VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Liza's Residential Care
5084 Langston Court
Virginia beach, VA 23464
(757) 495-9722

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

Inspection Date: May 18, 2020 and May 19, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 EMERGENCY PREPAREDNESS

Comments:

This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on May 18, 2020 and concluded on May 19, 2020. The administrator was contacted by telephone to conduct the inspection. The licensing inspectors emailed the administrator a list of documentation required to complete the renewal inspection. The licensing representatives reviewed staff schedules for the past 2 weeks, most recent Health Care Oversight, most recent Fire Inspection Report, most recent Health Department Inspection Report, Fire and Emergency drills for the past 3 months, resident record, and staff records. Information gathered during the inspection determined non-compliances with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-320-A
Description:	Based on record review and discussion, the facility failed to ensure the physical examination report listed the descriptions of the person?s reactions to known allergies. The report did not include a statement whether or not the resident is capable of self-administration of medications. Evidence: 1. Resident #1?s physical examination report dated 10/20/19 did not document a description of reactions to the known allergies (Ace Inhibitors, Cardizem, Losartan, and HCTZ); and whether or not the resident was capable of self-administration of medications. 2. Staff #1 acknowledged resident #1's physical examination report did not include the aforementioned information.
Plan of Correction:	The administrator will ensure that if the resident is capable of self administering the medications, shall be noted on the physical examination report. The allergies must be documented also.
Standard #:	22VAC40-73-440-A
Description:	Based on record review and discussion, the facility failed to ensure the Uniform Assessment Instrument (UAI) was completed whenever there is a significant change in the resident?s condition. Evidence: 1. Resident #1's UAI dated 10/19/19 documented the resident requires human assistance with bathing and toileting; however, the Individualized Service Plan (ISP) dated 11/20/19 documented the resident requires a shower chair, mechanical and human assistance with bathing and requires mechanical and human help with grab bar for toileting. 3. Staff #1 confirmed resident #1?s needs for bathing and toileting were correct on the ISP and acknowledged the UAI was not updated.
Plan of Correction:	The administrator will ensure that the UAI of the resident must be updated all the time, whenever there is changes. The ISP must correspond to the UAI.
Standard #:	22VAC40-73-450-A
Description:	Based on record review and discussion, the facility failed to develop on or within seven days prior to the day of admission, a preliminary plan of care to address the basic needs of the resident that adequately protects health, safety, and welfare. Evidence: 1. Resident #1 admitted to the facility on 10/27/19. The resident?s Individualized Service Plan (ISP) was dated 11/20/19. Staff #1 was asked to provide a copy of the resident's admission preliminary plan of care, however staff #1 stated the ?only ISP had been provided" for resident #1. 2. Staff #1 acknowledged resident #1's preliminary plan of care was not completed on or within seven days prior to the day of admission.
Plan of Correction:	The administrator will ensure that within seven days prior to the admission of the resident, the partial plan must be developed especially the vital needs to protect the resident health, safety and welfare.
Standard #:	22VAC40-73-450-C
Description:	Based on record review and discussion, the facility failed to ensure the comprehensive Individualized Service Plan (ISP) included the description of the resident?s identified needs and date identified. Evidence: 1. Resident #1's Uniform Assessment Instrument dated 10/19/19 documented the resident requires mechanical assistance (walker) for transferring, however, the ISP dated 11/20/19 documented the resident transfers without assistance. 2. Staff #1, acknowledged the resident requires a walker to assist with transferring, and that the ISP did not address the resident?s need for a walker.
Plan of Correction:	The administrator will ensure that the ISP of the resident must correspond to the latest UAL