Newport News Behavioral Health Center RTF

Non-compliance, DBHDS unannounced inspection : 12VAC35-46-590. B. The interior and exterior of all buildings shall be safe, properly maintained, clean, and in good working order. This includes, but is not ...

At the time of the inspection, the provider's bathroom on the boy's side was observed to have black molding along the ceiling and showers.

Non-compliance, DBHDS unannounced inspection : 12VAC35-46-765. H. (1a) - Discharge summaries: 1. No later than 30 days after discharge, a comprehensive discharge summary shall be placed in the resident's ...

At the time of the inspection, the provider submitted a discharge summary that did not address services provided to the resident for Individual #4.

Non-compliance, DBHDS unannounced inspection : 12VAC35-46-765. H. (1b) - Discharge summaries: 1. No later than 30 days after discharge, a comprehensive discharge summary shall be placed in the resident's ...

At the time of the inspection, the provider submitted a discharge summary that did not address the resident's progress toward meeting individualized service plan objective for Individual #4

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260129 the provider's investigation includes staff admission and eyewitness statements which revealed that determined that Employee #1 failed to adhere to the facility's de-escalation techniques resulting in a physical altercation with Individual #1. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care of goods, or services necessary to the health, safety, or wellness of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260109 the provider's investigation includes staff admission and eyewitness statements which revealed that determined that Employee #1 did provide accurate supervision and monitoring resulting in the Individual #1 and a peer engaging in sexual activity.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

" "Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260023, A20260024, and A20260027 the provider's investigation includes eyewitness statements which revealed that Employee # 1 admitted and acknowledge using a derogatory term when speaking with Individual #1 and Individual #2. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of abuse.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care of goods, or services necessary to the health, safety, or wellness of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260045; the provider's investigation includes eyewitness statements which revealed that Employee #1 utilized a restraint technique with Individual #1 that was not in compliance with the Newport News Behavior Center's Behavior Management Policy. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of neglect

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260041 the provider's investigation includes eyewitness statements which revealed that Employee # 1 did not display professionalism and policy issued de-escalation techniques when interacting with Individual #1. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-80. B. (2a) - Providers shall obtain and document in the individual's services record the individual's authorization or that of the authorized ...

Upon review CHRIS entry C20260008; the provider's investigation includes staff admission and eyewitness statements which revealed that determined that Employee #1 discussed the personal treatment of Individual#1 with others. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260029 the provider's investigation includes eyewitness statements which revealed that Employee # 1 did not display professionalism and policy issued de-escalation techniques when interacting with Individual #1 Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. C. (3f) - In services provided in residential and inpatient settings, each individual has the right to: 3. Live in a humane, safe, sanitary ...

Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care of goods, or services necessary to the health, safety, or wellness of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A20260026 the provider's investigation includes eyewitness statements which revealed that the there was a hole in the ceiling with a rag or cloth material to prevent additional cold air from entering. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of abuse.

Non-compliance, DBHDS investigation : 12VAC35-105-290. Any location where the provider is responsible for preparing or serving food shall request inspection and shall obtain approval by state or ...

At the time of inspection, Employee #1 did not implement the provider's policy of Staff Supervision of Children 7. In order to maintain appropriate staff to resident supervision, staff will redirect residents from blind spot areas within the facility. A blind spot is defined as an area or direction in which somebody's vision is obscured. In order to maintain a safe environment, you must be aware of blind spots in your work areas. 10. Supervision of the resident/patient community courtyards and dining halls are as follows: During courtyard time each individual staff member is required to maintain supervision of the resident/patients from opposite areas of the courtyard.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-60. B. (8) The provider's duties. 8. Providers shall ensure that the entries in an individual's services record are at all times authentic ...

Upon review CHRIS entry A- 20250252; the provider's investigation includes staff admission and eyewitness statements which revealed that determined that Employee #1 did accurately document the activities of Individual #1. Based on the investigative findings of the provider, there is a preponderance of evidence to support the substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse. Upon review CHRIS entry A- 20250236; the provider's investigation includes eyewitness statements which revealed that Employee # 1 "playfully" grabbed Individual #1 around the neck at the time that Individual#1 was displaying disrespectful behaviors. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of abuse.

Non-compliance, DBHDS unannounced inspection : 12VAC35-46-300. B. (3) The records of each employee shall include: 3. Professional references;

At the time of the inspection, the provider did not have a documented professional reference for Employee #1.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse. Upon review CHRIS entry A- 20250217; the provider's investigation includes eyewitness statements which revealed that Employee # 1 engage in a physical interaction with Individual #1 and did not utilize proper de- escalation techniques as outlined in policy. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of abuse.

Non-compliance, systemic, DBHDS death or serious incident inspection : 12VAC35-46-1070. C. The provider shall notify the department within 24 hours of any serious illness or injury, any death of a resident, and all other ...

Newport News Behavioral Health This regulation was NOT MET (SYSTEMIC) as evidenced by: CHRIS Number: 20250021 Date/Time of Discover: 06/07/2025 1:30PM Enter Date/Time: 06/09/2025 10:53AM Reporting Delay: 21:23:00 Location Name: Newport News Behavioral Health Note: As this is provider's second step in the Progressive Citation Cycle for the same regulation within a one-year period, measured on a rolling basis, provider has demonstrated systemic noncompliance. Provider was previously cited for late reporting • The first citation was issued on 3/24/25 and is now non- compliant.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

"Neglect means failure by a person, program, or facility operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, responsible for providing services to do so, including nourishment, treatment, care of goods, or services necessary to the health, safety, or wellness of an individual receiving care or treatment for mental illness, intellectual disability, or substance abuse." Upon review CHRIS entry A- 20250021- 20250022; the provider's investigation includes staff admission and eyewitness statements which revealed that Individual #1 and Individual #2 eloped from facility while under the supervision of Employee #1. Employee #1 did not provide adequate supervision at the time of the elopement. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of neglect.

Non-compliance, DBHDS death or serious incident inspection : 12VAC35-46-1070. C. The provider shall notify the department within 24 hours of any serious illness or injury, any death of a resident, and all other ...

CHRIS Number: 20250004 Date/Time of Discover: 02/10/2025 3:43PM Enter Date/Time: 02/13/2025 10:34AM Reporting Delay: 42:51:00 Location Name: Newport News Behavioral Health CHRIS Number: 20250005 Date/Time of Discover: 02/10/2025 3:43PM Enter Date/Time: 02/13/2025 10:39AM Reporting Delay: 42:56:00 Location Name: Newport News Behavioral Health

Non-compliance, DBHDS human rights inspection : 12VAC35-115-175. F. (4) Additional requirements for complaints involving abuse, neglect, or exploitation: 4. The program director shall ensure that the ...

Upon review , a request for verification of Trained Investigator Training, the provider failed to produce verification confirming that staff have completed an approved training. The DBHDS does not have a "train a trainer" course, which resulted in the certificates provided by the provider as invalid.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse. Upon review CHRIS entry A- 20240312; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee#1 was verbal and physical aggressive with Individual #1. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS human rights inspection : 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.

Abuse" means any act or failure to act by an employee or other person responsible for the care of an individual in a facility or program operated, licensed, or funded by the department, excluding those operated by the Department of Corrections, that was performed or was failed to be performed knowingly, recklessly, or intentionally, and that caused or might have caused physical or psychological harm, injury, or death to a person receiving care or treatment for mental illness, intellectual disability, or substance abuse. Upon review CHRIS entry A- 20240320; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee#1 did not utilize the proper therapeutic technique when addressing Individual #1 escalating aggressive behavior. Employee #1 attempted to re-engage in a physical altercation with Individual #1 when other staff assisted, intervened and separated the Employee #1 and Individual #1. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding.

Non-compliance, DBHDS unannounced inspection : 12VAC35-46-350. D. (1) A person appointed after December 28, 2007, to direct programs shall have at least: 1. A master's degree in social work, psychology ...

At the time of the inspection, the record for Employee #1 did not show evidence of holding a bachelor's degree or higher which is a requirement for the Program Director position.