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Tamia Colbert
160 Collington Drive
Lynchburg, VA 24502
(434) 444-0288

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Nov. 9, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 General Qualifications
8VAC20-790 Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies

Comments:
An unannounced Subsidy Inspection was conducted on 11/9/2022. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 8VAC20-790-250-D-1
Description: Based on staff/caregiver record review, the Licensee failed to ensure that all care givers have current First Aid and CPR

EVIDENCE:
1. Record for Staff #3 did not include documentation to confirm current First Aid & CPR certification. The record shows that CPR expired 2/28/2019 and there is no FA documentation in the record.

Plan of Correction: Staff will complete First Aid and CPR certification training. Documentation of the training will be kept in the staff record.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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