VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Clara's Adult Home
1638 W. Grace Street
Richmond, VA 23220
(804) 353-6573

Current Inspector: Coy Stevenson (804) 972-4700

Inspection Date: Oct. 24, 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 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: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: An on-site inspection of the facility was completed on October 20, 2025, as part of the renewal of licensure process. The inspection began at approximately 12:15 PM and concluded at approximately 2:30 PM 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: 13 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: 2 Observations by licensing inspector: The residents were observed to be appropriately dressed and groomed for the weather conditions, types of activities they were engaged in, and time of day. Interactions amongst residents and with staff were appropriate. There were no evident conditions in the home or the surrounding grounds that were indicative of being kept in unsafe/unsanitary conditions. Additional Comments/Discussion: 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 Coy Stevenson, Licensing Inspector at (804) 972-4700 or by email at coy.stevenson@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-100-A
Description:	Based on a review of documentation and inter-views, the facility did not ensure that an annual review of infection prevention policies and procedures was completed, and any necessary updates were made. Evidence: 1) At the time of the on-site review, the facility did not have documentation showing that an annual review of the infection prevention policies and procedures occurred. 2) Employee #1 confirmed during their interview that an annual review of the infection prevention policies and procedures did not occur.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-980-E-1
Description:	Based on a review of documentation and interviews, the facility did not maintain documentation of monthly emergency generator tests. Evidence: 1) The facility is equipped with an emergency generator and is subject to the requirements of conducting and documenting monthly tests of the emergency generator. 2) Employee #1 confirmed during their interview that monthly tests of the emergency generator did not occur.
Plan of Correction:	Not available online. Contact Inspector for more information.