VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ginter Hall South
11300 Mall Court
N. chesterfield, VA 23235
(804) 794-7770

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: Dec. 2, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 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 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS.

Comments:

An unannounced license renewal inspection was conducted on 12/2/2019 from approximately 9:30 am to 1 :00 pm. The facility reported 60 residents in care, eight resident and four staff files were reviewed along with required program and file documentation for compliance. All new personnel records were reviewed since the last inspection for criminal history record reports and all were in compliance. Please complete the "plan of correction" and "date to be corrected" for the 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, 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). See violation notice for non-compliance.

Violations:

Standard #:	22VAC40-73-940-A
Description:	Based on an inspection of the facility and review of the fire inspection report, an annual fire inspection has not been obtained from the local fire authority. Evidence: The fire inspection report from the locality is dated
Plan of Correction:	The annual fire inspection was due 11/20/2019. Chesterfield fire and safety were running behind. They completed our fire inspection on 12/9/2019, 19 days beyond our scheduled inspection.