VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Henry and William Evans Home
330 East Leicester Street
Winchester, VA 22601
(540) 662-8520

Current Inspector: Kevin Lassiter (804) 241-2093

Inspection Date: Nov. 8, 2021 and Nov. 24, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-151 Administration 22VAC40-151 Residential Environment 22VAC40-151 Programs and Services 22VAC40-151 Programs and Services 22VAC40-151 Disaster or Emergency Planning

Technical Assistance:

Discussed the findings of the most recent inspection of the facility being posted on the premises of the facility as noted in General Procedures and Information for Licensure ? 120.E.2. Discussed the quarterly progress report and the individualized service plan in regard to documentation of the involvement of the appropriate parties as noted in the Standards for Licensed Children?s Residential Facilities - 660.H. Discussed the quarterly progress report and the individualized service plan being distributed to the appropriate parties as noted in the Standards for Licensed Children?s Residential Facilities - 660.I.

Comments:

A monitoring inspection was initiated on 11/8/21 and concluded on 11/24/21. The Program Director was contacted by telephone to initiate the inspection. The Program Director reported that the current census was three (3) residents. The Licensing Specialist emailed the Program Director a list of items required to complete the remote documentation review portion of the inspection. The following is a listing of the activities for this inspection: Reviewed one current resident record. Three personnel records were reviewed. The Program Director was interviewed on 11/17/21. Other documentation reviewed during this inspection included, but was not limited to the following: emergency drill documentation, staff work schedules, and daily log book entries. An on-site inspection of the interior and exterior of the facility was conducted on 11/18/21. Two discrepancies were found with the CRF matrix; the discrepancies were shared with the IV-E unit for follow-up. The licensee should retain a copy of this document to be posted at the facility. The results of the inspection are subject to public disclosure and will be posted on the Virginia Department of Social Services? website within 5 business days.