VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Continued Care LLC
2707 Catchpenny Road
Richmond, VA 23223
(804) 303-3741

Current Inspector: Belinda Dyson (804) 662-9780

Inspection Date: Feb. 3, 2023 , Feb. 5, 2023 and Feb. 6, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS ARTICLE 1 ? SUBJECTIVITY 32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS 63.2 GENERAL PROVISIONS 63.2 PROTECTION OF ADULTS AND REPORTING 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 FACILITIES AND PROGRAMS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-80 COMPLAINT INVESTIGATION 22VAC40-80 SANCTIONS

Comments:

Type of inspection: Renewal Date(s) of inspection: 1) 02/03/2023, 2) 02/05/2023, 3) 02/06/2023, and time the licensing inspector was on-site at the facility for each day of the inspection: 1) 8:21 a.m. ? 8:40 a.m., 2) 12:30 p.m.- 2:30 p.m., 3) 5:49 p.m.- 6:00 p.m. 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: 06 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 03 Number of staff records reviewed: 02 Number of interviews conducted with residents:02 Number of interviews conducted with staff: 02 Observations by licensing inspector: buildings/grounds, record reviews, first aid kit, training records, emergency food supplies, medication administration observation, and meal observation. Additional Comments/Discussion: 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 Vashti Colson, Licensing Inspector at (804) 662-9432 or by email at Vashti.Colson@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-560-F
Description:	VIOLATION: Based upon, the staff interviews and contact, the facility failed to ensure that all records shall be made available for inspection by the department's representative. EVIDENCE: During the February 2, 2023, renewal visit, the facility failed to have the resident and staff records available for inspection by the department?s representative.
Plan of Correction:	All Direct Care Staff will have keys to Staff and Residents records that have been relocated.
Standard #:	22VAC40-73-660-A
Description:	VIOLATION: Based upon observation during the building tour, the facility failed to have all medications stored in a cabinet, container, or compartment that shall be used for storage of medications and dietary supplements prescribed for residents when such medications and dietary supplements are administered by the facility. Medications shall be stored in a manner consistent with current standards of practice. EVIDENCE: During the February 2, 2023, renewal inspection visit, it was noted that the front desk had a sealed pharmacy bag laying on top of the desk with medication enclosed. Staff #2 informed the licensing representative that the medication was delivered yesterday (2/1/2023) to the facility by the pharmacy and that the item was placed on the front desk counter for the Med Tech to process upon her return.
Plan of Correction:	A new lock box cabinet has been purchased for medication that may be dropped off during the night if and when the Med Tech is not at the facility for the Direct Care Staff to lock up until the Med Tech arrives and lock in the Med Tech closet.