8VAC20-780 Special care provisions and emergencies.
Comments:
Thank you for your assistance during this unannounced inspection. This inspection was initiated by a complaint that was received by our licensing office on December 7, 2021, regarding the allegation in the area of special care provisions and emergencies. The on-site visit was conducted on March 8, 2022 from 12:04 pm through 2 pm. The evidence gathered during this investigation does not support the allegation, therefore the complaint is not valid.
Information gathered during the inspection determined non-compliance with other applicable standards or law and violations were documented on the violation notice issued to the program.
Please complete the plan of correction and date to be corrected sections for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 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).
Please contact the licensing inspector, Chrystal King at 804-297-4469 if you have any questions and/or if I may be of assistance with licensing standards.
Based on review of ten incident reports, the program did not ensure that all required information was completed.
Evidence: 1. On the report dated 11/3/21, the time of the incident was not listed on the report. 2. On the report dated 11/8/21, there was only one signature on the report. 3. On the report dated 10/19/21, there was only one signature on the report.
Plan of Correction:
Staff has been retrained on the proper process of completing an incident report.
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/cc.cgi