VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Morris's Assisted Living
2514 West Grace Street
Richmond, VA 23220
(804) 690-9527

Current Inspector: Tamara Watkins (804) 662-7422

Inspection Date: April 7, 2022

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 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 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 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

Comments:

An unannounced monitoring inspection was conducted on this date from 1:35 p- 3:30 p. At the time of the inspection there were 12 residents in care. Three (3) resident and four (4) 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. Building and grounds were inspected. An exit meeting was held with the Administrator. 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. Areas of non-compliance are identified in the Violation Notice. The facility has 10 calendar days from receipt of the inspection reports to complete a plan of correction, sign the inspection report and return them to the licensing office. A copy of the inspection reports shall be retained and posted at the facility. Results of the inspection are subject to public disclosure and will be posted on the VDSS website within 15 calendar days, regardless of whether the plan or correction is completed. The plan of correction shall include the following: (1) Step(s) the facility will take to correct the violations cited; (2) Measures that will be put in place to prevent recurrence of each violation; (3) Person(s) responsible for implementation and monitoring of preventive measures; and (4) Date by which each violation will be corrected.

Violations:

Standard #:	22VAC40-73-280-D
Description:	Based on observation the facility failed to have at least one staff member awake and on duty at all times in each building when at least one resident is present. Evidence: The licensing representative arrived at the facility on this date to conduct a monitoring inspection at 1:35pm. A resident opened the door and when asked to speak with the staff the resident reported that he was on his lunch break. The licensing inspector entered the facility. The inspector asked if the resident knew how to contact the staff. He said he did and went upstairs to call him. He reported the staff would be back shortly. There was no other staff present inside or outside of the building. There were four residents present. Staff member #4 arrived at 1:45p stating he had just stepped out to get lunch.
Plan of Correction:	When the Administrator spoke to staff on arrival, staff stated being in back of facility on break in car. Administrator reinforce to staff to not vacate to the outside of the building until relief person arrives. 4/7/22
Standard #:	22VAC40-73-450-F
Description:	Based on a review of three resident records the facility staff failed to review and update resident individualized service plans once every 12 months. Evidence: The last individualized service plan review for resident # 1 dated 4-3-21 is expired. The individualized service plan review for resident #3 dated 1-4-21 is expired.
Plan of Correction:	ISP was updated and misfiled. Administrator will make sure to double check updated records is placed in the correct area of facility. 4/7/22