Inspection Report
Monitoring
Census: 7
Deficiencies: 9
Apr 23, 2025
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and regulations at Emilia Assisted Living Home.
Findings
The inspection identified multiple violations related to staff training, tuberculosis risk assessments, first aid certification, record availability, medication administration documentation, emergency preparedness planning and reviews, and criminal history record reports. Plans of correction were provided for each violation to ensure future compliance.
Deficiencies (9)
| Description |
|---|
| Failed to ensure direct care staff completed department-approved 40-hour training within two months of employment. |
| Failed to ensure tuberculosis risk assessment was completed on or within seven days prior to first day of work. |
| Failed to ensure direct care staff received first aid certification within 60 days of employment. |
| Failed to ensure all records were made available for inspection by the department's representative. |
| Failed to ensure medication administration records included date prescribed, diagnosis, and name and signature of staff administering medications. |
| Failed to develop a written emergency preparedness and response plan that included documentation of annual contact with the local emergency coordinator. |
| Failed to implement a semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers. |
| Failed to review the emergency preparedness and response plan annually. |
| Failed to ensure criminal history record reports were obtained on or prior to the 30th day of employment for each employee. |
Report Facts
Number of residents present: 7
Number of resident records reviewed: 2
Number of staff records reviewed: 2
Number of interviews conducted with staff: 3
Staff training timeframe: 40
Tuberculosis risk assessment timeframe: 7
First aid certification timeframe: 60
Criminal history record report timeframe: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nina Wilson | Licensing Inspector | Inspector conducting the monitoring visit and interviews |
| Staff 1 | Named in multiple findings related to training, tuberculosis risk assessment, first aid certification, and criminal history record report | |
| Staff 2 | Interviewed during inspection confirming multiple deficiencies | |
| Staff 4 | Mentioned in relation to missing criminal history record report | |
| Staff 5 | Mentioned in relation to criminal history record report | |
| Volunteer 7 | Mentioned in relation to criminal history record report and working as staff member |
Inspection Report
Renewal
Census: 7
Deficiencies: 2
Apr 17, 2024
Visit Reason
The inspection was a renewal visit to assess compliance with applicable standards and laws for Emilia Assisted Living Home.
Findings
The inspection found non-compliance with standards related to staff first aid certification and the annual completion of the Uniform Assessment Instrument (UAI). The facility was cited for expired first aid certifications for direct care staff and failure to complete the UAI annually for a resident.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure that a current certification in first aid is maintained for each direct care staff member. |
| Facility failed to ensure that the Uniform Assessment Instrument (UAI) was completed annually. |
Report Facts
Number of residents present: 7
Number of resident records reviewed: 3
Number of staff records reviewed: 3
Number of interviews with residents: 1
Number of interviews with staff: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Interviewed by licensing inspector regarding expired first aid certifications and UAI assessment | |
| Staff 2 | Record showed expired first aid certification | |
| Staff 3 | Record showed expired first aid certification |
Inspection Report
Routine
Census: 8
Deficiencies: 0
Jun 8, 2023
Visit Reason
An unannounced mandated inspection was conducted to review compliance with applicable standards and laws at Emilia Assisted Living Home.
Findings
The inspection found no violations with applicable standards or laws. Resident and staff records, medication administration, and activities were reviewed and found compliant.
Report Facts
Staff present: 3
Resident records reviewed: 3
Staff records reviewed: 3
Individual interviews: 1
Previous inspection date: Apr 7, 2022
Inspection Report
Renewal
Census: 7
Deficiencies: 1
Apr 7, 2022
Visit Reason
An unannounced renewal inspection was conducted to review compliance with licensing requirements and regulations.
Findings
The inspection found that the facility failed to ensure that individualized service plans (ISPs) were comprehensive and updated to reflect residents' assessed needs, specifically for assistance with dressing, toileting, special diets, and physical therapy.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that the licensee, administrator, or designee developed a comprehensive individualized service plan (ISP) to meet the resident's service needs, as evidenced by missing assessed needs in residents' ISPs. |
Report Facts
Residents in care: 7
Staff providing care: 3
Resident records reviewed: 3
Staff records reviewed: 3
Individual interviews: 1
Inspection Report
Monitoring
Census: 8
Deficiencies: 0
Mar 4, 2021
Visit Reason
A mandated monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with applicable standards and laws.
Findings
The inspection reviewed resident and staff records, medication administration, local fire and health inspections, and background checks. No violations or deficiencies were found during the inspection.
Report Facts
Census: 8
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