Current Inspector:
Marshall Massenberg
(804) 543-5188
Inspection Date:
Dec. 13, 2022
Complaint Related:
No
Areas Reviewed:
22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUNDS 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 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
Technical Assistance:
Please update the posted Resident Rights and Responsibilities to reflect the current Regional Licensing Administrator ? Sharae Henderson, 804-629-3479
Comments:
An unannounced monitoring inspection was conducted on 12/13/2022. At the time of entrance there were approximately 19 participants in care and four staff members providing supervision. The Licensing Inspector completed a tour of the physical plant that included the building and grounds of the facility. Six participant and three staff records were reviewed. Participant interviews were not conducted because the participants? first language is not English and no interpreters were provided. No participants received medications during the inspection. Participants were observed having breakfast. Activities observed included current events, traditional games and morning exercise. Criminal Background Checks of all staff hired since previous inspection conducted on 5/23/2022 were reviewed. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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. The department's inspection findings are subject to public disclosure.
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 Lynette Storr, Licensing Inspector at (703) 479-4708 or by email at lynette.storr@dss.virginia.gov
Center failed to ensure that the report of the required physical examination shall be on file at the center
Evidence: Participant #5 did not have a physical examination in the participant record.
Plan of Correction:
Center Director to work with nurse to complete the physical examination.
Standard #:
22VAC40-61-260-C
Description:
Center failed to ensure that each participant shall annually submit a report of physical examination by a physician.
Evidence: Participant #2?s most recent physical examination is dated 7/9/2021, Participant #4?s most recent physical examination is dated 10/18/2021 and Participant #3?s most recent physical examination is not dated.
Plan of Correction:
Center Director to work with nurse to review all participant records to ensure that an annual physical is completed.
Standard #:
22VAC40-61-410-E
Description:
Center failed to ensure that cleaning products shall be kept in a locked place when not in use.
Evidence: Upon Licensing Inspector?s arrival bleach, spray disinfectant and toilet cleaner were observed on the floor under the sink.
Plan of Correction:
Center Director to inservice staff regarding proper storage of cleaning supplies
The cleaning supplies were moved to a locked place during the inspection
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