VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Love Hand Home Health, Inc.
716 Denbigh Boulevard
E-1
Newport news, VA 23608
(757) 527-4140

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: Sept. 16, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSING PROCESS

Comments:

Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 9/16/2022 10:30am- 12:30pm. The Acknowledgement of Inspection form was emailed after the inspection. Number of participants present at the facility at the beginning of the inspection: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 0 Number of staff records reviewed: Licensing Inspector was provided Virginia State background check information for Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: The center does not have a designated outdoor space. Additional Comments/Discussion: Licensing Inspectors conducted inspection of the physical plant and took measurements of the facility. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Alyshia Walker, Licensing Inspector at (757)670-0504 or by email at Alyshia.walker@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-50-B
Description:	Based on observation and interview, the center failed to ensure the rights of participants are printed in at least 14-point type and posted conspicuously in a public place in the center. Evidence: Staff#1 stated the posted participants rights were printed in 12-point font.
Plan of Correction:	The poster listing the rights of participants is being reprinted in 14point type and will be posted in an area that is easily accessible and visible to all members of the center.
Standard #:	22VAC40-61-300-B
Description:	Based on observation and interview, the center failed to have at least one pharmacy reference book, drug guide or medication handbook readily accessible that is no more than two years old. Evidence: 1. Staff#2 provided Licensing Inspectors a drug reference book with a publication date of 2012. 2. Staff#2 acknowledged the drug reference book was more than two years old.
Plan of Correction:	An updated pharmacy reference book has been ordered.
Standard #:	22VAC40-61-300-E-3
Description:	Based on observation and interview, the center failed to have a locked compartment or area to store medication. Evidence: 1. During a tour of the center, staff#2 acknowledged the facility did not have a locked compartment or area to store medication.
Plan of Correction:	The center is working to identify the most appropriate lockable storage compartment for medications. Once the best storage container is identified, it will be purchased and installed at the facility.
Standard #:	22VAC40-61-320-D-3
Description:	Based on observation and interview, the center failed to have at least one wheelchair available for emergency use, even if all participants are ambulatory or have their own wheelchairs. Evidence: 1. During a tour of the center, there was no wheelchair present. 2. Staff#1 and Staff#2 acknowledged the center did not have a wheelchair.
Plan of Correction:	The center has purchased a wheelchair for emergency use.
Standard #:	22VAC40-61-440-B-2
Description:	Based on observation and interview, the center failed to have an area available and accessible so that participants shall have opportunities for supervised outdoor activities equipped with appropriate seasonal outdoor furniture. Evidence: During the on-site inspection on 9/16/22 Staff#1 and Staff#2 were unable to show licensing inspectors an outdoor area available and accessible to participants equipped with appropriate seasonal outdoor furniture.
Plan of Correction:	Participants will be provided with the opportunity for supervised outdoor activities through field trips to various parks and local areas of interest. In addition, outdoor chairs are being purchased to allow participants the ability to sit outside when the weather and temperature permits it. These chairs are being purchased specifically for the member?s outdoor use and enjoyment and will not be used for indoor activities.
Standard #:	22VAC40-61-460-H
Description:	Based on observation and facility inspection, the center failed to ensure hot water available to participants shall be maintained within a temperature range of 105 degrees Fahrenheit to 120 degrees Fahrenheit. Evidence: 1. During the on-site inspection on 9/16/22 three sinks were checked. The temperature in one sink (the sink near the door) in women?s bathroom only reached 88 degrees Fahrenheit and the men?s bathroom sink only reached 88 degrees Fahrenheit. 2. Staff#1 acknowledged the hot water was not within range.
Plan of Correction:	An independent plumber and/or plumbing company will be contacted to address the issue with the hot water temperature. The chosen plumber/company will be contracted to ensure the hot water temperature for each of the three sinks used by members is maintained within a range of 105?F-120?F, as required by the standard.
Standard #:	22VAC40-61-480-C
Description:	Based on observation and interview, the center failed to ensure the rest area included a minimum of one pillow covered with a pillow case and (ii) two sheets. Evidence: During a tour of the center, there were no pillow cases or sheets present at the center for the rest area.
Plan of Correction:	Appropriate pillows, pillowcases and sheets will be identified, purchased, laundered and made available for daycare members using the rest areas.
Standard #:	22VAC40-61-490-A
Description:	Based on observation and interview, the facility failed to have sufficient space to store coats, sweaters, umbrellas, toilet articles, and other personal possessions of participants and staff. Evidence: On 9/16/22 during the on-site inspection, when LIs asked where the participants would store their coats, sweaters, toilet articles and personal possessions, Staff #1 stated a storage area was coming. LIs did not observe an area available for participants to store their belongings.
Plan of Correction:	A coat rack has been ordered to ensure sufficient space to store all outerwear, umbrellas, and miscellaneous personal items. Day care members may also choose to leave some personal items at their assigned seats. Finally, for the sake of privacy and security, certain personal items, medications, and/or toiletries can be stored in the facility?s lockable storage areas. Items in the lockable storage areas will be labeled and separated from general-use items for easy identification by staff.
Standard #:	22VAC40-61-530-B
Description:	Based on observation and interview the facility failed to ensure an emergency and evacuation drawing was posted which showed the primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguisher were posted in conspicuous places. Based on observation and interview the facility failed to ensure an emergency and evacuation drawing was posted which showed the primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes, and fire extinguisher were posted in conspicuous places. Evidence: 1. During the on-site inspection on 9/16/22 there was no emergency evacuation drawing posted. 2. Staff#1 and Staff#2 acknowledged there was no emergency evacuation drawing posted.
Plan of Correction:	An emergency/evacuation drawing will be created that shows and/or identifies the ? primary and secondary escape routes, ? areas of refuge, ? assembly areas, ? telephones and ? fire extinguishers. Upon completion, the drawing will be prominently posted in areas so that it is easy to see, find and refer to in cases of emergencies.
Standard #:	22VAC40-61-530-C
Description:	Based on observation and interview, the facility failed to have telephone numbers for the fire department, police, and Poison Control Center posted by each telephone. Evidence: 1. There were no emergency and poison Control Center telephone numbers posted by the facility telephones.
Plan of Correction:	Flyers will be created and printed to include any/all numbers potentially needed any for emergency that might occur at the day care center. These flyers will be posted by all the facility?s phones.
Standard #:	22VAC40-61-550-A
Description:	Based on observation and inspection, the center failed to ensure the facility had a first aid kit that included all of the items identified in the standard. Evidence: 1. On 9/16/22 there was no first aid kit in the facility. 2. Staff members #1 and #2 acknowledged the facility did not have a first aid kit.
Plan of Correction:	We have purchased first aid kits for the center and each vehicle that will be used for transporting our day care members. All components of each first aid kit are checked to ensure inclusion of the 16 required items identified in the standard, and to confirm that all products are currently effective, and no products have expired.