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Cary Adult Home
7336 Cary Avenue
Gloucester, VA 23061
(804) 693-7035

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: Feb. 21, 2021 and June 21, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-73 STAFFING AND SUPERVISION
22VAC40-73 ADMISSION, RETENTION AND DISCHARGE
22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:
The 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 Self reported incident was received by the department on 01/12/2021.

The inspection was initiated on 2-24-21 and concluded on 06/21/2021. A self report was received by the department regarding allegations in the resident and related areasof the standard. 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.

Any violations not related to the self-reported inicident but identified during the course of the investigation can be found on the violation notice.

Violations:
Standard #: 22VAC40-73-450-C
Description: Description: Based on record review, the facility failed to ensure the individualized service plan (ISP) contained all assessed needs.
Evidence:
1. During the remote monitoring inspection, a review of resident #1?s Individual Service Plan dated 06/09/2020 does not reflect the need for inappropriate behavior interventions as evidenced by multiple unsolicited inappropriate behaviors from resident #1 towards staff and residents. However the need for behavior interventions were not addressed on resident #1?s individualized service plan.
2. Staff notes provided for resident #1 on 01/12/2021 reads, ?Resident #1 has been paying another resident? for inappropriate favors. Resident #2 ?does not understand what was being asked (of resident #2) or why.? ?The other resident (resident #2) stated resident #2 didn?t like it and doesn?t want to do it anymore?. However the need for behavior interventions were not addressed on resident #1?s individualized service plan.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
A compliance history is in no way a rating for a facility++.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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