devices, or perimeter fence gates for residents residing in a safe, secure environment. Evidence: 1. On 07/15/2023 around 8:00 p.m., Resident #1 and Resident #2 who reside in a safe, secure environment were observed in unprotected areas outside of the facility. Resident #1 was noted across the street from the facility. Resident #1 and Resident #2 were last seen within the facility around 7:45 pm. 2. Staff #1 acknowledged the doors exiting the unit were unknowingly unsecured after a storm tripped the breaker to the memory care alarm system which permitted Resident #1 and Resident #2 to exit into unprotected areas.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-930-D
Description:	Based on record review and discussion, the facility failed to ensure for each resident with an inability to use the signaling device, once the resident has gone to bed each evening until the resident has arisen each morning, at a minimum, direct care staff make documented rounds no less often than every two hours, except that rounds may be made on a different frequency if requested by the resident and agreed to by the facility. Evidence: 1. Staff #2 provided and confirmed the evening rounds on residents within the safe, secure environment are scheduled and documented at 12am, 2am, 4am, and 6am; however, there are no documented evening rounds prior to 12am.
Plan of Correction:	Not available online. Contact Inspector for more information.