VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jameydex Residential Living LLC
17343 Jeb Stuart HWy
Abingdon, VA 24211
(276) 525-8174

Current Inspector: Crystal Mullins (276) 608-1067

Inspection Date: June 6, 2024

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

Comments:

Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 06/06/2024 Begin: 10:30 am End: 12:48pm 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: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed:0 Number of interviews conducted with residents:0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the initial inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The applicant has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to maintain future compliance with applicable standard(s) or law. If the applicant 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 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 Crystal B. Mullins, Licensing Inspector at 276-608-1067 or by email at crystal.b.mullins@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-860-D
Description:	Based on the tour of the facility, the facility failed to ensure all operable windows were effectively screened. EVIDENCE: 1. Rooms # 5 and #8 had windows that were not effectively screened.
Plan of Correction:	Licensee will purchase an install screens on all unscreened windows. [sic]
Standard #:	22VAC40-73-860-I
Description:	Based on observations made during the tour of the building, the facility failed to keep all hazardous materials in a locked area. EVIDENCE: 1. Upstairs bedroom near room #9 contained Triple Antibiotic Ointment, sore throat spray, first aid antiseptic, hydrogen peroxide, topical solution for treatment of minor cuts and abrasions. 2. Room #9 contained a fox of enemas, berry antacid bites, Ibuprofen, Gorilla Glue and Calamine lotion.
Plan of Correction:	Licensee will remove all hazardous materials from all rooms indicated. Corrected on June 6, 2024 while inspector was on site. [sic]
Standard #:	22VAC40-73-870-A
Description:	Based on observations made during the tour of the building, the facility failed to keep all areas of all buildings in good repair and kept clean. EVIDENCE: 1. The downstairs common bathroom was found to have an area of water damage to the ceiling tiles approximately four feet by two feet in size. 2. The transition strip in both hallways on upstairs and downstairs floors leading to bathroom areas were raised from the existing floor and could present a trip hazard. 3. Room #9 was found to have a bed frame sticking out approximately six inches from the length of the mattress. This could present a trip hazard or an area which would result easily in injury. 4. Room #4 had no bars or rods for hanging clothes nor was there any shelving space to fold and store clothing. 5. Room #1 had a missing door knob tot he closet and the vent was found to be hanging down from the ceiling approximately one to two inches. 6. Three door hinges and screws were found to be exposed in the downstairs hallway. It appeared the door had been removed. This area was near the steps to go upstairs.
Plan of Correction:	Licensee will ensure all items listed are repaired. All items corrected on June 11-12, 2024 by hired professional. [sic]
Standard #:	22VAC40-73-920-D
Description:	Based on observations made during the tour of the building, the facility failed to include all required safeguards in accordance with the Virginia Statewide Building Code. EVIDNECE: 1. The common bathroom located upstairs did not have grab bars by the toilet. 2. The common bathroom located downstairs did not have grab bars at the toilet. 3. The common bathroom located beside Room #5 upstairs did not have grab bars at the toilet.
Plan of Correction:	Licensee will install grab bars in all bathrooms as indicated. [sic]
Standard #:	22VAC40-73-960-B
Description:	Based on observations made during the tour of the building, the facility failed to have the fire and emergency evacuation drawing posted in a conspicuous place on each floor used by the residents. The drawing should show primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguishers. EVIDENCE: 1. The fire drawing displayed in the facility on the first and second floor did not display the areas of refuge, assembly areas, telephones, primary and secondary escape routes, and fire extinguishers.
Plan of Correction:	ALF administrator will make corrections on current emergency evacuation drawing to include all required information. {sic}