VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Lampstand- Straight Street Roanoke Valley, Inc.
333 Luck Ave SW*
*physical location not published
*location- AA Address
Roanoke, VA 24016
(540) 397-2123

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: June 14, 2024 and June 21, 2024

Complaint Related: No

Areas Reviewed:

22VAC40-151 ADMINISTRATION 22VAC40-151 RESIDENTIAL ENVIRONMENT 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 DISASTER OR EMERGENCY PLANNING 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 FACILITIES AND PROGRAMS

Technical Assistance:

Regarding 22VAC40-151-250-A.4, discussion occurred regarding documenting the enrollment date in a standard first aid class and in a cardiopulmonary resuscitation class facilitated by the American Red Cross or other recognized authority for all staff working with residents.

Comments:

A renewal inspection was initiated on 6/14/2024 onsite at the facility. The Program Director reported the current census was one. The inspector reviewed one resident record, 10 staff records, weekly menus, medication administration records, and daily logs as submitted by the facility to ensure documentation was complete. One resident and four staff interviews were conducted. The inspector conducted the tour and environment inspection on 6/14/2024. A findings review was conducted with Program Director and Human Resources Manager in-person on 6/14/2024, 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. An exit interview was conducted by Teams Meeting on 6/21/2024. 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 Dawn Caldwell, Operations Consultant, at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:

Standard #:	22VAC40-151-190-B-2
Description:	Violation: Based on record review and interview, the facility failed to annually obtain tuberculosis (TB) results of a screening assessment, documenting that the individual is free of tuberculosis in a communicable form for Staff 6 and 7 (S6 and S7). Evidence: 1) The record for S6 documented TB screening results dated 2/6/2023. 2) TB screening results after 2/6/2023 were not located in S6?s record. 3) The record for S7 documented TB screening results dated 5/23/2023. 4) TB screening results after 5/23/2023 were not located in S7?s record. 5) The findings were discussed with Staff 11 and 14 (S11 and S14) on 6/14/2024 prior to departing the facility. S14 reviewed the records for S6 and S7 and acknowledged the findings. 6) Findings were reviewed during the exit interview with S11 and S14. During exit interview S11 indicated S7 worked offsite during the period of time the TB screening was late. 7) S11 and S14 acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-740-B
Description:	Violation: Based on record review and interview, the facility failed to obtain a tuberculosis screening assessment within 7 days of placement for Resident 1 (R1). Evidence: 1) R1 was placed with the facility on 5/23/2024 as documented by the placement agreement. 2) A tuberculosis test was conducted on 6/3/2024 and results were provided 6/6/2024. 3) Findings were reviewed on 6/14/24 prior to departing the facility. Staff 11 (S11) was interviewed. S11 reported they attempted to obtain the tuberculosis screening/testing during R1?s physical examination on 5/29/2024. The medical provider required consent from the agency holding custody of R1. A call was placed to the custodial agency during the appointment on 5/29/2024 and no one could be reached. 4) Findings were reviewed during the exit interview and S11 and Staff 14 (S14) acknowledged the findings.
Plan of Correction:	Not available online. Contact Inspector for more information.