VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Virginia Home for Boys and Girls
8716 West Broad Street
Henrico, VA 23294
(804) 270-6566

Current Inspector: Dawn Espelage (540) 759-8852

Inspection Date: Dec. 1, 2021 and Dec. 20, 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

Comments:

A monitoring inspection was initiated on December 1, 2021 and concluded on December 20, 2021. The Program Director was contacted by telephone to initiate the inspection. It was reported the current census was 10. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed four (4) staff records entirely, reviewed background checks for three (3) staff records, and reviewed four residents records submitted by the facility to ensure documentation was complete. The on-site portion of the inspection was conducted on December 16, 2021. An exit meeting was conducted with the Program Director on December 20, 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 #:	22VAC40-151-660-I
Description:	Violation: Based on review of records for residents R1 and R2, and interview with administrator A1, there is no documentation of distribution to the legal guardian or legally authorized representative and placing agency for R1's quarterly progress report or the service plan and quarterly progress report for R2. Findings: 1. Distribution to the legal guardian or legally authorized representative and placing agency was not documented for R1's 07/21/2021 quarterly progress report, at the time the report was completed. 2. Distribution to the legal guardian or legally authorized representative and placing agency was not documented for R2's 08/06/2021 service plan or the 10/06/2021 quarterly progress report., at the time the reports were completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-680-G-1
Description:	Violation: Based on review of the record for resident, R3, and interview with administrator A1, the discharge summary was not sent to the the persons or agency that made the placement no later than 30 days after discharge. Findings: 1. The discharge date for R3 was documented as 10/26/2021. R3's record did not contain documentation the discharge summary was sent to the persons or agency that made the placement no later than 30 days after discharge. 2. A1 confirmed that there was no documentation the discharge summary was sent to the persons or agency that made the placement no later than 30 days after discharge.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-151-990-K
Description:	Violation: Based on review of the emergency evacuation drills for two cottages and interview with Administrator A1, during the three consecutive calendar months from June 2021 to August 2021 and from September 2021 to November 2021 at least one evacuation drill was not conducted during each shift. Findings: House 10: 1. An emergency evacuation drill was not conducted during the 4:00 p.m. to 12:00 a.m. shift during the three consecutive months from June 2021 to August 2021 or from September 2021 to November 2021. 2. A1 acknowledged that no drills were conducted during the identified shifts during this timeframe. House 13 1. An emergency evacuation drill was not conducted during the 12:00 a.m. to 8:00 a.m. shift or the 8:00 a.m. to 4:00 p.m. shift during the three consecutive months from June 2021 to August 2021. 2. A1 acknowledged that no drills had been conducted during the identified shifts during this timeframe.
Plan of Correction:	Not available online. Contact Inspector for more information.