Based on record review, the center failed to ensure each direct staff be provided with orientation and initial training prior to working with participants.
Evidence:
The staff record for Staff # 2 did not contain documentation the staff member was provided orientation prior to working directly with participants.
Plan of Correction:
Staff # 2 completed orientation and initial training prior to working with participants, but the documentation form was, mistakenly, not completed at time of training. Orientation and initial training documentation form was completed and placed in Staff #2?s employee record.
Standard #:
22VAC40-61-110-B
Description:
Based on staff record review, the center failed to ensure each direct staff member who provides care to participants, receive training in the areas or topics contained in Standard 110-B, no later than three weeks after their starting date of employment for full time employees or six weeks after their starting date of employment for part time employees.
Evidence:
The staff record for Staff # 2 did not contain documentation the staff member was provided with training no later than six weeks after their start date.
Plan of Correction:
Staff # 2 completed orientation and initial training on 10/17/2022, Staff # 2?s first day of employment. The documentation has been completed to accurately reflect that Staff # 2 received orientation and initial training on their first day of employment.
Standard #:
22VAC40-61-160-A-1
Description:
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 records for staff members did not contain evidence the staff members had current certification in first aid.
Plan of Correction:
Staff members # 1, # 2, and # 3 had their current first aid certifications in their records. Staff members # 4, # 5 and #6 completed first aid training on the following dates ? Staff First Aid # 4 2/2/24 # 5 2/5/24 # 6 2/7/24 All staff records have been updated to include current certification in first aid.
Standard #:
22VAC40-61-240-A
Description:
Based on record review, the facility failed to ensure at or prior to the time of admission, there be a written agreement between the participant and the center. The agreement shall be signed and dated by the participant or legal representative and the center representative.
Evidence:
The participant agreement for participant # 2 was not dated.
Plan of Correction:
Participant # 2 has updated the participant agreement to include the date 10/2/2023.
Standard #:
22VAC40-61-260-A
Description:
Based on a review of participant records the center failed to ensure that within the 30 days preceding admission, a participant shall have a physical examination by a licensed physician.
Evidence:
Participant # 3 was admitted to the facility on 8/11/23. The initial physical examination was dated 10/10/23.
Plan of Correction:
In future, if a participant is unable to schedule a physical examination within 30 days of their desired start date, the participant?s start date will be postponed to ensure compliance with this standard.
Standard #:
22VAC40-61-330-G-3
Description:
Based on observation, the center failed to ensure the month?s activity schedule included the name, type, date, and hour of activity.
Evidence:
The posted activity calendar did not contain the date and the hour of the activity.
Plan of Correction:
The monthly activity schedule has been updated to include the name, type, month, and hour of each activity.
Standard #:
22VAC40-61-340-C
Description:
Based on documentation, the center failed to ensure if a catering service or contract food service is used, the service be approved by the local health department. The center shall be responsible for monitoring continued compliance by obtaining a copy of the Virginia Department of Health approval.
Evidence:
The center has a contract with a local restaurant for food service. The center did not have copy of the restaurants Virginia Department of Health?s approval for the restaurant.
Plan of Correction:
The Peninsula Health Department (PHD) is critically short-staffed on environmental health inspectors. As a result, food establishment inspections have been extraordinarily delayed for businesses who have renewed their Food Establishment Permits and the renewed permits cannot be reissued until an inspection has been completed and passed. The restaurant used for food services cannot receive a renewed permit until a random inspection is performed by PHD.
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