VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Avalon House on Dolley Madison
829 Dolley Madison Boulevard
Mc lean, VA 22101
(301) 656-8823

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: May 26, 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 RESIDENT CARE AND RELATED SERVICES 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Comments:

This inspection conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A mandated monitoring inspection initiated on 5/26/2021 and concluded on 5/26/2021. The Administrator contacted by email to initiate the inspection. The Administrator reported that the current census was seven. The inspector emailed the Administrator a list of items required to complete the inspection. The inspector reviewed five resident records, five staff records, local fire and health inspection and other documentation submitted by the facility to ensure documentation complete. The information gathered during the inspection determined no violations with applicable standards or law. No violations issued. Thank you for your cooperation and if you have any questions please call 703-314-0604 or contact me via e-mail at tammy.pruitt@dss.virginia.gov.