22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUNDS 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSING PROCESS. 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report
Comments:
On 2/14/2020 one inspector conducted a new facility inspection (10:45AM to 1:20PM). Some policies were reviewed off-site, as the owners wanted to make sure the LI had the most current ones. Staff records were reviewed, and a physical plant tour, including verifying measurements, was done. Some policies were reviewed. New standards were discussed.
Please note: Page 94 of the revised policies references a phone number that is no longer used by licensing (540-857-7290). Please change it to reflect the cell phone number of your current inspector. The participant agreement was updated to include all current requirements, however, the old regulation number and a date from 2002 is listed at the top of the page. You may wish to change it for clarity.
During the inspection and at the exit interview, the facility was given the opportunity to discuss the violations and to show that they were in compliance. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to your licensing inspector within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain the following: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact your licensing inspector at 540-309-3043.
Based on document review, the facility failed to address a required section of the infection control policy.
EVIDENCE:
1. The infection control policy submitted on 2/17/2020 quoted the section of the standard, 290-B-3, but did not address it.
Plan of Correction:
The policy will be updated to address the missing section.
Standard #:
22VAC40-61-300-A
Description:
Based on document review, the facility failed to have a plan for medication management that addressed some required sections.
EVIDENCE:
1. The revised medication management plan, submitted on 2/17/2020, is lacking sections A-1, A-2-a, b, c.
Plan of Correction:
The policy will be updated to address the missing sections.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/adc.cgi