VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Special Care for Special People
4004 Wilmont Drive
Richmond, VA 23222
(804) 317-4142

Current Inspector: Tamara Watkins (804) 662-7422

Inspection Date: July 11, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS.

Comments:

An unannounced renewal inspection was conducted on 07/11/2019 (2:15 PM - 5:00 PM ). At the time of the inspection there were 14 residents in care. Six resident and three staff files were reviewed as well as other required documentation. All new personnel records were reviewed since the last inspection for criminal history record reports and all were in compliance. The interior and exterior of the building and grounds were inspected. Medication administration and an activity were observed. Building and grounds were inspected. An exit meeting was held with the Facility Manager. Violations were cited. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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).

Violations:

Standard #:	22VAC40-73-50-A
Description:	Upon the review of the facility's disclosure statement, the facility failed to disclose the presence or absence of liability insurance in their disclosure statement. Evidence: On the date of this inspection the disclosure statement provided by the facility staff did not indicate whether or not the facility maintains liability insurance.
Plan of Correction:	The Administrator his updated the facility's Disclosure Statement regarding liability insurance. Updates to this document will be reflected as required. 7/12/2019
Standard #:	22VAC40-73-200-C-7
Description:	Upon review of staff records the facility failed to provide evidence that one staff completed the 40-hour direct care staff training. Evidence: Staff #1 was employed on 3/8/19, as a direct care staff, but did not have evidence to support they successfully completed a 40 hour direct care staff training course.
Plan of Correction:	The Administrator will create a check box for all newly hired employees as a reminder to have them complete the training. The Administrator shall enroll the employee in the class during the next two weeks. 7/12/2019
Standard #:	22VAC40-73-970-A
Description:	Upon review of the fire and emergency evacuation drills the facility failed to document drills for the past month. Evidence: The facility recorded practice fire evacuation drills for the months of March (3/15/19), April (4/1/19) and May (5/5/19). No fire drills were documented for the Month of June, 2019.
Plan of Correction:	The Administrator has uploaded due dates in his calendar as a reminder. The reminder will be generated 10 days, 5 days before its time to conduct and document the fire drill. 7/12/2019