VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Joy Ranch, Inc.
813 Joy Ranch Road
Woodlawn, VA 24381
(276) 236-5578

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: July 6, 2021 , July 7, 2021 and July 8, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-151 INTRODUCTION. 22VAC40-151 22VAC40-151 III. RESIDENTIAL ENVIRONMENT 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 PROGRAMS AND SERVICES 22VAC40-151 DISASTER OR EMERGENCEY PLANNING 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Comments:

A renewal inspection was initiated on 7/6/2021 and concluded on 7/9/2021. The Program Licensing and Staff Assistant was contacted by telephone to initiate the inspection. The Program Licensing and Staff Assistant reported that the current census was eight (8). The inspector emailed the Program Licensing and Staff Assistant a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed one (1) resident records, four (4) staff records, fire inspection, sanitation inspection, emergency evacuation drill documentation, insurance documents, daily log book entries, medication administration records, readily accessible medical emergency information, case notes, staff work schedules, documentation of annual review of the emergency preparedness plan, references for a new board officer, and a policy and procedure update. The inspector conducted the on-site portion of the inspection on 7/8/2021. An exit interview was conducted with the Program Licensing and Staff Assistant on 7/8/2021, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. 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.

Violations:

Standard #:	22VAC40-151-360-D-1
Description:	Violation: Based on a review of documentation submitted with the facility?s renewal application, the facility failed to obtain an annual sanitation inspection completed by the Health Department. Findings: 1) The sanitation inspection report, submitted with the renewal application, was dated 5/4/2020. 2) Emails documenting communication between the facility and local Health Department personnel was included with the renewal application documenting attempts to determine if a permit and inspection were needed. 3) An email from an Environmental Health Specialist Sr., dated 1/13/2021, stated ??it may be that you won?t be required to have a permit. If that is the case, and you need an inspection to meet some other requirement, we can still do inspection on request.? 4) The facility provided additional emails following the onsite inspection, documenting additional discussion about whether a food service permit was required. 5) Additional documentation that the facility specifically requested a sanitation inspection, in response to the Environmental Health Specialist offer to do an inspection upon request was not available or provided to the Licensing Specialist. 6) The Licensing Specialist emailed the Program Licensing and Staff Assistant and the Environmental Health Specialist Sr. a blank copy of the inspection form and included the regulation number that requires the sanitation inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-750-E
Description:	Violation: Based on record review, the facility failed to administer medication as prescribed for current resident 1 (CR1). Findings: 1) CR1 was prescribed three medications (M1, M2, M3). 2) The Medication Administration Record for June 2021 documented M1, M2, and M3 were not given on 6/8/2021. 3) A Medication Error Sheet documented medications were not given on 6/8/2021 and no reason was stated. 4) The findings were discussed with the Program Licensing and Staff Assistant (P5) during the exit interview on 7/8/2021. P5 acknowledge the findings and stated the matter had been addressed with the staff person involved.
Plan of Correction:	Not available online. Contact Inspector for more information.