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The Residences at Lynn House
4400 W. Braddock Road
Alexandria, VA 22304
(703) 379-6000

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: April 8, 2019

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
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

Comments:
An unannounced monitoring inspection was conducted on 4/8/19. At the time of entrance five residents were in care. The sample size consisted of three resident records and three staff records including a review of criminal background checks for new hires since the last mandated inspections. Individual interviews had been conducted earlier. The former Administrator retired and a new Administrator has taken over. This is a Christian Science Facility so medications are not administered. Violation notice issued with the assessed risk reviewed and exit interview held with Administrator. Thank you for your cooperation and if you have any questions please e-mail tammy.pruitt@dss.virginia.gov or call 703-314-0604.

Violations:
Standard #: 22VAC40-73-250-A
Description: Facility failed to ensure A record shall be established for each staff person which included an annual signed copy of a Sworn Disclosure form. This is a new As evidenced by: Staff #1 and staff #2 both had SD forms that were signed upon being hired, but they did not have an updated form. This is a new Regulations that went into effect February 1, 2018.

Plan of Correction: The facility Administrator will ensure that all current staff complete a new Sworn Disclosure form and that all staff will continue to complete the form annually.

Standard #: 22VAC40-73-990-C
Description: The facility failed to ensure At least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Documentation of each exercise shall be maintained in the facility for at least two years.

Plan of Correction: The Administrator will ensure that the Resident Emergency Practice review takes places and will establish a procedure to ensure that it continues to be reviewed at least every six months.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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