VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Assisted Living at Lucy Corr
6800 Lucy Corr Boulevard
Chesterfield, VA 23832
(804) 748-1511

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: July 23, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL

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 7-23-20 and concluded on 7-31-20. A self-reported incident was received by the department regarding allegations regarding resident care and abuse. A subsequent report was received from local social services. The administrator was contacted by telephone to conduct the investigation. The licensing inspector emailed the administrator a list of documentation required to complete the investigation. The evidence gathered during the investigation supported the self-report of non-compliance with standards or law, and violations were issued. Any violations not related to the self-report but identified during the course of the investigation can be found on the violation notice. Please complete a plan of correction and date to be corrected for the violations cited on the violation notice and return to the Inspector within 10 days. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan(s) of correction must contain: 1) steps to correct the non-compliance with the standard, 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-73-70-A
Description:	Based on a review of program documentation. a referral from local social services and emails from facility staff regarding an incident, the facility failed to report to the regional licensing office within 24 hours a major incident that negatively affected the life, health, safety, and welfare of a resident. Evidence: A referral from the local department of social services was received by the Central Region licensing office on 7/14/2020 advising of an incident of suspected resident abuse. Written statements from staff revealed that the facility began interviewing staff and taking written statements about the incident on 7/6/2020. The facility's administrator notified the licensing inspector of the incident on 7/9/2020 (3 days later) which is more than 24 hours after the facility's management became aware of the incident.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-130-A
Description:	Based on a review of file documentation, a referral from local social services and interviews with the complainant and facility staff, facility staff who are mandated reporters under ? 63.2-1606 of the Code of Virginia failed to report suspected abuse of a resident in care. Evidence: 1. The facility self reported an allegation of suspected abuse on 7/9/2020. A referral was subsequently received from local social services regarding the allegation on 7/14/2020. 2. A review of written statements secured during a facility investigation regarding the allegation revealed the following: a. Staff # 1 stated in a written statement dated 7/6/2020 - "med aide asked was CNA (certified nursing assistant) being aggressive? Med aide said "they pushed her into the door". b. Staff # 2 stated in a written statement dated 7/6/2020 - "when she came in, she said I have something to tell you"...she saw "the girl push her to the door". c. Staff # 4 stated in a written statement dated 7/6/2020 - "On 7/5/20, "it was brought to my attention by ___(staff # 6) who sometimes work for that LC via agency that she witnessed LC employee ___(staff # 3) hit resident in room ___". Per " ____ (staff # 6) , ____(staff # 3) took a clothes hanger and hit resident in the head and also slung the resident on the toilet causing her back to hit the metal". d. Staff # 5 stated in a written statement dated 7/8/2020 - "___at work Sunday night, brought to my attention, client abuse". e. Staff # 6 stated in a written statement dated 7/8/2020 - "___ (staff # 3) pushed her into the toilet door, stepped on her foot, then she was hitting her on the head with a rack, she also slapped her, red marks around left side and back". ? 63.2-1606 of the Code of Virginia identifies the following individuals as mandated reporters -. "Any person employed or contracted with a public or private agency or facility and working with adults in an administrative, supportive or direct care capacity". Staff (noted above) observed or were aware of the suspected abuse and failed to make a mandated report.
Plan of Correction:	Not available online. Contact Inspector for more information.