VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Virginian
9229 Arlington Boulevard
Fairfax, VA 22031
(703) 385-0555

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date: Oct. 5, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated self-report inspection was initiated on 10/5/21 and concluded on 11/8/21. A self-reported incident was received by the department regarding an allegation in the area of: Resident Care and Related Services. The administrator was contacted by telephone to conduct the inspection. The licensing inspector emailed the administrator a list of documentation required to complete the investigation. The licensing inspector conducted on-site observations at the facility on 10/5/21 and 10/15/21. The evidence gathered during the investigation supported the self-report of non-compliance with standards or law, and a violation was issued. Any violations not related to the self-report but identified during the course of the investigation can be found on the violation notice.

Violations:

Standard #:	22VAC40-73-460-D
Description:	Based on record review and documentation, the facility failed to supervise resident schedules, care, and activities, including attention to specialized needs, such as prevention of falls and wandering from the premises. Evidence: Resident #1 eloped from the special care unit on 10/1/21. A facility staff member reported observing Resident #1 walking in the parking lot at approximately 11:30 AM. The staff member asked Resident #1 where she was going, and she replied that she was going to the store. The staff member was able to redirect the resident back to the unit. Facility staff reported that Resident #1 was able to leave the unit, as a door on the unit was unsecured. The record for Resident #1 contains an assessment of serious cognitive impairment, dated 10/28/20, that states that she has a severe cognitive impairment and that she is unable to recognize danger or protect her own safety and welfare. Resident #1's record also contains a Uniform Assessment Instrument (UAI), dated 8/6/21. The UAI indicates that Resident #1 engages in wandering or passive behavior weekly or more.
Plan of Correction:	Not available online. Contact Inspector for more information.