Chesapeake Place
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State Inspection History
State Inspections
Source: VA State Licensing Agency
Sep 9, 2025Routine11Report
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: 09/09/2025 from 08:25am-05:00pm. 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: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed:3 Number of interviews conducted with residents:5 Number of interviews conducted with staff: 5 Observations by licensing inspector: 3 Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. Breakfast, lunch and an activity were observed. A medication pass observation was completed for three residents. The following was reviewed: resident and staff records, medication carts, fire inspection report, health inspection report, and a staffing schedule. Water temperature was measured, and the call bell system was monitored. An exit meeting will be 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a review of six resident records and interview, it was determined that prior to placing a resident with a serious cognitive impairment due to a primary psychiatric diagnosis of dementia in a safe, secure environment, the facility shall obtain the written approval of one of the following persons, a guardian or other legal representative of the resident if one has been appointed. Evidence: 1. The record for resident #4 did not contain the signature of the legal guardian. 2. Staff #5 reviewed the document and confirmed that the guardian did not sign the Written Approval for resident #4.
Based on a review of three staff records, it was determined that the facility did not ensure that each direct care staff member shall maintain current certification in First Aid from the American Red Cross, American Heart Association, National Safety Council, American Safety and Health Institute, community college, hospital, volunteer rescue squad, or fire department. Evidence: 1. The record for Staff #1 contained a First Aid card that expired 7/20/25. 2. Staff #5 reviewed the record for staff # 1 and was unable to provide documentation during the onsite inspection that the staff had a current first aid certification.
Based on the review of six resident records and interview, it was determined that the facility did not ensure the assisted living facility administrator shall provide written assurance to the resident that the facility has the appropriate license to meet his care needs at the time of admission. Evidence: 1. The record for Resident #1, admission date 8/15/25 did not contain the Written Assurance. 2. The record for Resident #3, admission date 3/27/25 did not contain the Written Assurance. 3. The record for Resident #4, admission date2/10/25 did not contain the Written Assurance. 4. The record for Resident #5, admission date11/1/24, did not contain the Written Assurance. 5. Staff #5 reviewed the record for Residents #1, #3, #4, and #5 and was unable to provide documentation of the Written Assurance during the onsite inspection on 9/9/2025.
Based on the review of six resident records and interview, it was determined that the facility did not ensure that the physical contains a statement that specifies whether the individual is or is not capable of self- administering medication, and results of a risk assessment documenting the absence of tuberculosis in a communicable form as evidenced by the completion of the current screening form. Evidence: 1. The record for resident #3 did not contain a statement that specifies whether the individual is or is not capable of self- administering medication. 2. The record for resident #4 TB Assessment did not contain the signature of the examining physician or his designee. 3. Staff #5 confirmed that the physical examination report for Resident #3 did not contain a statement that specifies whether the individual is or is not capable of self- administering medication during the onsite inspection for resident # 1 on 9/9/25. 4. Staff #5 confirmed the TB assessment for Resident #4 did not contain the signature of the physician or his designee during the onsite inspection on 9/9/2025.
Based on the review of six resident records and interview, it was determined that the facility did not ensure that the all residents of and applicants to assisted living facilities shall be assessed face to face using the uniform assessment instrument in accordance with Assessment in Assisted Living Facilities (22VAC30-110). The UAI
Based on the review of six resident records, it was determined that the facility did not ensure that the Individualized Service Plan ( ISP
Based on the review of six resident records and interview, it was determined that the facility did not ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each resident, or his legal representative or responsible individual as stipulated in subsection H of this section and each staff person. Evidence of this review shall be the resident's, his legal representative's or Evidence: 1. The record for resident #2 record contained the rights and responsibilities of residents document that was dated 3/28/23. 2. The record for resident #6 record contained the rights and responsibilities of residents document that was signed and dated 3/13/23. 3. Staff #5 reviewed the records for residents #2 and #6 was unable to provide documentation during the onsite inspection that the resident rights and responsibilities were reviewed annually for each of the residents listed.
Based on observation, a review of the facility?s medication plan and interview, it was determined that the facility shall have, keep current, and implement a written plan for medication management. The facility's medication plan shall address procedures for administering medication and shall include A plan for proper disposal of medication Evidence: 1. During the medication cart inspection, Bayer 81mg tabs for resident #7 were found with an expiration date of 02/2025. 2. During the medication cart inspection, Acetaminophen 500mg tabs for resident #7 were found with an expiration date of 06/2023. 3. During the medication cart inspection, Ventolin HFA Aerosol inhaler for resident #8 were found with an expiration date of 04/30/2025. 4. Staff #2 confirmed the medication for residents #7 and #8 were expired.
Based on the review of the Emergency Preparedness binder and interview, it was determined that the facility did not ensure to review the emergency preparedness plan annually or more often as needed, document the review by signing and dating the plan, and make necessary plan revisions. Such revisions shall be communicated to staff, residents, and volunteers and incorporated into the orientation and semi-annual review for staff, residents, and volunteers. Evidence: 1. Evidence: 1. Staff #5 was unable to provide documentation of an annual review of the facility?s emergency preparedness plan during the onsite inspection on 9/9/2025. 2. Staff #5 confirms an annual review of the Emergency Preparedness Plan was not completed for 2025.
Based document reviewed, the facility did not ensure that the fire and emergency evacuation drill frequency and participation was in accordance with the current edition of the Virginia Statewide Fire Prevention Code (13VAC5-51). Evidence: 1. On 9/9/2025, a check of the facility?s fire drills log did not include documentation of a fire and emergency evacuation drill for the month of June 2025, July 2025 or August 2025. 2. Staff #5 confirms Emergency drills were not conducted for the months of June 2025, July 2025 and August 2025.
Based on document reviewed and staff interviewed, the facility did not ensure at least every six months, all staff currently on duty on each shift participate in an exercise in which the procedures for resident emergencies are practiced. Evidence: 1. On 9/9/25, the facility did not have documentation of staffs? participation in an exercise in which the procedures for resident emergencies are practiced. 2. Staff #5 acknowledged not having documentation of resident emergency practice during the onsite inspection 9/9/2025.
Jul 21, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 15:10 pm to 17:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/17/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents:5 Number of interviews conducted with staff: 2 Observations by licensing inspector: An observation of dinner and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a review of documentation and interviews, it was determined that the facility did not ensure that the assisted living facility shall ascertain, prior to admission, whether a potential resident is a registered sex offender. Evidence: 1. A review of Resident #1?s record, admission date 11/21/2024 did not include a Sex Offender Registry check. 2. Staff #1 confirmed there was no Sex Offender Registry check for Resident #1 prior to admission.
Based on a review of documentation and interviews, it was determined that the facility did not ensure that the facility shall assume general responsibility for the health, safety, and well-being of the residents. Evidence: 1. An APS report was received by the Office of Licensing regarding Resident #1 who was pushed by Resident #2 while exiting the dining hall. 2. An interview with Resident #1 confirmed she was pushed by Resident #2. 3. Staff #1 reviewed the incident report and confirmed the incident did occur, and staff intervened to provide assistance once Resident #1 reported the incident.
Jul 21, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 15:10 pm to 17:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/17/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents:5 Number of interviews conducted with staff: 2 Observations by licensing inspector: An observation of dinner and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a review of documentation and interviews, it was determined that the facility did not ensure that a risk assessment for tuberculosis shall be completed annually on each resident Evidence: 1. A review of Resident #3?s record, admission date 7/15/2024, did not include an annual tuberculosis evaluation. The record contained a tuberculosis evaluation dated 6/27/2024. 2. Staff #1 confirmed the annual tuberculosis evaluation was not present in Resident #3?s record.
Jul 21, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 15:10 pm to 17:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/17/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents:5 Number of interviews conducted with staff: 2 Observations by licensing inspector: An observation of dinner and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a review of documentation and interviews, it was determined that the facility did not ensure that the assisted living facility shall ascertain, prior to admission, whether a potential resident is a registered sex offender. Evidence: 1. A review of Resident #1?s record, admission date 11/21/2024 did not include a Sex Offender Registry check. 2. Staff #1 confirmed there was no Sex Offender Registry check for Resident #1 prior to admission.
Based on a review of documentation and interviews, it was determined that the facility did not ensure that the facility shall assume general responsibility for the health, safety, and well-being of the residents. Evidence: 1. An APS report was received by the Office of Licensing regarding Resident #1 who was pushed byResident #2 while exiting the dining hall. 2. An interview with Resident #1 revealed she was pushed by Resident #2. 3. Staff #1 reviewed the incident report and confirmed the incident did occur, and staff intervened to provide assistance once Resident #1 reported the incident.
Jul 21, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 15:10 pm to 17:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/8/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents:5 Number of interviews conducted with staff: 2 Observations by licensing inspector: An observation of dinner and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a review of documentation and interviews, it was determined that the facility did not ensure that a risk assessment for tuberculosis shall be completed annually on each resident Evidence: 1. A review of Resident #3?s record, admission date 7/15/2024, did not include an annual tuberculosis evaluation. The record contained a tuberculosis evaluation dated 6/27/2024. 2. Staff #1 confirmed the annual tuberculosis evaluation was not present in Resident #3?s record.
Jul 21, 2025ComplaintCleanReport
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/21/2025 15:10 pm to 17:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/18/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents:2 Number of interviews conducted with staff: 1 Observations by licensing inspector: An observation of dinner and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
May 21, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 05/21/2025 9:30 am to 12:00pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 4/23/2025 regarding allegations in the area(s) of: Resident Care And Related Services. Number of residents present at the facility at the beginning of the inspection: 80 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents:1 Number of interviews conducted with staff: 2 Observations by licensing inspector: An observation of lunch and activity was completed in the assisted living facility. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov.
Based on a review of documentation and interviews, it was determined that the facility did not ensure that the facility shall regularly observe each resident for changes in physical, mental, emotional, and social functioning. The facility shall provide appropriate assistance when observation reveals unmet needs. Evidence: 1. The call bell logs for April 15 2025 for resident #1 shows assistance was requested at 9:02 am from the resident?s bedroom and went unanswered for 1 hour and 33 minutes. 2. The call bell logs for April 15 2025 for resident #1 shows assistance was requested at 9:14 am from the resident?s bathroom and went unanswered for 1 hour and 22 minutes. 3. Staff #1 reviewed documents and confirmed the assistance was requested from resident #1.
Jan 31, 2025Complaint
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 1/31/25 from 4:00 pm to 4:30pm. A complaint was received by VDSS Division of Licensing on 1/22/2025 regarding allegations in the area(s) of: Heating, ventilation, and cooling 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: 74 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents:0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Additional Comments/Discussion: none An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the allegations of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the (complaint(s)/self-report) but identified during the course of the investigation can also be found on the violation notice. 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 Lanesha Allen, Licensing Inspector at 757-715-1499 or by email at Lanesha.allen@dss.virginia.gov
Based on a complaint received, the heating system in the residents room malfunctioned in November. The resident was provided a space heater on 11/25/24 while heater repairs were in progress. The facility did not ensure that heat shall be supplied from a central heating plant or an electrical heating system in accordance with the Virginia Uniform Statewide Building Code (13VAC5-63). Evidence: 1: Facility placed a Space heater in resident #1?s room due to heater not working in residents? room on 11/25/24. 2. Local Fire Marshall removed space heater from resident #1s room on 01/22/25. The Fire Marshall did not approve the space heater for use. 3. Staff #1 confirms the use of the space heater and delay of the heater repairs due to parts ordered not arriving.
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