VIRGINIA DEPARTMENT OF SOCIAL SERVICES

SEARCH Group Home, Inc.
5742 N. Main Street
Mount jackson, VA 22842
(540) 477-2808

Current Inspector: Jeffrey Marnien (540) 571-0189

Inspection Date: Aug. 20, 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 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

Technical Assistance:

Topics discussed with the administrator: 1) Once the fire and health inspectors can come into the building, please forward their reports. 2) Drug reference book must be replaced this year as it is dated 2018. 3) Medication administration refresher course was scheduled for 3/24/20 but was cancelled by pharmacy due to COVID-19. The class was rescheduled for 9/3/20 so make sure all staff attend. 4) Even though only one staff is on duty, still indicate on the schedule, the name of the staff person in charge. 5) Ensure it is indicated on the medication administration records (MARs) specifically where a cream is to be applied (information was included on the signed orders). Also, when there are multiple orders for the same thing (such as constipation) the MAR must specify which medication to give when.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on 8/18/20 and concluded on 8/20/20. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 6. The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed two resident and two staff records. Selected sections of four additional resident, one discharge, two contract staff and four staff records were also reviewed. A virtual tour was conducted as well as a review of the posted menu, activities calendar, staff first aid/cardiopulmonary resuscitation certification list, violation notice and residents' rights. The previous violations were reviewed as were resident personal account information. Additional information was requested in various areas of the standards and was submitted as requested by the administrator and reviewed by this inspector. Information gathered during the inspection determined non-compliance in the areas of individualized service plans, emergency preparedness and response plan training and resident emergency training, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-450-G
Description:	Based upon an interview, the facility failed to ensure six of six residents received a copy of their individualized service plans (ISPs). Evidence: On 8/20/20, the licensing inspector (LI) interviewed the administrator who stated none of the residents were given a copy of their ISPs.
Plan of Correction:	Residents were given a copy of their current ISP by the administrator on 8/20/20. Administrator will ensure that each resident is given a copy of any future ISP at the time it is reviewed and signed by the resident.
Standard #:	22VAC40-73-950-E
Description:	Based upon documentation and an interview, the facility failed to ensure the emergency preparedness and response plan training included all required information. Evidence: 1) The training material submitted for reviews conducted on 12/17/19, 3/9/20 and 6/25/20, did not include procedures for using, maintaining and operating emergency equipment, accessing medical information, equipment and medications for residents and locating and shutting off utilities. 2) On 8/20/20, the LI interviewed the administrator who stated the information submitted is what was covered in the training.
Plan of Correction:	Administrator will make certain to share the regulations from 22VAC40-73-(9)-950.E with the health care oversight staff to ensure all the required information will be included in any and all future emergency preparedness and response training. Emergency preparedness training will be conducted every six months by the administrator and health care oversight staff.
Standard #:	22VAC40-73-990-B
Description:	Based upon documentation and an interview, the facility failed to ensure all of the resident emergency procedures were reviewed every six months. Evidence: 1) The material used for the training conducted on 12/17/19, 3/9/20 and 6/25/20, did not include the procedures to follow for a missing resident, mental health emergency, medical emergency, when the rescue squad is called and procedures for notifying the regional licensing office, 2) On 8/20/20, the LI interviewed the administrator who stated the information submitted is what was covered.
Plan of Correction:	Administrator will make certain to share the regulations from 22VAC40-73-(9)-990-B with the health care oversight staff to ensure all the required information will be included in any and all future resident emergency procedures training. Resident emergency training will be conducted every six months by the administrator and health care oversight staff.