VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sentara Senior Community Care
5900 E. Virginia Beach Blvd. #260
Norfolk, VA 23502
(757) 252-7800

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

Inspection Date: May 12, 2021 and May 13, 2021

Complaint Related: No

Areas Reviewed:

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

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 5/12/2021 and concluded on 5/13/2021. The director or in-charge person was contacted by telephone to initiate the inspection. There were 32 participants present and 17 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 a violation was 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 #:	22VAC40-61-540-A
Description:	Based on record review and discussion the facility failed to conduct fire and emergency evacuation drill frequency and participation in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). Evidence: 1. The last documented fire and emergency evacuation drills were conducted on April 30, 2021, January 19, 2021, and December 10, 2020. 2. There were no fire and emergency evacuation drills documented in February 2021 and March 2021. Staff #4 did not provide documentation indicating the drills were conducted. 3. Staff #4 acknowledged there were no fire and emergency evacuation drills conducted at the center in February 2021 and March 2021.
Plan of Correction:	Fire and emergency evacuation drill frequency and participation will be conducted monthly in accordance with the Virginia Statewide Fire Prevention Code (13VAC5-51).