VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Agape Adult Day Healthcare Center II
6349 Lincolnia Road
Alexandria, VA 22312
(703) 354-6767

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: May 31, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-60 ADMINISTRATION 22VAC40-60 PERSONNEL. 22VAC40-60 SUPERVISION. 22VAC40-60 BUILDINGS AND GROUNDS. 22VAC40-60 ADMISSION, RETENTION AND DISCHARGE. 22VAC40-60 PROGRAMS AND SERVICES. 22VAC40-60 EMERGENCY PREPAREDNESS. 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:

An unannounced monitoring inspection was conducted on 5/31/19. At the time of entrance 92 participants were present with 18 center staff including the Director. This exceeds the required ratio of one staff per six participants. The sample size consisted of ten participant records and nine staff records. Participant interviews were not conduct as participants do not speak English and no interpreter was provided. Participant and staff records and other documentation reviewed. Criminal Background Checks of all staff hired since previous inspection were reviewed. Participants were observed eating and engaging in activities including group stretching, morning exercise, traditional Korean games, and Karaoke. Medication observation observed and violation notice issued and exit interview held. Thank you for your cooperation and if you have any questions please e-mail tammy.pruitt@dss.virginia.gov or call 703-314-0604.

Violations:

Standard #:	22VAC40-60-698-D-6-c
Description:	Upon arrival participant was observed with a pill container out ready to administer medication to herself. While alert and oriented the Standard and Regulations were not meet that requires the medication be stored in a locked area or compartment and provided to the participant by staff upon request.
Plan of Correction:	The Administrator will have a discussion with the participant to remind her of the policy surrounding the storage of medications.