VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Advanced Adult Day Health Center LLC
7193 Brooking Way
Mechanicsville, VA 23111
(804) 559-8191

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: Aug. 4, 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 GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 63.2 GENERAL PROVISIONS 63.2 PROTECTION OF ADULTS AND REPORTING 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 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:

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: 8/04/2022 from 7:07 a.m. - 8:45 a.m. 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 center currently has no participants enrolled). The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 0 (The center currently has no participants) Number of staff records reviewed: 2 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 a violation(s) was 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 Kimberly Davis, Licensing Inspector at (804-663-7578) or by email at Kimberly.M.Davis@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-110-A
Description:	Based on a review of staff records, the facility failed to ensure that it documented staff orientation and initial training. Evidence: The record for Staff # 1 contained a blank staff orientation and initial training form that had not been signed or dated. The director stated that Staff # 1 had in fact completed the staff orientation and initial training but had not completed the form
Plan of Correction:	Advanced Adult Day Health Center will adhere to Standard 22VAC40-80-110 by the Director or designee making sure that staff members are initialing the ?Initial Training Documentation Log? as each training completes, to prevent oversight of not signing the log.