VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Barrington at Hioaks
350 Hioaks Road
Richmond, VA 23225
(804) 320-1412

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: June 16, 2020

Complaint Related: No

Areas Reviewed:

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 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on 6/16/2020 and concluded on 6/17/2020. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census is 135 residents. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed five (5) resident records, five (5) staff records, staff schedules, emergency evacuation drills, staff credentials and training, medication administration records and physician orders, etc. submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility. 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). Criminal background reports were reviewed for all new personnel hired since the last inspection and all were in compliance.

Violations:

Standard #:	22VAC40-73-1100-C
Description:	Based on a desk review of five resident files on 6/16/2020, the facility failed to document that the order of priority for approval of placement in a secure environment was followed for one resident. Evidence: File documentation for resident # 5 provided by the facility found that the Approval for Placement Memory Care Unit form was signed by an adult child. The forms did not document why approval was not secured from the guardian or other legal representative for the resident if one has been appointed (# 2 on the list of priority), or the spouse (# 3 on the list of priority).
Plan of Correction:	1) The Approval for Placement into Memory Care form for resident #5 has been corrected. All current memory care resident?s Approval for Memory Care forms have been audited and corrected as indicated. 2) All new memory care move-ins will be verified that the Approval for Placement form is complete, accurate and signed by the appropriate parties. 3) Person responsible: Administrator or Designee