VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sun Rise on the South Home Care and Transportation
3000 South Street
South chesterfield, VA 23834
(804) 605-7573

Current Inspector: Yvonne Randolph (804) 662-7454

Inspection Date: Jan. 8, 2024

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

Comments:

Type of inspection: Monitoring, Non-Mandated Date of inspection the licensing inspector was on-site at the facility for each day of the inspection: 1/8/23, 1p to 2:30p The Acknowledgement of Inspection form was emailed for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 0 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Postings, Snacks, Facility maintenance and cleanliness,Medication storage and administration An exit meeting was 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 Yvonne Randolph, Licensing Inspector at 804-662-7454 or by email at yvonne.randolph@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-210-A
Description:	Based on a review of staff files, all direct care staff did not attend at least 14 fours of training annually. Evidence: The file for staff # 2 did not contain any training for 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-210-G
Description:	Based on a review of staff files, one direct care staff who is a licensed health care professional did not attend at least 12 hours of training. Evidence: The file for staff # 2 did not contain at least 12 hours of annual training .
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-250-D
Description:	Based on a review of two staff files, each staff person required to be evaluated did not annually submit the results of a risk assessment documenting that the individual is free of tuberculosis in a communicable form as evidenced by the completion of the current screening form by the Virginia Department of Health or a form consistent with it. Evidence: The files for staff # 1 and # 2 did not have an annual tuberculosis screening.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-440-A
Description:	Based on a review of two resident files, uniform assessment instruments were not completed at least annually. Evidence: The last documented uniform assessment instrument for resident # 1was dated 10/10/22. The last documented uniform assessment instrument for resident # 2 was dated 8/4/22.
Plan of Correction:	Not available online. Contact Inspector for more information.