VIRGINIA DEPARTMENT OF SOCIAL SERVICES

MADONNA HOME INC.
814 W. 37th Street
Norfolk, VA 23508
(757) 623-6662

Current Inspector: Lanesha Allen (757) 715-1499

Inspection Date: July 22, 2021

Complaint Related: No

Areas Reviewed:

A renewal inspection was initiated on 7/20/2021 and concluded on 7/22/2021. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 13. The inspector emailed the Administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed 2 resident records, 2 staff records, menu, and activity calendar submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 7/22/21. An exit interview was conducted with the Administrator on the date of the inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. 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 #:	22VAC40-73-250-D
Description:	Based on record review and discussion, the center failed to obtain an assessment for tuberculosis (TB) in a communicable form no earlier than 30 days before or no later than seven days after employment for each staff person. Evidence: 1. During staff record review, the following staff did not have a completed assessment for TB in a communicable form no earlier than 30 days before or no later than seven days after employment: 2. Staff #2 was hired on 2/5/2020. The assessment for TB was completed on 12/11/2019. 3. Staff #3 acknowledged the assessment for TB was not obtained earlier than 30 days before or no later than seven days after employment for Staff #2.
Plan of Correction:	Plan of correction not available. Contact licensing inspector.
Standard #:	22VAC40-73-490-D
Description:	Based on record review and discussion, the facility failed to ensure the licensed health care professional identified the specific residents for whom the oversight was provided. Evidence: 1. Health Care Oversight dated 8/9/2020 to 2/11/2021, did not document the names of the residents for whom the oversight was provided. 2. Staff #3 acknowledged that the heath care oversight review did not identify the specific residents that were reviewed.
Plan of Correction:	Plan of correction not available. Contact licensing inspector.
Standard #:	22VAC40-73-880-C
Description:	Based on record review and discussion, the facility failed to ensure all areas used by residents, including residents? bedrooms and common areas did not have a temperature that exceeded 80 degrees. Evidence: 1. While touring the facility, the upstairs hallway temperature thermostat registered at 81 degrees. 2. The outside temperature posted was 77 degrees. 3. Staff #1 confirmed that the upstairs hallway temperature thermostat registered at 81 degrees.
Plan of Correction:	Plan of correction not available. Contact licensing inspector.