VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Avalon House on Hardwood Lane
1518 Hardwood Lane
Mc lean, VA 22101
(703) 656-8823

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: March 2, 2020

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 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.

Comments:

An unannounced renewal study was conducted on 3/2/2020. At the time of entrance eight residents were in care. The sample size consisted of four resident records and two staff records. . Resident and staff records and other documentation reviewed. No new staff have been hired since last inspection. Residents were observed eating breakfast and engaging in activities including having a musician come and play the accordion and sing with residents. Medication administration was observed and exit interview held. 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 #:	22VAC40-73-650-A
Description:	Based on documentation review and interview the facility failed to ensure, no medication, dietary supplement, diet, medical procedure, or treatment shall be started, changed, or discontinued by the facility without a valid order from a physician or other prescriber. Medications include prescription, over-the-counter, and sample medications. As evidenced by: Resident #3's most recent doctor's order dated 11/27/2019 and the MAR stated the resident was to receive Vitamin B12 100mcg. However, the medication the receiving was Vitamin B12 1,000mcg.
Plan of Correction:	All prior doctor's orders had been for Vitamin B12 1,000 mcg which is the standard dosage for this medication. Immediately contacted the doctor to clarify the order and the order was verbally changed back to the intended B12 1,000 mcg. Paperwork and MAR were updated to reflect the change.