VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Chastain Home for Gentlewomen
370 Mountain Rd.
Halifax, VA 24558
(434) 476-6057

Current Inspector: Cynthia Jo Ball (540) 309-2968

Inspection Date: June 13, 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: Monitoring Date of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 06/13/3023 12:00pm until 3:00pm 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: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 3 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 Cynthia Ball-Beckner, Licensing Inspector at 540-309-2968 or by email at cynthia.ball@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-50-A
Description:	Based on resident record reviews, the facility failed to ensure that the facility disclosure statement contained all required information. EVIDENCE: 1. The records for residents 1 and 3 have a disclosure statement with a creation date of 2016 that does not include all required information per this standards requirements.
Plan of Correction:	The Disclosure statements will include required information with regards to any upcoming, or newly admitted resident.
Standard #:	22VAC40-73-350-B
Description:	Based on resident record review, the facility failed to ascertain prior to admission whether a potential resident is a registered sex offender. EVIDENCE: Resident 1 was admitted to the facility on 12/08/2022; however, the Virginia State Police sex offender registry search that was in resident 1's record was not completed until 12/14/2022.
Plan of Correction:	In the future, the Chastain Home will properly pay attention to date. All admissions as to whether a potential resident is a registered sex offender will be done in accordance with Department of Social Service Requirements.
Standard #:	22VAC40-73-860-I
Description:	Based on observations of the facility physical plant, the facility failed to store hazardous materials in a locked area. EVIDENCE: 1. A can of WD-40 was observed sitting out on a dresser in the room upstairs to the right past the elevator.
Plan of Correction:	The Maintenance, and other staff members have been properly trained and understand the importance of storing hazardous materials in a locked area. This has been corrected.
Standard #:	22VAC40-73-870-A
Description:	Based on observations of the facility physical plant, the facility failed to maintain the interior/exterior of the building in good repair. EVIDENCE: 1. The upstairs porch was noted to have a crack/loose plaster in the floor in the front of the porch.
Plan of Correction:	Maintenance will contact a contractor to retrieve prices for repair. These quotes will be forwarded to the Board of Trustees for approval. Work on the porch will commence as soon as possible. The Administrator will send dates to the Licensing Division.