VIRGINIA DEPARTMENT OF SOCIAL SERVICES

SEARCH Group Home, Inc.
5742 N. Main Street
Mount jackson, VA 22842
(540) 477-2808

Current Inspector: Jeffrey Marnien (540) 571-0189

Inspection Date: July 22, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Technical Assistance:

The medication administration records must be reviewed carefully upon receipt to ensure they are accurate and complete. Recommended the administrator place a copy of the standards related to medications on the medication cart or close to it for staff reference. Also recommended an in-service on all of the medication standards be conducted with all registered medication aides in order to ensure full knowledge and understanding of what is required.

Comments:

Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7/22/2022 from approximately 8:00 am to 10:30 am. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 6 Number of resident records reviewed: 6 (only selected sections) Number of staff records reviewed: 1 (only a selected section) Number of interviews conducted with residents: 4 Number of interviews conducted with staff: 3 Observations by licensing inspector: Medication administration observations Additional Comments/Discussion: This 60-day monitoring inspection was conducted as a follow-up to an inspection that was conducted previously on a self-report. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 Janice Knight, Licensing Inspector at (540) 430-9258 or by email at Janice.knight@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-680-I
Description:	Based upon documentation and an interview, the facility failed to ensure four of the six July 2022 medication administration records (MARs) reviewed included all required information. Evidence: 1. Clonidine for resident 2 did not have a diagnosis. 2. Loxapine for resident 3 did not have a diagnosis. 3. Aripiprazole, Flonase, Quanfacine and Sertraline for resident 5 did not have the diagnoses. 4. Clozapine for resident 6 did not have a diagnosis. 5. On 7/22/2022, the licensing inspector (LI) interviewed the administrator who stated the diagnoses were on the physicians? orders; however, they were not on the MARs.
Plan of Correction:	Diagnosis was added for each medication to individual MARs by RMA before LI left the building on 7/22/2022. Administrator and administrator?s assistant will be responsible for checking the MARs each month to ensure information is accurate and complete. Physician and or pharmacy will be contacted if any information needs clarification. When necessary, administrator/administrator's assistant will write missing information found on the physician?s order sheet onto the MAR. Copy of MAR regulations will be printed and placed by the medication cart so all RMAs will know exactly what is required and have a reminder at their fingertips.