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Acadia Care LLC
9285 Critzers Shop Road
Afton, VA 22920
(434) 989-5020

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: Dec. 29, 2021 and Jan. 11, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES
22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS

Comments:
A focused monitoring inspection was conducted on December 29, 2021 to follow up on previously cited violations regarding concerns in the areas of resident care and related services, criminal history reports, and admission, retention and discharge of residents. A direct care staff was in charge at the time of the inspection. The Administrator was contacted by telephone and email during the inspection to provide additional information. An exit interview was conducted with the Administrator over the phone on January 11, 2022 due to not being able to meet in person at the time of inspection to review the findings.

Violations:
Standard #: 22VAC40-73-100-A
Description: Based on record review and interview with staff, the facility failed to ensure the assisted living facility implemented their infection control program addressing the surveillance, prevention, and control of disease and infection that is consistent with the federal Centers for Disease Control and Prevention (CDC) guidelines.

Evidence:

1. The facility?s current Infection Control Policy dated 12/2021 under ?Covid Infection Policy? documented, ?All staff and volunteers are required to wear masks when indoors??

2. Guidance from the CDC dated 9-21-2021 documented, ?Source control and physical distancing (when physical distancing is feasible and will not interfere with provision of care) are recommended for everyone in a healthcare setting.? Furthermore, ?Source control refers to use of respirators or well-fitting facemasks or cloth masks to cover a person?s mouth and nose to prevent spread of respiratory secretions when they are breathing, talking, sneezing, or coughing.?

3. Staff #1 was observed not wearing a mask during the inspection on 12-29-2021. Volunteer #1 and Volunteer #2 were also not wearing masks at the time of the visit.

Plan of Correction: Administrator will ensure all staff members and volunteers wear masks per policy guidelines when indoors. Administrator addressed issue with all staff members and volunteers to ensure compliance.

Standard #: 22VAC40-73-320-A
Description: Based on record review and interview with staff, the facility failed to ensure the physical examination contained a description of the person?s reactions to known allergies.

Evidence:

1. Resident #1?s ?Report of Resident Physical Examination? documented the resident has allergies to Darvocet; however, there is no description of the reaction.

2. Staff #1 confirmed the allergy reaction is not described as required.

Plan of Correction: Administrator will ensure that all annual physicals document the presence or absence of allergies and when allergies are present the reaction for each specific allergy.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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