VIRGINIA DEPARTMENT OF SOCIAL SERVICES

LAV'M Adult Residence
912 S. Battlefield Blvd.
Chesapeake, VA 23322
(757) 546-2810

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: April 5, 2020 and April 6, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

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 renewal inspection was initiated on April 5, 2020 and concluded on April 7, 2020. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 20. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed 3 resident records, 6 staff records, activities, staff schedules, menus, health and fire inspections, healthcare oversight, pharmacy oversight submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-490-A
Description:	Based on record review and discussion, the facility failed to ensure the licensed health care professional, practicing within the scope of his profession, shall provide health care oversight at least every six months. Evidence: 1. The most recent Healthcare oversight only documented a review period of March 2021 and did not indicate a six-month period was completed since last review. 2. Staff #1 confirmed during discussion the healthcare professional did not provide oversight at least every six months.
Plan of Correction:	Licensee and Administrator assures that Healthcare Oversight will properly indicate quarterly completed review and current period review on the Record of onsight of Healthcare Oversight chart.
Standard #:	22VAC40-73-650-B
Description:	Based on record review and discussion, the facility failed to ensure physician orders identified the diagnosis, condition, or specific indications for administering each drug. Evidence: 1. Resident #1?s physician?s orders dated 03-24-2021 did not document the diagnosis, condition, or specific indications for Amitriptyline or Tamsulosin. 2. Resident #2?s physician?s orders dated 03-24-2021 did not document the diagnosis, condition, or specific indications for blood sugar checks or Tamsulosin. 3. Staff #1 confirmed Resident #1 and Resident #2?s physician?s orders did not identify the required information.
Plan of Correction:	Licensee and Administrator assures that diagnosis, condition or specific indications of each drug will be reflected on the Physician's orders and MAR.