VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Open Arms Adult Home II, LLC
1229 27th Street
Newport news, VA 23607
(757) 285-7829

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: Sept. 3, 2021

Complaint Related: No

Areas Reviewed:

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

Comments:

A renewal inspection was initiated on 09/03/2021 and concluded on 09/03/2021. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported the current census. The inspector emailed the Administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed (3) resident records, (3) staff records, and additional documents submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 09/03/2021. An exit interview was conducted with Administrator, 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-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-73-860-H
Description:	Based on observation of the of the facility outdoor area the facility failed to ensure where there is an outdoor area accessible to resident it shall be equipped with furniture in season. Evidenced by photos taken. Evidence: On 09/03/2021 with staff #1, the Licensing Inspector observed a padded fabric chair located in the outdoor area accessible to residents that was not furniture in season.
Plan of Correction:	Furniture will be used to reflect season and weather to ensure comfortable and safe environment.
Standard #:	22VAC40-73-860-I
Description:	Based on observation of the facility physical plant, the facility failed to ensure hazardous materials are in a locked area. Evidenced by photos taken. Evidence: On 09/03/2021 with staff #1, the Licensing Inspector observed rusted pliers, metal wiring and garden tools located in the facility back yard accessible to the facility residents.
Plan of Correction:	Outside of facility physical plant will only have an environment to create a safe and harm free area. Outside of the facility physical plant will be reviewed daily, plant cleaned, and items removed and placed in proper receptacle if needed. Items will be disposed of weekly.
Standard #:	22VAC40-73-870-A
Description:	Based on observation of the facility physical plant, the facility failed to ensure the interior and exterior of the building shall be maintained in good repair. Evidenced by photos taken Evidence#1: With staff #1, the Licensing inspector observed the following exterior of the building: 1-One bike wheel tire laying on the ground, 2-Pair of shoes located in the rear facility yard, 3-Floor mats located in multiple areas of the rear and side facility yard, 4-Beverage container bottle located in the facility rear yard, 5- Laundry Hamper located on the side facility yard, 6- Two metal floor lamps located in the front of a shed in the rear facility yard, 7-Container lid located in the rear facility yard, 8- Kitchen stove located on facility back porch, 9-Styrofoam cup and bottle cap located in the rear facility yard, 10- Vynl siding located on the ground of the rear facility yard, 11- Cardboard box located on the ground of the rear facility yard, 12- Unknown greyish colored fabric located on the ground of the rear facility yard, 13- Multiple pieces of Plywood located in the rear facility yard, 14- Broken metal located in the rear facility yard, 15- Assortment of broken items within a white open top bucket located in the rear facility yard, 16- Crates located on the ground of the rear facility yard, 17- Pillow located on the ground of the facility yard, Evidence #2: While observing the facility interior the Licensing Inspector observed the following area not in good repair. 1-The first floor ceiling contained brown stains, 2- The first floor dining area had a shattered glass window, 3- The brown wall on the first floor dining room was peeling, 4- The second floor restroom was discolored along the baseboard beside the toilet, 5- The facility first floor was missing flooring in multiple area located between the facility dining area leading into laundry area,
Plan of Correction:	Outside of facility physical plant will only have an environment to create a safe and harm free area. Outside of the facility physical plant will be reviewed daily, plant cleaned, and items removed and placed in proper receptacle if needed. Items will be disposed of weekly.
Standard #:	22VAC40-73-870-D
Description:	Based on observation of the facility physical plant, the facility failed to ensure the grounds shall be kept free of breeding places. Evidence: On 09/03/2021 while observing the facility physical plant with staff #1, the Licensing Inspector observed a large grey push barrel with standing water.
Plan of Correction:	Outside of facility physical plant will only have an environment to create a safe and harm free area. Outside of the facility physical plant will be reviewed daily, plant cleaned, and items removed and placed in proper receptacle if needed. Items will be disposed of weekly.
Standard #:	22VAC40-73-870-E
Description:	Based on observation of the facility physical plant, the facility failed to ensure all furnishings including bathtubs and showers shall be kept clean and in good repair and condition. Evidenced by photos taken. Evidence #1: On 09/03/2021 with staff #2, the Licensing Inspector observed the 2nd floor walk in shower was discolored with black, blue and green, in addition to missing tiles on the shower floor. The bathroom sink was brown between the rear sink and wall. Evidence #2: The second bathroom located on the same floor bathtub was brown and black around the tub knob and the tile grout.
Plan of Correction:	2nd floor bathroom will be inspected repaired and retiled. Bathroom will be cleaned.Bathroom walls, shower tub will be cleaned to ensure bacteria and fungus free environment.
Standard #:	22VAC40-73-870-F
Description:	Based on observation of the facility physical plant, the facility failed to ensure inside stairways shall have nonslip surfaces. Evidenced by photos taken. Evidence: On 09/03/2021 with staff #1, the Licensing Inspector observed the interior facility stairs leading to the second floor tread was missing on multiple steps, worn and broken on additional steps.
Plan of Correction:	Stair steps will be inspected and replaced to ensure no falls/injury.
Standard #:	22VAC40-73-870-G
Description:	Based on observation of the facility physical plant, the facility failed to ensure, grounds shall be properly maintained to include mowing of grass. Evidenced by photos taken. Evidence : On 09/03/2021 with staff #1, the Licensing Inspector observed areas accessed by the facility residents that contained overgrown grass and weeds.
Plan of Correction:	Lawn will be mowed groomed and maintained to display a safe environment.
Standard #:	22VAC40-73-870-H
Description:	Based on observation of the facility physical plant, the facility failed to ensure handrails shall be provided on all stairways, Evidenced by photos taken. Evidence: On 09/03/2021 with staff #1, the Licensing Inspector observed the outside rear porch used by the facility residents had three stairs leading from the porch to the ground and did not have a handrail.
Plan of Correction:	Handrail will be replaced to ensure stability transferring up/down stairs to prevent fails/injuries.
Standard #:	22VAC40-73-890-B
Description:	Based on observation of the facility physical plant, the facility failed to ensure all interior area shall be adequately lighted. Evidenced by photos taken. Evidence: On 09/03/2021 with staff #1, the Licensing Inspector observed the upstairs bathroom ceiling light did not work,
Plan of Correction:	Bathroom ceiling light will be replaced to ensure illumination to prevent falls/injury.
Standard #:	22VAC40-73-920-E
Description:	Based on observation of the facility physical plant, the facility failed to ensure bathtubs and showers shall have nonskid surfacing or strips. Evidenced by photos taken. On 09/03/2021 with staff #1, the Licensing Inspector observed the upstairs stand up shower did not contain nonskid surfacing or strips.
Plan of Correction:	Tub will have a non-slip surface to ensure no falls/injury.