VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Oakland Manor, LLC #1
1754 Oakland Street
Petersburg, VA 23805
(804) 431-2713

Current Inspector: Belinda Dyson (804) 662-9780

Inspection Date: Dec. 20, 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

Comments:

An unannounced renewal inspection was completed by Licensing staff from 7:00 a.m.-9:30 a.m. Follow up was completed on the previous violation notice and violation was corrected. The facility is licensed for residents and 4 are in care at this time. Residents were getting ready to attend day support programs. 2 staff members were on duty.Four residents records and 3 staff embers records were reviewed for compliance. All new staff records were reviewed since last inspection for criminal history records reports and all were in compliance. Medication Administration pass, physician's orders and medications were observed. First aid kit supplies were reviewed. Residents interviewed did not express any concerns or complaints during the inspection. A tour of the physical plant was completed.Violations cited are identified within this report. 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 or by 10 days. You will need to specify how the deficient practice will be corrected. Just writing the word ?corrected? is not acceptable. Your plan must contain 1) steps to correct the non-compliance with the standards, 2) measures to prevent the non-compliance from occurring again, and 3) person(s) responsible for implementing each step and or monitoring any preventative measure(s). Please contact my office if I can be of any further assistance. Thank you for your assistance during this inspection.

Violations:

Standard #:	22VAC40-73-250-D
Description:	Based on a review of staff records, one out of three records reviewed did not have documentation of tuberculosis test upon hire. Evidence: Staff record #2 did not have any documentation of initial TB test or results to observe. Date of hire 10/10/2019.
Plan of Correction:	Administrator and or program manager will ensure that staff member schedules a TB test and submit the written results to be included in her file. In the future, all new staff will present their TB test and results when completing employment paperwork. Records will be audited monthly to make sure all required items are in the record and current by the Program Manager of Administrator.
Standard #:	22VAC40-73-870-E
Description:	Based on a tour of the physical plant, all furnishings were not in good repair. Evidence: The dresser in room #1 top drawer was broken of so that clothes were visible. The other drawers were not secure.
Plan of Correction:	Administrator and or Program Manager will instruct maintenance to replace the dresser. Staff will be asked to report any furnishings in ill repair to program manager or Administrator when cleaning daily.Visual inspections of furnishings and facility will be done daily by all staff.