VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise on the South Home Care & Transportation
3000 South Street
South chesterfield, VA 23834
(804) 490-8899

Current Inspector: Yvonne Randolph (804) 441-1180

Inspection Date: Oct. 9, 2025

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

Technical Assistance:

file documentation, resident photos, background check, risk ratings

Comments:

Type of inspection: Renewal Dates of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/9/25 2:30p to 4p, 10/21/25 10-10:30 am 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: 10 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: 2 Number of interviews conducted with staff: 1 Observations by licensing inspector: medication administration records, file documentation, resident bedrooms, snacks, facility maintenance and repair Additional Comments/Discussion: the licensee is requesting an increase in capacity - three bedrooms were measured for compliance, Decision regarding the increase in capacity is pending approval. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standards or law, and violations 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 violations will be addressed in order to return the facility to compliance and maintain future compliance with applicable standards 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) 441-1180 or by email at yvonne.randolph@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-250-D
Description:	Based on file reviews, the facility did not ensure that each staff person or household member required to be evaluated shall 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 published by the Virginia Department of Health or a form consistent with it. Evidence: An annual tuberculosis screening was not found in the file of staff #1. When asked, staff #1 stated that anannual screening had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-320-B
Description:	Based on file reviews, the facility did not ensure that a risk assessment shall be completed annually on each resident as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: An annual tuberculosis screening was not found in the file of resident #1. When asked, staff # 1 was unable to find an annual risk assessment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-560-I
Description:	Based on file reviews, the facility did not ensure that a current picture of each resident shall be readily available for identification purposes. Evidence: The face on the pictures of resident #1 and #2 was blacked out and not identifiable
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-690-A
Description:	Based on documentation review, the facility did not ensure that for each resident assessed for residential living care a, licensed health care professional, practicing within the scope of his profession, shall perform an annual review of all the medications of the resident. Evidence: When requested, staff #1 stated that there was no annual medication review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-750-B
Description:	Based on observation, the facility did not ensure that bedrooms shall contain a study chair for each resident and a bedside light accessible to each resident. Evidence: Two bedrooms on the lower floor had two residents and one chair. Two bedrooms, one on the upperr floor and one on the lower floor, did not have a bed light that was accessible to each bed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-870-A
Description:	Based on observation, the facility did not ensure that the interior of the building shall be maintained in good repair. Evidence: The front 1st floor bedroom had a discolored and stained floor and a vent cover missing.(Photos taken)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-870-E
Description:	Based on observation, the facility did not ensure that all furnishings, fixtures, and equipment, including furniture, window coverings, sinks, toilets, bathtubs, and showers, shall be kept clean and in good repair and condition. Evidence: Two dressers in the front downstairs bedroom had broken and/or missing drawers. (Photo taken)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-970-A
Description:	Based on a documentation review, the facility did not ensure that a fire and emergency evacuation drill shall be in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51).and on each shift in a quarter. Evidence: When fire drills were requested, staff #1 stated that there was no fire drills available for review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-990-C
Description:	Based on a documentation review, the facility did not ensure that, at least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Evidence: When asked, staff #1 stated that there was no documentation of emergency exercises available for review.
Plan of Correction:	Not available online. Contact Inspector for more information.