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Golden Years Assisted Living Facility, Inc.
40 Hunt Club Boulevard
Hampton, VA 23666
(757) 825-2425

Current Inspector: Alyshia E Walker (757) 670-0504

Inspection Date: Dec. 23, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:
Two Representatives with the Division of Licensing conducted an unannounced, non-mandated, monitoring inspection on 12/23/2019 from approximately 11:40am to 1:18pm. At the time of entrance the facility Administrator was available and present. During the facility Inspection the licensing Inspector observed the facility physical plant, resident records and interviewed staff. Areas of non-compliance are found within this violation notice. Please complete the "plan or correction" and "date to be corrected" for each violation cited on the violation notice and return to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 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 preventative. Please contact the facility Licensing Inspector Kimberly Rodriguez at 804-396-5696 or by email at kimberly.rodriguez@dss.virginia.gov for additional questions or concerns.

Violations:
Standard #: 22VAC40-73-450-C
Description: Based on resident record review the facility failed ensure the Individualized Service Plan included a written description of identified needs.

Evidence: On 12/23/2019 with the facility Administrator, while reviewing resident record #1, it was observed that resident #1 was receiving mental health support as of 08/11/2019 as identified by the mental health provider's monthly progress report in resident #1's record, however resident #1's Individualized Service Plan that was last reviewed on 04/04/2019 did not address resident #1's assessed need for mental health services.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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