VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Emilia Assisted Living of Ashlawn Court
6533 Ashlawn Court
Springfield, VA 22150
(703) 417-9324

Current Inspector: Alexandra Roberts (804) 845-6956

Inspection Date: Feb. 26, 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 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Technical Assistance:

Please note: Refer to the DSS website for an updated copy of the Disclosure Statement and Healthcare Oversight. Standard 490.D requires that the specific residents for whom the oversight was provided must be identified. Please have residents/families sign the updated Disclosure Statement when complete.

Comments:

An unannounced monitoring inspection was conducted on 2/26/2020. At the time of entrance six residents were in care with three staff providing care. The sample size consisted of three resident records and two staff records. Resident and staff records and other documentation were reviewed. Background checks of all staff hired since the previous inspection on 10/23/18 were reviewed. Residents were observed eating breakfast and and engaging in activities including music appreciation and current events. Medication administration was reviewed. Violations cited and assigned risk ratings were reviewed during the exit interview. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-870-A
Description:	Facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: The backsplash over the kitchen sink is dirty and stained, fan enclosure above the stove is discolored, a knob is missing for one of the burners and the cabinets are scratched and the finishing is wearing off on them.
Plan of Correction:	Owner will have the kitchen deep cleaned and will have the cabinets painted. Stove will be repaired or replaced.