VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Love Hand Adult Day Care Center
14101 Parke Long Ct., Suite H
Chantilly, VA 20151
(703) 657-0944

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: Jan. 14, 2025

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 63.2 General Provisions. 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:

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: 1/14/25 (8:50 AM -1:25 PM) 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: 58 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: Four Number of staff records reviewed: Five Number of interviews conducted with participants: None Number of interviews conducted with staff: Three Observations by licensing inspector: Lunch, Activities Additional Comments/Discussion: 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 Marshall.x.massenberg@dss.virginia.gov, Licensing Inspector at (804) 543-5188 or by email at marshall.x.massenberg@dss.virginia.gov.

Violations:

Standard #:	22VAC40-61-230-E
Description:	Based on record review, the center did not have a plan of care reviewed and updated at least every six months. Evidence: The record for Participant #1 was reviewed during the inspection. No plan of care was observed in the participant's record for the past six months. Center staff confirmed that the plan of care had not been reviewed/updated within the past six months.
Plan of Correction:	Center understood plan of care requirement to be a Medicaid requirement. This participant is the first and only current day care member not covered under Medicaid. Center immediately developed a plan of care for participant which will be reviewed at least every six months if not sooner. Moving forward, center will always develop a plan of care for all participants, regardless of coverage.
Standard #:	22VAC40-61-260-B
Description:	Based on record review and interview, the center did not ensure that the required physical examination is on file at the center. Evidence: The record for Participant #1 was reviewed during the inspection. Center staff reported that Participant #1 began attending in March 2024. No physical examination was present in Participant #1's record, at the time of the inspection. Center staff confirmed that the physical examination was not in the record, at the time of the inspection.
Plan of Correction:	Center understood physical examination requirement to be a Medicaid requirement. This participant is the first and only current day care member not covered under Medicaid. Center immediately obtained physical examination for participant. Moving forward, center will always obtain physical examination for all participants, regardless of coverage.
Standard #:	22VAC40-61-300-A
Description:	Based on record review, the center did not ensure that a plan for medication management was present. Evidence: Participant #1's record was reviewed during the inspection. Participant #1's Triamcinolone cream was observed to be expired (2/2024), at the time of the inspection. Center staff reported that no medication management plan was present, at the time of the inspection.
Plan of Correction:	Center does not have a medication management plan because center's policy currently prohibits any staff from knowingly administering medication. Center was given the cream by participant's family and asked to administer as needed. Center was not informed and unaware that the participant's cream was prescribed. No prescription label was seen on the jar. Center returned participant's lotion to their family and reminded them of center's inability to administer medication.
Standard #:	22VAC40-90-40-B
Description:	Based on record review, the center did not ensure that a background check was completed within 30 days after an employee?s hire. Evidence: Background checks for new staff, hired since the last inspection, were reviewed. Staff #4's record indicated that she was hired on 9/16/24. No criminal background check, completed by the Virginia State Police, was present in the Staff record. Facility staff confirmed that the background check was not present, at the time of the inspection.
Plan of Correction:	Center always works to perform background checks for employees. Unfortunately, this staff?s background check could not be located. A new background check was immediately performed when center was aware that staff?s documentation was missing. Center will work to ensure all necessary checks are performed and documented as outlined in the requirements.