VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tina's World of Love
1751 Church Street
Suite C
Norfolk, VA 23504
(757) 500-4306

Current Inspector: Margaret T Pittman (757) 641-0984

Inspection Date: Oct. 28, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-60 BUILDINGS AND GROUNDS. 22VAC40-60 ADMISSION, RETENTION AND DISCHARGE. 22VAC40-60 EMERGENCY PREPAREDNESS.

Comments:

Made an unannounced monitoring inspection from 10:30 am until 12:45pm with co-worker A.P. Five participants and five staff were present. Three participant records and one new staff record was reviewed. The posted activity was observed (making Halloween pinatas ) The posted menu of club sandwiches,chips,garden salad,and juice was also observed. The facility now has a van. The transportation policies were forwarded to the office last week. Fire drills were done as required. Please complete the ?plan of correction? for each violation cited on the violation notice and return it to me within 10 calendar days from today on 11-15-19 You will need to specify how the violation will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must include: 1. steps to correct the noncompliance 2. measures to prevent repeats 3. Person(s) responsible for implementing and monitoring each step of the corrective measures and / or the preventative measures

Violations:

Standard #:	22VAC40-60-440-A
Description:	Based on observation and discussion the facility failed to ensure the building was well maintained. Evidence 1,. During the tour of the center with staff #1, the inspectors observed ten brown stained ceiling tiles in the dining room and two in the bathroom off from the large activity room. 2. During interview staff #1 stated the brown stained tiles were the result of a recent roof leak that was repaired last week.
Plan of Correction:	Ceiling tiles were replaced with new tiles.
Standard #:	22VAC40-60-570-D
Description:	Based on record review and observation the center failed to ensure a revised plan of care described all the participants needs. Evidence 1. During a review of the participants records with staff #3 and #4, the inspector found participant # 1's examination report dated 10- 23-19, indicated the participant had a 1200 to 1800 caloric restricted diet. The plan of care was not revised to include the special diet . 2. Staff #3 confirmed the plan of care had not been updated .
Plan of Correction:	Agency is now keeping track of participant 1#'s caloric diet by using Myfittnesspalapp. participant Plan of Care has been updated to reflect 1200-1800 calorie diet. Family will be notified of participants caloric intake.
Standard #:	22VAC40-60-600
Description:	Based on record review and interview the facility failed to ensure one of three new admission examinations were obtained 30 days prior to acceptance for admission or 30 days prior to admission. Evidence 1. During a review of the participants records with staff # 3 and 4, the inspectors found participant #1's examination was dated 10-23-19, but the participant was admitted the month before on 9-16-19, 2. The staff confirmed the examination was completed after the participant's admission date. .
Plan of Correction:	Agency will ensure that all future new participants have a physical at least 30 days prior to admission or acceptance.
Standard #:	22VAC40-60-980-A
Description:	Based on observation and interview the inspectors found the first aid kit on the van was not complete . Evidence 1. During the inspection, the first aid kit on the van was checked by the inspector and no thermometer or bee sting ointment could be located. 2 . The staff #1 searched the van and also checked with the driver and then confirmed there was no thermometer or bee sting ointment in the kit.
Plan of Correction:	First aid kit in Van has been updated to include Bee Sting ointment and thermometer.