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: Jan. 5, 2023

Complaint Related: No

Areas Reviewed:

Personnel Resident Care and Related Services Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments

Comments:

Date of Inspection: January 5, 2023 Type of Inspection: Monitoring Standards Investigated: As stated above Self-report allegation of physical abuse, allegation was valid and a violation was cited. If you have any questions, please do not hesitate to contact me at (540) 680-9469 or sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection, you can find the information on the internet: www.dss.virginia.gov The Administrator and the Licensing Inspector discussed the risk assessment ratings for the violations for this inspection.

Violations:

Standard #:	22VAC40-73-1140-B
Description:	Based on record record review and staff interview, it was determined that Staff A did not receive required cognitive impairment training. Evidence: Staff A's record did not contain documentation of required training in cognitive impairment within four months of the staff member's starting date.
Plan of Correction:	The Executive Director reviewed the current onboarding process and training tracker process in place for staff. Our Human Resources manager is conducting a complete audit of all team member files to ensure training compliance. A training has been scheduled for 1/26/23 and 1/27/23 to include required dementia training hours. A new process has been implemented to ensure all team members receive their required training prior to the training deadline. Any team member who is unable to attend the required training will be removed from the work schedule until they attend additional dates the required training is scheduled. File audits will also be conducted monthly for 10% of the staff by Human Resources manager to ensure ongoing training compliance.