VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Aspen Hill Assisted Living
12395 Forest Hill Road
Woodbridge, VA 22192-2015
(703) 597-2627

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Jan. 9, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity

Technical Assistance:

The new generator requirements were discussed

Comments:

Date of Inspection: January 9, 2020; 9am to 12:00pm Type of Inspection: Monitoring Census 5 4 resident charts reviewed, 3 staff charts reviewed and 4 interviews If you have any questions or email changes, please do not hesitate to contact me at ken.koontz@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. All previous self-reported incidents were reviewed at this time

Violations:

Standard #:	22VAC40-73-640-A
Description:	Based on observations, chart review and interviews it was determined the facility did not keep current, and implement a written plan for medication management. Evidence: Resident A had Haldol stored in the medicine cabinet. The facility was not performing a narcotic count per shift as required on all schedule 2 medications.
Plan of Correction:	Corrected at time of the inspection. The Administrator, or another nurse, will perform a routine audit to ensure all narcotics are stored properly, and counted per shift, as required.