VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Avalon House on Dominion Crest Lane
1804 Dominion Crest Lane
Mc lean, VA 22101
(301) 656-8823

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: Sept. 9, 2021 and Sept. 13, 2021

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 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.

Comments:

A monitoring inspection was started on 9/9/21 and concluded on 9/13/21 with the inspection findings being reviewed. Today's census was 7. Facilities fire and health inspections are current and activities are varied to meet different level of care needs. Reviewed two staff records and two residents? records including MARs and medication. Other sources of documentation were also reviewed. No violations were found and exit interview conducted. If you have any questions regarding this inspection please contact Tammy Pruitt at tammy.pruitt@dss.virginia.gov.