VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hunters Woods at Trails Edge
2222 Colts Neck Road
Reston, VA 20191
(703) 429-1130

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: July 7, 2021

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 RESIDENT CARE AND RELATED SERVICES

Comments:

A non-mandated complaint inspection was initiated on 7/07/2021 and concluded on 9/29/2021. A complaint was received by the department regarding allegations in the areas of staffing and resident care. The Executive Director was contacted by telephone to conduct the investigation. The licensing inspector emailed a list of documentation required to complete the investigation. The licensing inspector conducted an on-site observation at the facility on 7/07/2021. The evidence gathered during the investigation supported the allegation of non-compliance with standards or law, and violations were issued. Any violation not related to the complaint but identified during the course of the investigation can be found on the violation notice. Exit interview with the Administrator. Areas of non-compliance are identified on the violation notice. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return to the licensing office within 10 calendar days. Please specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. The plan of correction must contain: 1) steps to correct the non-compliance with the standard(s), 2) measures to prevent the non-compliance from occurring again, 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s), and 4) date that that plan of correction will be completed. Thank you for your cooperation and if you have any questions please call (703) 895-5627 or contact me via e-mail at jeannette.zaykowski@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-450-H
Complaint related:	Yes
Description:	Based on documentation review, interviews, and observation, the facility failed to ensure that the care and services specified in the Individualized Service Plan (ISP) are provided to each resident. EVIDENCE: 1. The ISP for Resident 1,dated (05/04/2021) showed staff are to assist resident with hearing aids and will turn on/off as needed, place/remove them in ears daily, remind resident to leave them in ears, and place them in the charger at night. 2. Interviews with and emails from Collateral 2 and Collateral 3 revealed upon their visits with resident 1 on 06/14/2021, 06/12/2021, 06/10/2021, 06/8/2021, 06/07/2021, 06/06/2021, 06/01/2021, 05/31/2021, 05/20/2021, 05/19/2021, 05/16/2021, 05/15/2021, 05/14/2021, 04/14/2021, 04/10/2021, 03/31/2021 the hearing aids were not in ears or were not turned on. 3. The LI observed hearing aids in the ears of Resident 1 on 07/07/2021; however the hearing aids were not turned on. The LI asked the resident to demonstrate turning the aids off and the resident was unable to do so.
Plan of Correction:	Not available online. Contact Inspector for more information.