VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Blue Ridge Christian Home
85 Beulah Drive
Raphine, VA 24472
(540) 377-9590

Current Inspector: Jennifer Stokes (540) 589-5216

Inspection Date: May 8, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Technical Assistance:

The facility received technical assistance on the following: 860D - Any operable window (i.e., a window that may be opened) shall be effectively screened

Comments:

This inspection resulted from violations received during February 2019's inspection. Two repeat violations were cited. At 12:26 pm the inspection commenced and concluded at 1:04 pm. During the inspection, the LI reviewed the following: 2 residents' records and observed window operations. After the inspection, the LI and staff reviewed the violations, discussed possible corrective actions and had an open discussion. Please complete the correction plan and correction dates for each violation cited on the violation notice and return it to your licensing inspector within 10 calendar days from today. 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 the following: 1) steps to correct the noncompliance 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).

Violations:

Standard #:	22VAC40-73-1040-B
Description:	Based on staff interview and physical plant observation, the facility failed to ensure all windows had protective devices on the bedroom and the bathroom windows of residents with serious cognitive impairments and on windows in common areas accessible to these residents to prevent the windows from being opened wide enough for a resident to crawl through. The protective devices on the windows shall be in conformance with the Virginia Uniform Statewide Building Code (13VAC5-63). Evidence: 1. The LI and staff 1-3 observed the bedroom windows in room #9. The windows opened all the way, easily allowing someone to exit via the window.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-680-D
Description:	Based on documentation review and staff interview, the facility failed to ensure all medications were administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current registered medication aide curriculum approved by the Virginia Board of Nursing. Evidence: 1. Resident 1 was prescribed Amoxicillin 500 mg capsule three times a day for 10 days. The facility administered 28 of the 30 required doses. Staff 1 & 3 confirmed the facility did not administer the medications per the physician's orders.
Plan of Correction:	Not available online. Contact Inspector for more information.