VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Charter Senior Living of Williamsburg
440 McLaws Circle
Williamsburg, VA 23185
(757) 221-0018

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

Inspection Date: Feb. 28, 2020

Complaint Related: No

Areas Reviewed:

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

Comments:

A Representative with the Division of Licensing, conducted an unannounced, mandated, monitoring inspection on 02/28/2020 from approximately 10:52am to 3:33pm. At the point of entrance the facility Administrator was not available however staff in charge were available to assist with the inspection. The Licensing inspector observed the physical plant, reviewed 10 residents records and 5 staff records, observed residents during meals and activities, and observed the facility medication administration pass. Areas on non-compliance are found within this violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to me within 10 calendar days from today. 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 3. Person(s) responsible for implementing each step and/or monitoring any preventive measure(s) 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 #:	22VAC40-73-1180-B
Description:	Based on observation of the facility physical plant, the facility failed to ensure when there are indicators that ordinary materials or objects maybe harmful to a resident, these material or objects shall be inaccessible to the resident except under staff supervision. Evidence: On 02/28/2020 on the facility memory care unit, in front of resident room #209 with staff #1, a flat rolling cart with hazardous work tools such as hammer, screw drivers, wrench, two, five gallon buckets of paint, and one, one gallon of paint was left unattended and not locked with two residents sitting close by ( as evidenced by photo provided).
Plan of Correction:	Not available online. Contact Inspector for more information.