VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Colonial Manor
8679 Pocahontas Trail
Williamsburg, VA 23185
(757) 476-6721

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: April 29, 2022 and May 20, 2022

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES

Comments:

Type of inspection: Complaint Complaint onsite inspection conducted on 4-29-22 (Ar 1:00 pm./dep 2:45 p.m.) The Acknowledgement of Inspection form was sent via electronic format. A complaint was received by VDSS Division of Licensing on 4-29-22 regarding allegations in the administration and administrative services, resident personal spending funds. The census was 30. There was one resident record reviewed. Interviews conducted with one resident. Interviews conducted with two staff members. Record for resident reviewed. Business files and financial documents reviewed for the resident.: An exit meeting will be conducted to review the inspection findings. An exit was conducted via virtual meeting on 6-10-22 with the Administrator, assistant to administrator and consultant The evidence gathered during the investigation supported the allegation 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. 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 willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-80
Complaint related:	Yes
Description:	Based on record reviewed and staff interviews, the facility failed to ensure it maintained a written accounting of money received and disbursed by the licensee, facility administrator, or staff person that shows a current balance. The written accounting of the funds shall be made available to the resident at least quarterly and upon request, and a copy shall also be placed in the resident?s record. The resident?s funds shall be made available to the resident upon request. Evidence: 1. On 4-29-22 during a complaint inspection regarding a resident not receiving personal funds since December 2021, the resident stated requesting funds from the administrator/licensee but did not receive funds. Resident #1 stated during interview not receiving personal fund in the amount of $80, the amount always given by the previous business office manager. According to resident this was the amount that was dispersed to resident since admission September 2018. 2. The resident?s record included notice statements from a payee source (Auxiliary Grant letters dated 5-30-20, 11-12-20, 5-6-21 and 11-17-21) documenting the resident?s monthly personal fund amount was $82. 3. The resident?s record did not include documentation of $82 being dispersed to the resident. 4. Staff #1 and #2 were shown notices in the resident?s record from the payee source from the time of admission until January 2022, noting the resident was to receive $82 personal spending. 5. During interview with staff #1, staff stated an account was established for resident #1 to receive personal funds using a debit card. The resident had not yet receive personal funds. 6. Staff #1 acknowledged the resident?s record did not include documentation of $82 monthly payments. Staff also acknowledged resident had not been given monthly personal fund payments since December 2021.
Plan of Correction:	Not available online. Contact Inspector for more information.