Inspection Reports for Victory Vision Community Connections Day Center
310 Portland Rd., WI, 53594
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
15% worse than Wisconsin average
Wisconsin average: 4.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
11% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Follow-Up
Census: 5
Capacity: 47
Deficiencies: 0
Mar 17, 2025
Visit Reason
An unannounced onsite Verification Visit was conducted as a follow-up to the 2nd Initial and Additional Space survey completed in December 2024 at Victory Visions Community Connections Day Center.
Findings
Victory Visions was found to be in compliance with Wisconsin Administrative Code DHS 105.14 regulations for Adult Day Care Centers. Two participant files were reviewed during the survey.
Report Facts
Total approved square footage: 2360.82
Inspection Report
Original Licensing
Census: 7
Capacity: 17
Deficiencies: 6
Dec 17, 2024
Visit Reason
An unannounced onsite 2nd Initial and Additional Space survey was conducted to assess compliance with Wisconsin Administrative Code DHS 105.14 regulations for Adult Day Care Centers and to evaluate additional space requested by the facility.
Findings
The facility was found out of compliance with multiple regulations including failure to screen participants for communicable diseases, improper medication labeling and documentation, failure to document meals served, lack of hand-washing facilities in the kitchen, improper food storage and labeling, and poor maintenance of the new additional space with safety hazards.
Deficiencies (6)
| Description |
|---|
| Failed to screen participants for communicable disease including Tuberculosis and document results in participant records. |
| Failed to label over-the-counter medications with participant's name and failed to obtain information describing side effects and adverse reactions of each medication. |
| Failed to document the food served at each meal for participants. |
| Failed to provide hand-washing facilities in the kitchen for food handlers. |
| Failed to label and store food in accordance with professional standards of food service safety; undated and unlabeled food observed in refrigerators and freezers. |
| Failed to maintain the premises in good repair; new additional space had rough uneven concrete floors with large cracks, cracked and peeling paint, gaps in sheet rock, and unmarked emergency exit ramp. |
Report Facts
Citations issued: 6
Participant files reviewed: 2
Personnel files reviewed: 2
Square footage original space: 883.02
Square footage additional space: 2360.82
Participants capacity original space: 17
Participants capacity with additional space: 47
Unlabeled medication containers: 9
Food storage areas observed: 2
Kitchens observed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manager A | Interviewed regarding deficiencies including communicable disease screening, medication labeling, meal documentation, food handling, and facility conditions. | |
| Owner B | Mentioned by Manager A as contact for follow-up on participant screening documentation. |
Inspection Report
Follow-Up
Deficiencies: 0
Nov 9, 2023
Visit Reason
An unannounced desk review Verification Visit was conducted as a follow up to the initial certification survey completed on 09/28/2023 at Victory Visions Community Connections Day Center, an Adult Day Care Center located in Waterloo, WI.
Findings
Victory Visions Community Connections Day Center was found to be in Compliance with Wisconsin Administrative Code DHS 105.14 for Adult Day Care Centers. No recitations or citations were issued.
Inspection Report
Original Licensing
Deficiencies: 10
Sep 26, 2023
Visit Reason
An announced onsite initial certification survey was conducted from 09/26/2023 through 09/28/2023 at Victory Visions Community Connections Day Center in Waterloo, WI to assess compliance with Wisconsin Administrative Code DHS: 105.14 for Adult Day Centers.
Findings
The facility was found out of compliance with multiple regulations including failure to post accurate patient rights information, lack of safe medication storage, absence of transportation schedules, missing thermometers in refrigerators/freezers, unsafe ramp identification, no telephone on premises, reversed bathroom sink faucet labels, improper hot water temperature, missing emergency evacuation plan, and absence of smoke detectors in activity rooms and hallways.
Deficiencies (10)
| Description |
|---|
| Failed to post and provide accurate information regarding patient rights, including rights to be free from coercion, physical restraints, seclusion, chemical restraints, and being recorded without consent. |
| Failed to identify an area for medications to be stored, obtained, and assembled for participants. |
| Failed to post transportation options for participants in the facility. |
| Failed to have a thermometer in refrigerators and freezers used to store participants' food. |
| Failed to safely identify a ramp located at the entrance to the main activity area. |
| Failed to have a telephone on the premises accessible during hours of operation. |
| Bathroom sink faucet was reversed in hot and cold water labeling. |
| Hot water temperature at bathroom sink was 118.3 degrees Fahrenheit, exceeding the allowed range of 110 to 115 degrees Fahrenheit. |
| Failed to post the emergency evacuation floor plan identifying exits during an emergency. |
| Failed to have smoke detectors in 2 of 2 activity rooms and 2 of 2 hallways observed. |
Report Facts
Census: 0
Water temperature: 118.3
Refrigerators without thermometers: 2
Freezers without thermometers: 1
Activity rooms without smoke detectors: 2
Hallways without smoke detectors: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manager B | Interviewed regarding lack of posted patient rights, medication storage, transportation schedules, thermometer absence, ramp safety, telephone availability, faucet labeling, water temperature, emergency evacuation plan, and smoke detectors. | |
| Owner A | Interviewed regarding transportation services and awareness of posting requirements. |
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