VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Saving Families Group Home - Najai's House
8903 Sonnet Hill Court
Richmond, VA 23236
(804) 276-1454

Current Inspector: Cynthia Carneal (804) 726-7140

Inspection Date: June 6, 2024 , June 13, 2024 and June 17, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-151 ADMINISTRATION 22VAC40-151 RESIDENTIAL ENVIRONMENT 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-80 THE LICENSE

Comments:

A mandated monitoring inspection was initiated on 06/06/24 and concluded on 06/17/2024. The Chief Administrative Officer was contacted by telephone to initiate the inspection. The Chief Administrative Officer reported that the current census was five. The inspector emailed the Chief Administrative Officer a list of items required to complete the inspection. The inspector reviewed one resident records, two staff records, weekly menus, monthly evacuation drills, a medication administration record, and staff schedules as submitted by the facility to ensure documentation was complete. The inspector conducted the tour and on-site portion of the inspection on 06/13/2024 with the Licensing Administrator. Four residents and two staff were present at the beginning of the inspection, though one staff and one resident left shortly after arrival for an appointment and returned as DOLP staff were leaving. An exit interview was conducted with House Manager on the date of on-site inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. Follow-up documentation was requested from the Chief Administrative Officer and were submitted in a timely manner. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility. Inspection findings will be posted to the Department?s public website within 5 days of receipt of the inspection documents. The department's inspection findings are subject to public disclosure. 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. 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 Cynthia Carneal, Operations Consultant, at 804-726-7140 or by email at Cynthia.Carneal@dss.virginia.gov

Violations:

Standard #:	22VAC40-151-740-A
Description:	Violation: Based on record review and interview, the facility failed to obtain a physical examination by or under the direction of a licensed physician no earlier than 90 days prior to admission or no later than seven days following admission for Resident 1(CR1). Evidence: 1) CR 1 was admitted on 04/05/24. 2) A physical examination document for CR1 showed a physical with the date of assessment as 05/24/24 and completed on 06/7/24. 3) Staff 1 (S1) was interviewed. 4) S1 reviewed CR1's record to determine if there was another physical examination report. 5) S1acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-760-B
Description:	Violation: Based on a review of menus for May 2024 and interview, the agency failed to maintain menus of actual meals served. Evidence: 1) The May 2024 menu did not document the actual food served for dinner on 5/1, 5/15, or 5/23. 2) The May 2024 menu did not document actual food served for lunch on Saturdays and Sundays. 3) A copy of the May 2024 menu was shown to staff # 1 and 3, and they acknowledged the menu did not document the actual meals served.
Plan of Correction:	Not available online. Contact Inspector for more information.