VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Morningside at Skipwith (West End)
3000 Skipwith Road
Richmond, VA 23294
(804) 270-3990 (320)

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: March 6, 2020

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES

Comments:

An unannounced focused inspection was conducted by 2 licensing inspectors on 3/6/2020 from approximately 11:40 a.m. - 2:00 p.m., to follow-up on a reported complaint received from a local law enforcement officer and subsequent adult protective services report received from local department of social services. The current census reported is 83. During the inspection, 1 resident record and 1 staff record was reviewed (both noted in reports received), facility documentation, including some policies were reviewed and staff was interviewed. Based on the evidence reviewed, the report is determined to be valid. An exit meeting was held with the resident service director. Violations were cited during this inspection. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the Inspector within 10 days. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). Please contact me by e-mail at T.Lesley@dss.virginia.gov if further assistance is needed.

Violations:

Standard #:	22VAC40-73-40-A
Complaint related:	No
Description:	Based on review of facility documentation and staff interview, the facility failed to ensure compliance with the facility's own policies and procedures. Evidence: 1) As per interview with resident service director, staff #1 did not have the "scout" phone with her during break and staff #1 did not leave the "scout" phone with another staff person on duty during break. 2) It was noted on a disciplinary action record (dated 3/9/2020) that staff #1 received a written warning for not carrying the "scout" phone at all times, or handing over the "scout" phone to another staff person when taking a break. 3) Staff #1 was the med tech on duty and designated staff in charge during the 11p-7a shift (3/2/2020) on night if the incident (as noted on the staff schedule and confirmed during interview with resident service director). The 11p-7a shift job description for the med tech notes to "keep the telephone on and with you at all times." Staff #1 did not follow this responsibility set forth on the job description.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-70-A
Complaint related:	No
Description:	Based on review of facility documentation, the facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or that threatens the life, health, safety, or welfare of any resident. Evidence: There was no verbal or written incident report submitted from the facility to the central regional licensing office regarding the incident that occurred on 11p-7a shift 3/2/2020, involving resident #1.
Plan of Correction:	Not available online. Contact Inspector for more information.