VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Charter Senior Living of Newport News
655 Denbigh Boulevard
Newport news, VA 23608
(757) 890-0905

Current Inspector: Willie Barnes (757) 439-6815

Inspection Date: Aug. 31, 2023 and Sept. 5, 2023

Complaint Related: No

Areas Reviewed:

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 BUILDINGS AND GROUND 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Comments:

Type of inspection: Monitoring An on-site IPOC Monitoring Inspection was conducted on 8-31-23 (AR: 09:40/ Dep 16:20 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. The final exit meeting will be scheduled. 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 (Willie Barnes), Licensing Inspector at (757) 439-6815 or by email at willie.barnes@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-250-C
Description:	Based record reviewed and staff interviewed, the facility failed to ensure an employee record included documentation of a sworn disclosure statement. Evidence: 1. On 8-31-23, staff #5?s record did not include documentation of a sworn disclosure statement. 2. Staff #1 and #4 acknowledged the staff?s record did not include a sworn disclosure statement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-320-A
Description:	Licensee/provider did not provide POC by due date Based on record reviewed and staff interviewed, the facility failed to ensure the resident?s physical examination document included all required information. Evidence: 1. On 8-31-23, resident #2?s physical examination document dated 8-24-23 did not include the resident?s height, weight, and blood pressure. 2. Staff #2 and #3 acknowledged the resident?s physical examination document did not include all required information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-450-A
Description:	Based on record reviewed and staff interviewed, the facility failed to ensure the preliminary plan of care included all assessed needs. Evidence: 1. On 8-31-23, resident #2?s uniformed assessment instrument (UAI) dated 8-16-23 noted dressing need assessed as mechanical help/physical assistance. The preliminary plan of care noted dressing services received as physical assistance. 2. Staff #2 and #3 acknowledged the resident?s assessed need was not what was documented on the service plan for services provided.
Plan of Correction:	Not available online. Contact Inspector for more information.