VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Kensington Reston
11501 Sunrise Valley Drive
Reston, VA 20191
(571) 494-8100

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: Aug. 3, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

Technical Assistance:

Discussed the requirements of Standard 970.E Fire and Emergency Evacuation Drills and Standard 450 Individualized Service Plans Reviewed the Allowable Variance Request for the Dogwood Floorplan and will submit for approval to increase capacity. Please update the contact information for the Licensing Administrator to Nancy Hunter (540) 309-2796

Comments:

A renewal inspection was initiated on 8/2/2021 and concluded on 8/3/2021. The Administrator was contacted by telephone to initiate the inspection. The Administrator reported that the current census was 45. The inspector emailed the Administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed three resident records, three staff records, activities calendar, staff schedules, medication administration records, dietary oversight, fire and emergency drills that were submitted by the facility to ensure documentation was complete. The inspector conducted the on-site portion of the inspection on 8/3/2021. An exit interview was conducted with the Administrator on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued. Please feel free to contact me at lynette.storr@dss.virginia.gov if you have any questions.