Current Inspector:
Alyshia E Walker
(757) 670-0504
Inspection Date:
April 5, 2024
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 GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE
Comments:
Type of inspection: Monitoring
Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 4/5/2024 7:45 am- 9:00 am
The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection.
Number of participants present at the facility at the beginning of the inspection: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 3 Number of staff records reviewed: 1 Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: There were no participants present during the inspection.
Additional Comments/Discussion:
An exit meeting will be 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.
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.
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 Alyshia Walker, Licensing Inspector at (757) 670-0504 or by email at Alyshia.Walker@dss.virginia.gov
Based on record review, the center failed to ensure each direct care staff member maintained current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department.
Evidence:
The staff record for Staff #1 did not contain evidence the staff member had current certification in first aid.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22VAC40-61-260-A
Description:
Based on participant records reviewed, the center failed to ensure that participants obtain a physical by a licensed physician within 30 days preceding admission.
Evidence:
The records for participant #2 did not include physical examination by a licensed physician.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22VAC40-61-330-G-2
Description:
Based on observation, the center failed to ensure the month?s activity schedule included the name, type, date, and hour of activity.
Evidence:
On 4/05/2024 during an inspection of the center, the posted calendar was not for the month of February 2024.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22VAC40-61-360-B
Description:
Based on observation and documentation, the center failed to ensure menus for meals and snacks for the current week are dated and posted in an area conspicuous to participants.
Evidence:
On 4/5/2024, during an inspection of the facility with Staff #1, the posted menu was dated for the week of 2/19/2023.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22VAC40-90-40-B
Description:
Based on record review, the center failed to obtain a criminal history record report on or prior to the 30th day of employment for each employee.
Evidence:
The Staff record for Staff #1 did not contain a criminal history record report.
Plan of Correction:
Not available online. Contact Inspector for more information.
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.
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http://www.dss.virginia.gov/facility/search/adc.cgi