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: April 11, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES

Technical Assistance:

To ensure a thorough understanding of the standards, the LI and adult protective services had a discussion with the Administrator regarding reporting and documentation of incidents that may occur in the facility.

Comments:

The licensing inspector (LI) for Runk & Pratt of Forest, in conjunction with local adult protective services, conducted an unannounced monitoring inspection on 04/11/2022 from 1:20PM until 3:00PM to follow up on a facility reported incident on 03/12/2022 regarding an incident between a resident and a visitor. Training records were reviewed for three staff, video footage was reviewed, and other documentation was reviewed regarding the incident. Findings were reviewed with facility staff during the inspection. An exit interview was conducted with the Administrator on the date of 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. The LI also spoke with the Administrator via phone on 04/12/2022 and requested additional documentation that was provided to the LI via email by the Administrator. 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 #:	22VAC40-73-70-C
Description:	Based on review and staff interview, the facility failed to submit a written report of an incident to the regional licensing office within seven days from the date of an incident that negatively affected or that threatened the life, health, safety, or welfare of any resident that was signed and dated by the administrator and included all required information. EVIDENCE: 1. Staff 1 sent the inspector of record for the facility an email, dated 03/13/2022 at 7:06PM, that contained the following information, "I have an incident that occurred on 3/12/22 seen on camera, (Collateral 1) and (resident 1) had an altercation with possible contacted [sic] made by both, I have reviewed the footage and we have asked (Collateral 1) not to return [sic] an investigation can be completed. Wanted to make you aware." 2. The inspector of record for the facility did not receive a written report of this incident within seven days from the date of the incident that was reported on 03/13/2022 that contained the required information. Staff 1 confirmed that she did not submit a written report as required.
Plan of Correction:	Administrator or designee will submit written report of any incident to the regional licensing office within the appropriate amount of time.