VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Pearl at Watkins Centre
650 Watkins Centre Parkway
Midlothian, VA 23112
(804) 893-0067

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: July 25, 2019 and Aug. 1, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 BUILDING AND GROUNDS 63.2 Facilities and Programs..

Comments:

An unannounced inspection was conducted at the facility on 7/25/2019 to investigate an allegation that the facility's cooling system was not functioning properly and that residents were at risk of heat related illnesses. There was no evidence to support that the temperatures were out of compliance with the regulations (temperatures did not exceed 80 degrees). A follow-up inspection was conducted on 8/1/2019, temperatures in resident rooms and in common areas were measured using a portable room thermometer and were found in compliance with the standards. Violations not related to the allegation were found during the inspection of the building. The violations cited can be found in the inspection reports. Plans of correction were submitted prior to issuance of the violation notices and have been included in the inspection reports.

Violations:

Standard #:	22VAC40-73-40-B
Complaint related:	No
Description:	Based on an inspection at the facility on 7/25/2019, the licensee failed to ensure that at all times the Department's representative is afforded reasonable opportunity to inspect the facility's building. Evidence: The licensing inspector arrived at the building at 8:00 pm on 7/25/2019 to investigate an allegation that the building's cooling system was malfunctioning and that residents were at risk of heat-related illnesses. The facility's front door was locked upon arrival and there was no response to knocks on the door. The inspector called the facility's main telephone number at 8:04 pm. The inspector introduced herself, informed the individual answering the telephone of the reason for the visit and requested permission to access the building. The individual who answered the telephone agreed to come and open the door, stating "I will be right there". A visiting family member appeared in the lobby after approximately 15 minutes and no response from any facility staff. The inspector identified herself again and the family member gestured and responded "hold on, I will get a staff", left the front lobby and went in the direction of the staff station. The family member returned to the lobby area within five minutes, the family member looked at the inspector, shrugged her shoulder and sat in a chair across from the lobby with her back to the inspector. The family member's husband, who has a cognitive impairment, waved at the inspector twice but the family member would no longer acknowledge the presence of the inspector upon return to the lobby or open the door. At 8:26 pm, the inspector telephone the licensing administrator and provided an update on the situation and informed the administrator that local police will be called to assist with gaining access to the building. Shortly thereafter a facility staff person appeared from the side of the building asking "Can I help you". I again introduced myself and inquired as to why there had been no response to my request for building access or to my telephone call. The staff responded that the two staff on duty were unaware of my presence, and then stated that they had checked the front door twice and did not see me, but did see my vehicle stating "you drive that gray van?". I was then given access to the building. Shortly after I was given access, family members arrived to return a resident to the facility. The same staff person appeared and opened the front door, there was no knock on the door or ringing of the doorbell.The licensing administrator arrived at 9: 05 pm, I acknowledged the administrator and informed her that I would get a staff person to unlock the door. Again, the same staff person appeared and opened the door, there was no knock on the door or ringing of the doorbell.
Plan of Correction:	Families visiting their love ones during this hour have FOB access to the building to minimize interruptions during peak resident care hours when there is no emergency
Standard #:	22VAC40-73-460-D
Complaint related:	No
Description:	Based on an inspection at the facility on 7/25/2019, the facility failed to be considerate and respectful of the rights, dignity and sensitivities of the one resident who is aged, infirm and disabled. Evidence: The facility is a safe, secure environment with residents with memory impairments. 1. On 7/25/2019 from 8:05 to 8:35 pm, while trying to gain access to the building, the inspector observed a resident wandering in the lobby area three different times unsupervised, touching and moving items on the receptionist desk and tables in the lobby. The resident was not fully clothed and was barefoot. 2. A resident was found by a visiting family member on the floor under a dining table with her wheelchair beside the table. There was no staff in sight. (picture was taken and forwarded to the Department) 3. A resident was found her family member on the floor in her room partially dressed with no staff in sight. (picture was taken and forwarded to the Department)
Plan of Correction:	Facility noted resident walking around in her night gown. The Pearl at Watkins is a stand alone secured memory care community and is our resident's home. We exercise our resident rights by not preventing them from having freedom of movement throughout their home.
Standard #:	22VAC40-73-870-A
Complaint related:	No
Description:	Based on tour of the physical plant during an inspection of the cooling systems on 7/25/2019, two licensing staff observed that the interior of the building is not being maintained in good repair and kept clean. Evidence: During the inspection of the cooling system, licensing staff found: 1. A trail of feces stains on the carpet of the hallway on the left side of the building. (pictures taken) 2. There were three door signs that were not secured to the wall.(pictures taken)
Plan of Correction:	Nursing staff cleaned up visible traces of feces and wiped carpet with disinfectant wipes to the best of their ability. The facilities Director was notified of the incident and a request was made for the carpet to be thoroughly sanitized and steam cleaned with the proper equipment and chemicals in the morning.