VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Brightview Woodburn
3450 Gallows Road
Annandale, VA 22003
(703) 462-9998

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: June 29, 2021 and July 14, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 BUILDING AND GROUNDS

Comments:

A non-mandated complaint inspection was initiated on 6/29/2021 and concluded on 7/14/2021. A complaint was received by the department regarding allegations in the areas of buildings and grounds. The administrator was contacted by email and the director of nursing was contacted by telephone to conduct the investigation. The licensing inspector emailed the administrator a list of documentation required to complete the investigation. The licensing inspector conducted an on-site observation at the facility on 6/29/2021. The evidence gathered during the investigation supported the allegation of non-compliance with standards or law, and a violation was issued. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days. Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). Thank you for your cooperation and if you have any questions please call 703-479-5247 or contact me via e-mail at jamie.eddy@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-870-D
Complaint related:	No
Description:	Based upon a review of records and interview with administration and a collaborative contact, the facility failed to ensure that buildings shall be kept free of infestations of insects and vermin. The grounds shall be kept free of their breeding places. Evidence: Inspection reports provided by the pest control company to the facility, indicated evidence of mice in and/or around the facility during the following visits: 12/3/2020--Pest control reports provided by the facility reported that the pest control company placed two snap traps in bar and closet next to bar after mice droppings and a hole in the floor were found. Pest control replaced a snap trap in the dry storage room where "staff removed a captured mouse." Pest control replace four snap traps in the maintenance office, two in the locker room, and two in the mechanical closet between the locker room and maintenance office after staff reported a mouse in those areas in the basement. Pest control replaced two snap traps and "two glue traps in Directors office in front to activity room in 1st floor after a mouse was seen there." Pest control inspected the exterior and found "that there are several doors that have gaps underneath of them." Pest control checked and re-baited rodent stations and found evidence of mice activity in "both stations on right side of front door and in last station at back." 12/17/2020--Pest control reports provided by the facility reported that the pest control company added two mouse traps to the laundry room on the 1st floor after staff reported seeing a mouse in the laundry room. Pest control found and removed one captured mouse in the electrical closet next to the bar and removed a second captured mouse that was located in the bar. 1/7/2021--Pest control reports provided by the facility reported that the pest control company found and removed three mice from the bar and electrical room next to the bar and placed traps under the stairs where staff reported "had seen a mouse." Pest control found evidence of mouse activity in "one of the new stations and one by right corner of the building." 1/21/2021--Pest control reports provided by the facility reported that the pest control company found and removed two mice in bar and found evidence of mouse activity in station by trash dumpster. 2/4/2021--Pest control reports provided by the facility reported that the pest control company found mouse droppings on a corner in the kitchen. 3/4/2021--Pest control reports provided by the facility reported that the pest control company found and removed a captured mouse in bar and one in closet next to the bar. 3/18/2021--Pest control reports provided by the facility reported that the pest control company found and removed two captured mice in bar and one under stairs near the bar. 4/1/2021--Pest control reports provided by the facility reported that the pest control company found and removed one captured mouse in a trap under the basement stairs.
Plan of Correction:	Pest control inspections have been conducted by a professional pest control contractor of the affected areas and the entire building. There were no further findings of the deficient practice since 4/1/2021. A professional pest control contractor will provide onsite preventive services two times each month (on a bi-weekly basis) for the interior and exterior areas of the building. The contractor will report all findings to the Maintenance Director to ensure all recommendations and mitigation plans are implemented in a timely manner. This frequency of service is ongoing and will continue through the 2021 calendar year. All maintenance staff, housekeepers, resident assistants, and nurses will be educated to promptly report any observed or suspected signs of pest activity, in any part of the building, to their immediate supervisor. The supervisor will then provide notification to the Maintenance Director and Executive Director for further action by August 2, 2021. The Maintenance Director and Executive Director will make weekly rounds to inspect all previously affected areas of the building to ensure there is no recurrence of pest activity by August 2, 2021.