The Barry Robinson Center

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 A20260027; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1 and Employee#2 left Individual #1 unattended on the unit during dinner hour. 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.

"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 A20260024; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1 left Individual #1 unattended on the unit during dinner hour. 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.

"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 A20260016; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1 did not provide adequate supervision due to being on their cell phone resulting to Individual #1 being struck in the face by another peer. 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.

"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- 20250084; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1 did not provide adequate supervision while in the classroom setting resulting in Individual #1 being poked and touched inappropriately by another peer. 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.

"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- 20250074; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1, Employee #2 and Employee #3 did not provide adequate supervision resulting to Individual #1 retrieving a sharpener and engaging in self-harm. 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 : 12VAC35-115-230. A. (2) Providers shall collect, maintain, and report the following information concerning abuse, neglect, and exploitation: 2. The director of ...

Upon review of progress and nurse's notes found in the Individual #1 record, it was determined that Individual # 1 taken to the Urgent Care/Emergency Room for a broken finger (9.18.23) and a concussion on (9.27.23). Allegation of staff were bringing foods that were prohibit to the unit due to a known allergy (9.17.2023). None of these incidents were reported to CHRIS system.

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." Following a review of Individual #1 record it was noted in a nurse's note Employee #1 provided and permitted Individual #1 to have granola despite a known nut allergy on 10.26.2023.

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.

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- 20240014-20240015; 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 and Employee #2. Employee #1 and Employee #2 didn't notice when Individual #1 and Individual # 2 had left facility. 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.

"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- 20240013; the provider's investigation includes staff admission and eyewitness statements which revealed that Individual #1 picked a lock and eloped from the facility while under the supervision of Employee #1. 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 : 12VAC35-115-60. 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 C- 20240002; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee #1 did not document specific sequence of events into Individual's record at the time of services or discharge. Based on the investigative findings of the provider, there is a preponderance of evidence to support the advocate'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 C- 20240001; the provider's investigation includes staff admission and eyewitness statements which revealed that Employee#1 did not follow policies and procedures to verify the callers prior to placing them on the phone with individuals in the facility. 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: 20240010 Date/Time of Discover: 03/23/2024 9:00AM Enter Date/Time: 03/25/2024 4:07PM Reporting Delay: 31:7:00 Location Name: The Barry Robinson Center

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- 20240001 the provider's investigation includes review of cameras and eyewitness statements which revealed that Employee # 1 slapped Individual #1 on the side of the head after Individual #1 threw water. 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.

"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- 20230020; the provider's investigation includes review of cameras and eyewitness statements which revealed that Employee # 1 had inappropriate sexual conversations and exchange letters with sexual content with Individual #1. During the course of the investigation a series of letters exchanged were discovered. Based on the investigative findings of the provider, there is a preponderance of evidence to support the provider's substantiated finding of abuse.