VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Saint Francis Home
65 West Clopton Street
Richmond, VA 23225
(804) 231-1043

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: March 2, 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 ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 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:

An unannounced renewal inspection was conducted on March 03, 2022, from 12:48 p.m. to 4:50 p.m. for Saint Francis Home. At the time of entrance, the facility?s infection control monitoring policy was actively implemented for all visitors, staff members, and residents. The facility administration team reported the census as seventy eight (78) residents in care. Residents were observed during daily activities and direct care staff members were observed providing resident centered services. The sample size consisted of six (6) resident records and six (6) new staff records. Medication administration, meals, and snacks were observed during the inspection. Also during the renewal inspection, interviews were conducted with several staff members and residents. Areas of non-compliance were cited in the violation notice. You can contact the assigned inspector at (804) 662-9432 or send an email to Vashti. Colson @dss.virginia.gov to discuss any questions you may have. Thank you for your cooperation.

Violations:

Standard #:	22VAC40-73-870-A
Description:	VIOLATION: Based upon the building tour and observation, the facility failed to maintain a small areas of the interior of the building. EVIDENCE: The following items require repair: 1) Room F-3 and Room L-6 tile flooring were water stained and discolored. 2) The Liguori hallway flooring , located in the hall entrance, was chipped with a small portion of the subfloor exposed.
Plan of Correction:	1) F-3 - Completed. Stripping and waxing of the floor.-3/23/2022 2) L-6- Replace eight (8) damaged floor titles. -3/23/2022 3) Repaired, see attached picture. - 3/7/2022