VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Runk & Pratt of Forest
208 Gristmill Drive
Forest, VA 24551
(434) 385-0297

Current Inspector: Jennifer Stokes (540) 589-5216

Inspection Date: Jan. 26, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Comments:

A focused, non-mandated, monitoring inspection regarding an intensive plan of correction (IPOC) was initiated on 01/26/2022 and concluded on 01/26/2022 in the area of additional requirements for facilities that care for adults with serious cognitive impairments regarding staffing levels. The licensing inspector and the administrator reviewed the facility's night shift schedule for the time period of 01/09/2022 through 01/25/2022. Based on the findings from the inspection, the previous violation is being cited as a repeat violation. Any additional violations identified during the course of the inspection can be found 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 it to your licensing inspector within 10 calendar days from today. If you have any questions, contact your licensing inspector at (540) 589-5216.

Violations:

Standard #:	22VAC40-73-1130-C
Description:	Based on document review and staff interview, the facility failed to ensure during night hours that when more than 40 residents are present, at least four direct care staff members plus at least one more direct care staff member for every additional 10 residents, or portion thereof, shall be awake and on duty at all time in each special care unit and shall be responsible for the care and supervision of the residents. EVIDENCE: Document provided by staff 1, "Census Report by Head Count", for January 2022 showed that the facility's census for the time period 01/09/2022 through 01/12/2022 was 63 daily, the census for 01/13/2022 and 01/14/2022 was 62 daily, the census for 01/15/2022 through 01/20/2022 was 61 daily, and 01/21/2022 through 01/25/2022 was 62 daily. The night hours for the facility are 11PM through 7AM. Based on the census, there should have been 7 direct care staff on duty at all times during the night hours of 01/09/2022 through 01/25/2022. The staff schedule provided by staff 1 for 01/09/2022 through 01/25/2022 showed the following information regarding the facility's night hours of 11PM through 7AM: only 2 direct care staff were on duty 01/17/2022, 01/21/2022 and 01/24/2022; only 3 direct care staff were on duty on 01/10/2022, 01/13/2022, 01/15-16/2022, 01/18-20/2022, and 01/25/2022; only 4 direct care staff were on duty on 01/09/2022, 01/11/2022, 01/14/2022, and 01/22-23/2022; and only 5 direct care staff were on duty on 01/12/2022. Interview with staff 1 confirmed that this information was accurate.
Plan of Correction:	In accordance with census, facility will ensure staffing will comply with DSS regulations.