VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bay Lake Independent, Assisted Living and Memory Care Community
4225 Shore Drive
Virginia beach, VA 23455
(757) 460-8868

Current Inspector: Donesia Peoples (757) 353-0430

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-450-E
Description:	Based on the record review, the facility failed to ensure the ISP shall be signed and dated by the resident or the legal guardian. Evidence: 1. In the record for resident #1, the ISP dated 02/25/22 did not include a documented signature of the resident or legal guardian.
Plan of Correction:	All active resident charts will be reviewed for compliance with obtaining a signature by the resident or legal guardian and corrected as needed. Education will be provided to certified staff on policy and procedure related to signature attainment.
Standard #:	22VAC40-73-460-D
Description:	Based on staff interview and the onsite record review the facility failed to provide supervision of resident schedules, care, and activities including attention to specialized needs. Evidence: 1. The facility reported resident #1 went missing while on a facility outing in the community. The Incident report dated 09/30/22 states ?resident was unable to be located while at an event with Bay Lake Staff.? 2. Staff #1, #2, and # 3 acknowledged resident was missing approximately 30 minutes and located by event police. 2. Resident #1 progress notes by the nurse practitioner dated 05/10/22 and 08/23/22 document a presenting problem and medical history of dementia. 3. Resident #1?s Individualized Service Plan (ISP) dated 02/25/22 documents interventions to include ?Utilize Project Lifesaver? and ?family wants resident to be able to walk with a caregiver or with a staff member.?
Plan of Correction:	The community provided education to staff related to the resident's Individualized Service Plan regarding special needs/supervision with mobility. The resident will have constant supervision for all events attended outside of the community.