VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alpha House I
4526 Brickwood Meadow Ct.
Petersburg, VA 23803
(804) 861-0596

Current Inspector: Irvin Goode (804) 543-5188

Inspection Date: Feb. 11, 2020 and Feb. 12, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-151 22VAC40-151 III. RESIDENTIAL ENVIRONMENT 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 DISASTER OR EMERGENCEY PLANNING 22VAC40-151 SPECIAL PROGAMS

Technical Assistance:

Discussed bedding for residents as noted in standard 420.F. Discussed menus of actual meals served as noted in standard 760.B. Discussed behavior intervention techniques and policies and procedures as noted in standard 840.K.

Comments:

An unannounced monitoring inspection was completed by the Licensing Specialist on 2/11/20 from approximately 9:45a.m. to 5:40 p.m. and 2/12/20 from approximately 9:30 a.m. to 4:20 p.m. The current census is two (2) residents, which includes one infant. The following is a listing of the activities for this inspection: Reviewed two resident records. One resident and her infant discharged from the facility since the December 2019 monitoring inspection. Reviewed two medication administration records. Two personnel records were reviewed. No discrepancies were found with the CRF matrix. One staff and one resident were interviewed. An inspection of the interior and exterior of the facility was completed. Other documentation reviewed during this inspection included, but was not limited to the following: automobile insurance, liability insurance, emergency drill documentation, menus, and staff work schedules. The Program Director was available and accessible during the inspection. An Exit Interview to review preliminary findings was conducted with the Program Director at approximately 2:52 p.m. on 2/12/20. The Acknowledgement of Inspection form was signed and left at the facility. Upon receipt of this violation notice, a plan of correction is requested for each violation. The Plan of Correction should include, as appropriate: - steps to correct noncompliance of a regulation, - measures to prevent reoccurrence of noncompliance, - person(s) responsible for implementing each step and/or monitoring any preventive measure(s), and - the date by which the noncompliance will be corrected. Be advised that the Violation Notice, including the Plan of Correction and this Summary page will be posted on the VDSS web page and available for review by the general public. Do not write any names or other confidential information into your plan of correction.

Violations:

Standard #:	22VAC40-151-390-C
Description:	Violation: Based on observation and interview with staff, the facility failed to ensure the water temperatures should be maintained at 110?F ? 120?F. Findings: 1) S3, staff, was present during the inspection of the interior of the facility. 2) The Licensing Specialist determined the water temperature in the tub and shower in the first bathroom was lukewarm. a. The Licensing Specialist used a digital water thermometer, which displayed a water temperature of 87?F. 3) S3 agreed with the Licensing Specialist?s findings after feeling the water and seeing temperature on the digital water thermometer. 4) S3 explained the one handle tub and shower knob was recently replaced and may be impacting the water temperature. 5) S3 advised the water temperature would be fixed.
Plan of Correction:	Water faucet in bathtub was readjusted by Ryder Plumbing on Feb. 14, 2020. It was determined that the new ball handle had been incorrectly installed and would not allow temperature adjustment to occur in the faucet.
Standard #:	22VAC40-151-1010-I
Description:	Violation: Based on observation and interview with staff, the facility failed to comply with the record of each child 18 months or younger shall include the child?s feeding schedule and directions for feeding. This information shall be posted in the kitchen. Findings: 1) S3, staff, was present during the inspection of the interior of the facility. 2) The Licensing Specialist observed the current resident?s, CR2?s, feeding schedule was not posted in the kitchen. 3) S3 agreed with the Licensing Specialist?s findings.
Plan of Correction:	Feeding schedule was in infant's case record and not posted in kitchen. Feeding scheduled was posted in kitchen during the inspection. Director reviewed with staff that infant feeding schedules must be posted in kitchen in addition to being placed in case record.
Standard #:	22VAC40-151-1010-P
Description:	Violation: Based upon review of the current resident?s, CR2?s, record and interviews, the facility failed to maintain the daily activity log for each child of the adolescent mother showing what activities the child actually participated in during the day. Findings: 1) The Licensing Specialist discovered the facility was not completing the daily activity logs for CR2 on a daily basis. a. The daily activity logs were in the file up to the 2/8/20. CR2?s file was reviewed on 2/12/20. 2) During the exit interview, staff, S3, was asked about the daily activity logs from 2/9/20 ? 2/11/20. S3 advised that CR1 would need to be asked if she completed the outstanding logs. a. CR1 was interviewed by the Licensing Specialist on 2/12/20 about the outstanding logs. CR1 stated, ?I did not do them.? 3) The Licensing Specialist explained it is not the resident?s responsibility to ensure the daily log is completed.
Plan of Correction:	Director posted on staff bulletin board the correct baby journal log that has developmental objectives listed at the bottom of the form and instructed staff on 2/12/20 to document daily observation of teen moms care of infant as well as staff care of infant in mother's absence on the baby journal form and if teen mother refuses to document her child care staff is to indicate that informaiton on the journal as well on the form.