VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adult Care Center of Roanoke Valley
2321 Roanoke Boulevard
Salem, VA 24153
(540) 981-2350

Current Inspector: Angela Marie Swink (276) 623-6575

Inspection Date: June 18, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUNDS 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 6/18/2020 and concluded on 6/23/2020. The director or in-charge person was contacted by telephone to initiate the inspection. There were 29 participants present and 9 staff. The inspector emailed the director/person in charge a list of items required to complete the inspection. The Inspector reviewed 3 participant?s records and 3 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the director/person in charge COVID-19 guidance posted on the ADCC webpage.

Violations:

Standard #:	22VAC40-61-230-D
Description:	Based on a review of participant records, the facility failed to ensure that all identified needs were included on participant plan of cares (POC). EVIDENCE: 1. The assessment dated 6/1/2020 in the record for participant 1 has documentation that the participant is a risk for falls. The POC dated 1/13/20 does not address this identified need. 2. The assessment dated 6/1/2020 in the record for participant 2 has documentation that the participant is disoriented to place and time. The POC dated 5/22/2020 does not address this identified need.
Plan of Correction:	The Director of Nursing will correct these participants POC's to include all identified needs and will conduct routine audit of all participant POC's to ensure all identified needs are addressed.