VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Williams Luv N Care Home
4012 Elmswell Drive
Richmond, VA 23223
(804) 222-4752

Current Inspector: Shelby Haskins (804) 305-4876

Inspection Date: Oct. 22, 2019 and Dec. 4, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

Unannounced complaint inspections were conducted at the facility on 10/22/2019 from approximately 12:45 pm to 2:30 pm and 12/04/2019 from approximately 10:00 am to 2:00 pm to investigate allegations regarding financial exploitation and management of resident funds. The allegations in the complaint were determined to be valid. Areas of non-compliance was also found and cited unrelated to the complaint. Please complete the "plan of correction" and "date to be corrected" for the violation cited on the violation notice and return to the Inspector within 10 days. 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 non-compliance with the standard, 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). See violation notice for non-compliance The provider's responses for the "plan of correction" were not received as of 2/4/2020 and will not appear on this "Violation Notice."

Violations:

Standard #:	22VAC40-73-40-B-12
Complaint related:	No
Description:	Based on observation and an interview with facility staff, facility failed to ensure that at all times the department's representative is afforded reasonable opportunity to inspect all of the facility records and interview residents as specified in 63.2-1706 of the Code of Virginia Evidence: 1. Upon arrival at the facility on 12/4/2019, the four licensing representatives and two representatives from adult protective services observed a staff member whispering to a gentleman sitting in the dining area and then watched the staff member take the individual to an unlicensed portion of the building. A licensing representative asked the name of the gentleman. The staff member provided a first name. When the licensing representative asked for the gentleman's last name, the staff member stated, "I don't know. I just take care of them." The licensing representative asked if she could speak with the gentleman and the staff member stated, "No." When asked why not, the staff member stated, "I don't know. I am just saying what I was told to say." Upon interview with the licensee, the licensee stated that the gentleman was just a friend of hers visiting. Through further investigation, it was determined during the inspection that the individual was resident # 4. 2. On 12/4/2019, a home health agency worker was on-site during the inspection and noted that he entered the unlicensed portion of the facility. A licensing representative asked the home health agency worker which residents he was on-site to see and was told resident #2 and resident #2. The licensing representative requested to see the file for resident #2 from the licensee. The licensee asked the licensing representative why she wanted to see the file. The licensing representative asked if resident #2 resided at the facility. The licensee stated that he no longer resided at the facility. The licensing representative asked why home health was on-site to see the resident. The licensee stated that the resident moved out as a resident on Thanksgiving day but she is allowing him to stay until the end of the month when he can move all of his stuff out. The resident record was not provided as requested to the licensing representative. 3. On 10/22/2019 an inspection was conducted at the facility that included a review of the record for resident #1 and obtaining copies from that record. On 12/4/2019, the licensing inspector requested the record for resident #1 to review again. The licensee stated,"I gave the file to you. You took it" However, on 10/29/19, the licensing inspector had contacted the licensee and requested additional documentation from that record. Per the request of the licensing inspector for additional documentation, the licensee submitted pictures of the resident record that was open to the pages of the requested documentation. The resident record was not provided as requested to the licensing representative.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-80
Complaint related:	Yes
Description:	Based on a review of resident records and interviews with the administrator, the facility failed to meet all of the required conditions in order to manage the resident personal funds. Evidence (Resident #1): 1. On 10/22/2019, the inspector reviewed the file for resident # 1 and there was no documentation signed and dated by the administrator and the resident indicating that the resident had requested and delegated authority to the facility to manage her personal funds. 2. The licensing representative asked the administrator if she had this statement. The administrator told the licensing representative that the checks are in the name of the facility and that she never requested to be the payee. The administrator stated, "DSS did it on their own". 3. There was no written accounting of money received and disbursed by the facility that shows a current balance in the resident record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-430-B
Complaint related:	Yes
Description:	Based on a telephone interview on 10/26/2019 with the designated contact/next of kin of the resident, a written notification of discharge was not given to the next of kin for resident #1 at least 14 days prior to the date that the resident was discharged. Evidence: 1. Resident #1's discharged date was on 8/1/2018 as confirmed by the licensee. 2. The facility administrator presented two discharge statements for resident #1 to the licensing inspector. 3. The first Discharge Notification and Statement dated 08/02/2018 documented that the next of kin and social worker were notified in writing on 07/01/2018 with a date of discharge of 08/02/2018. 4. The second Discharge Notification and Statement dated 7/10/2019 documented that the next of kin and social worker were notified of discharge by phone call on 5/1/19 and by home visit to the next of kin and the social worker on 5/1/2019. The discharge date was noted to be 7/1/2019. 5. During a telephone interview conducted by the licensing inspector with the resident?s next of kin on 10/26/2019, the next of kin stated she was not provided any notification of discharge and that she found out about the discharge when the facility that resident #1 moved to called her in August 2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-430-J
Complaint related:	Yes
Description:	Based on a review of resident records and an interview, the facility failed to be given a final statement of account, any refunds due, and return of any money, property, or things of value held in trust or custody by the facility within 60 days of the date of discharge. Evidence: 1. Resident #1 moved out of the facility on 8/1/2018. The administrator reported to licensing staff on 10/22/2019 that she did receive social security checks for resident #1 from August 2018 to September 2019. 2. Resident #1 received $1001.00 per month in Social Security funds. 3. The licensee provided pictures of her computer screen showing copies for checks, two in the amount of $974.00, one for $1001.00 and one for $3000.00 written to two other assisted living facilities where resident #1 had resided upon discharge from this facility. One of these assisted living facilities stated via e-mail and in person with licensing representatives that no funds were received for resident #1. When the licensing representative requested a copy of the back of the checks and banks statements for the months corresponding to those checks to show verification that the checks had been received by the other two facilities, the licensee stated she would not provide citing "confidentiality and privacy." 4. On September 19, 2019 the licensee returned $3003.00 of resident #1 funds to the Social Security Administration (SSA). However, there is no documentation providing verification that the remaining resident funds were returned to the Social Security Administration.
Plan of Correction:	Not available online. Contact Inspector for more information.