VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Auburn Hill at Swift Creek
5800 Harbour Lane
Midlothian, VA 23112
(804) 456-4455

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: May 18, 2021

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. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

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 5/18/2021 and concluded on 5/20/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was (63). The inspector emailed the administrator a list of items required to complete the inspection. The inspector reviewed (4) resident records, (4) staff records, items like staff schedules, medication administration records, individual service plans, uniform assessment instruments, certifications and other required documentation, etc. submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	63.2-1720-C-2
Description:	A. Section 63.2-1720 of the Code of Virginia requires all employees of assisted living facilities and adult day care centers, as defined by ? 63.2-100 of the Code of Virginia, to obtain a criminal record report from the Department of State Police. Based on a review of staff record documentation the facility failed to comply with the Code of Virginia and obtain a criminal record report from the Department of the Virginia State Police. Evidence: Staff #1: Began employment on 7/12/2020. The criminal background record information provided was completed on 7/13/2020 and obtained through ADP a background screening tool and not the Virginia State Police. Staff #5: Began employment on 7/29/2020. The criminal background record information provided was completed on 7/29/2020 and obtained through ADP a background screening tool and not the Virginia State Police. Staff # 6: Began employment on 8/3/2020. The criminal background record information provided was completed on 8/6/2020 and obtained through ADP a background screening tool and not the Virginia State Police. Staff # 7: Began employment on 8/11/2020. The criminal background record information provided was completed on 8/11/2020 and obtained through ADP a background screening tool and not the Virginia State Police.
Plan of Correction:	1. Background checks through the Virginia State Police for staff members 1,5,6,&7. No harm occurred as a result of the use of ADP to screen background, there were no records of concern. 2. An audit was completed of all current employees, background checks through the Virginia State Police were completed as identified. 3. Education was provided to the Business Office Manager regarding the process of running Virginia State Police background checks for all employees. 4. Business Office Manager will report weekly on any new hires and completion of background checks during routine team meetings.