VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Clara's East Assisted Living Facility
800 West Nine Mile Road
Highland springs, VA 23075
(804) 737-7670

Current Inspector: Kimberly Davis (804) 662-7578

Inspection Date: March 3, 2020

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 Licensure and Registration Procedures 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.

Comments:

An unannounced renewal inspection was conducted by the licensing inspector on March 3, 2020 from 7:10 a.m. to 9:45 a.m. A census of 8 residents was reported. Previous violations were reviewed. Some but not all were corrected. The following items were reviewed/observed during the inspection: sample of 4 resident and 3 staff records, tour of the facility, facility documentation, facility postings, medication pass observation/physician's orders/Medication Administration Records (MARs), and first aid kit supplies, as well as resident/staff interviews. The violation cited is identified in this report. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 10 calendar days. Please specify how the violation will be corrected. The plan must contain: 1) step(s) to correct the non-compliance with the standard(s), 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). Thank you for your cooperation during this inspection. I can be reached at Kimberly.M.Davis@dss.virginia.gov or (804) 662-7578.

Violations:

Standard #:	22VAC40-73-870-A
Description:	Based on observation of the physical plant, the facility failed to ensure that the exterior of the building was kept in good repair as evidenced by the photograph taken. Evidence: The deck contained large areas of chipped paint.
Plan of Correction:	Plans are being made to remove painted flooring of deck due to inclement weather and replace with a stain flooring (clear color).