VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chesapeake Place
1500 & 1508 Volvo Parkway
Chesapeake, VA 23320
(757) 548-0808

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date: June 29, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 BUILDINGS AND GROUND

Comments:

Type of inspection: Complaint An on-site complaint inspection was conducted on 4/28/22 and 4/29/22 (ar 07:30 a.m./dep 10:00a.m). A tour of the kitchen was conducted, resident and staff interviews were conducted on 4-28-22 and 4-29-22. A review of the facility?s communication with a local repair vendor was reviewed with staff on 4-29-22. The Acknowledgement of Inspection form was signed and sent via email to the Administrator. A complaint was received by VDSS Division of Licensing on 4-27-22 regarding allegations in the building and grounds equipment as it related to food preparation and quality. Number of residents was 65. The licensing inspector completed a tour of kitchen area of the facility. Number of interviews conducted with residents- 8 who wanted to remain anonymous Number of interviews conducted with staff was 4 Observations by licensing inspector- the kitchen area Refrigerator was also reported but was repaired within a few days of it becoming non-operational. An exit meeting was conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Willie Barnes Licensing Inspector at 757-439-6815 or by email at willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-870-E
Complaint related:	Yes
Description:	Based on document reviewed, staff and resident interviews, the facility failed to ensure all furnishings, fixtures, and equipment, including furniture, window coverings, sinks, toilets, bathtubs, and showers, shall be kept clean and in good repair and condition. Evidence: 1. On 4-28-22 and 4-29-22, during a complaint inspection regarding the facility?s freezer and stove not working, interview with staff #1 and #2 stated, the facility freezer was not working but was repaired within two- three days. The facility stove was not working and was awaiting a part or replacement. Staff #2 stated using the top portion of the stove to cook and also the microwave. 2. The facility administrator and dietary manager could not provide the date the stove became non-operational. An email dated March 18, 2022 provided documentation of the dietary manager and a local service company regarding the repair of the facility stove. 3. Interviews with residents during the breakfast meal on 4-29-22 revealed the facility had been without an oven for a while. The subject of the oven not working was also stated as being discussed with the administrator during resident council meeting. 4. Staff #1 and #2 acknowledged the facility stove/oven was not working and was not repaired as of 4-29-22 the second day of the inspector?s visit.
Plan of Correction:	On or approximately May 9, 2022 community received delivery of two new convection ovens. This fixed the issue with meal preparations for residents. In future will inform state and health department of non-operational kitchen equipment.