VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karolwood Gardens at Norfolk
6403 Granby Street
Norfolk, VA 23505
(757) 451-2400

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

Inspection Date: Aug. 1, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 BUILDINGS AND GROUND

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 08/01/2023. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 06/30/2023 regarding allegations in the area(s) of: Buildings and Grounds. Number of residents present at the facility at the beginning of the inspection: 39 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 1 An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegation(s) of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint(s) but identified during the course of the investigation can also be found on the violation notice. 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 #:	22VAC40-73-870-A
Complaint related:	Yes
Description:	Based on observation, the facility failed to ensure the interior of the building be maintained in good repair and kept clean and free of rubbish. Evidence: 1. During a tour of the facility, a couch was noted at the end of the hallway leaning up against the wall on its side within the safe, secure environment. This is a potential hazard to residents within the unit. 2. The bathroom within unit 1104 (unoccupied) had exposed ceilings to include ductwork and an active leak. Unit 1107 (unoccupied) had missing ceiling tiles within the bathroom ceiling exposing ductwork. Unit 1110 (unoccupied) had a ceiling tile with brown markings. 3. The bathroom of Resident #1 contained several ceiling tiles with brown markings. The ceiling tile directly above the shower has a light within it and was wet to the touch. 4. The bathroom of Resident #2 contained ceiling tiles with brown markings, missing ceiling tiles exposing pipes and ductwork, and an active leak with a trashcan and towels on the floor within the center of the resident?s bathroom.
Plan of Correction:	1. The couch was removed from the hallway in safe, secure environment. 2. HVAC vendor will repair and replace ceiling tiles in unit 1104, 1107 and 1110. Units will remain unoccupied until repairs are made. 3. Resident #1 ceiling tiles will be repaired after plumbing repairs are made. 4. Ceiling tiles were replaced in Resident #2's room. The active leak was repaired.
Standard #:	22VAC40-73-880-C
Complaint related:	Yes
Description:	Based on observation, the facility failed to provide in all buildings an air conditioning system for all areas used by residents, including residents' bedrooms and common areas. Temperatures in all areas used by residents shall not exceed 80?F. Evidence: 1. During a tour of the facility on 08/01/2023 with Staff #1 and the facility?s movable thermometer, the following temperatures were measured throughout the facility: living room within the safe, secure environment measured 79.6?F, hallway with resident rooms within the safe, secure environment measured 78.1?F, one of the 1st floor dining room areas measured 78?F, the resident elevator of the facility measured 84?F, the hallway off the elevator onto the 3rd floor measured 82?F, the 3rd floor dining room areas (2 separate areas) measured at 78?F and 84?F, one of the common areas on the 3rd floor with a wall unit noted in window measured at 83?F, another common area on the 3rd floor measured at 83?F, and a hallway with resident rooms on the 3rd floor measured at 80.4?F.
Plan of Correction:	1. HVAC repairs are being made by HVAC vendors. Portable HVAC units were placed in areas where temperatures could exceed 80F.