VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Adult Day Services by Primeplus Senior Centers
7300 Newport Avenue
Suite 100
Norfolk, VA 23505
(757) 625-5857

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

Inspection Date: Oct. 11, 2023

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 GROUND 22VAC40-61 EMERGENCY PREPAREDNESS

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/11/2023. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of participants present at the facility at the beginning of the inspection: 4 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 3 Number of staff records reviewed: 2 Additional Comments/Discussion: There were no medications administered or present in the center while onsite inspection. The following were reviewed: participant and staff records, fire drills, and the first aid kit. 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 M. Tess Pittman, Licensing Inspector at (757) 641-0984 or by email at tess.pittman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-61-230-D
Description:	Based on record review, the center failed to ensure the plan of care include if appropriate, the time by which the outcome or goals should be achieved, and date outcome or goal achieved. Evidence: 1. The identified needs on the plan of care for Participant #1, Participant #2, and Participant #3 do not include if appropriate, the time by which the outcome or goals should be achieved, and date outcome or goal achieved.
Plan of Correction:	The plan of care for Participant #1, Participant #2, and Participant #3 have been corrected by including the time by which the outcome or goals should be achieved, including the date of the outcome or goal achieved. The staff LPN corrected the 3 participants that were cited in this inspection. The LPN also corrected the Plan of Care for all of the participants who are enrolled in the program.
Standard #:	22VAC40-61-360-B
Description:	Based on observation, the center failed to ensure menus for snacks for the current week are dated and posted in an area conspicuous to participants. Evidence: 1. The snack menu for the month of July 2023 was posted in the center.
Plan of Correction:	The snack menus for October was available for the month but was accidentally not posted in the Adult Day Center. The staff in charge of the menu had it on her desk but not on the board. The snack menu for October was posted immediately.
Standard #:	22VAC40-61-430-A
Description:	Based on observation, the center failed to ensure heat be supplied from a central heating plant or an electrical heating system in accordance with the Virginia Uniform Statewide Building Code (13VAC5-63). Evidence: 1. Two portable heating units were noted in the main common area of participants to provide heat as it was not supplied from a central heating plant or an electrical heating system.
Plan of Correction:	A work order was sent to the building manager on 10/12/2023 requesting the air handler system be adjusted in the Adult Day Department immediately. The space heaters were removed on 10/13/2023. The building manager informed the Adult Day Director that the city had adjusted their system on 10/16/2023.
Standard #:	22VAC40-61-430-C-1
Description:	Based on observation, the center failed to ensure the inside temperature be between 70?F and 84?F. Evidence: 1. The fixed thermostat in the Quiet Room which serves as a rest area indicated the temperature was 61.9?F.
Plan of Correction:	A work order was sent to the building manager on 10/12/2023 requesting the air handler system be adjusted in the Adult Day Department immediately. Temperature in the Adult Day Department was corrected on Tuesday 10/16/2023.