VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Emilia Assisted Living Home
5501 Brookland Road
Alexandria, VA 22310
(703) 971-5205

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: April 7, 2022

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 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.

Comments:

An unannounced renewal inspection was conducted on 4/7/2022. At the time of entrance seven residents were in care with three staff providing care. The sample size consisted of three resident records, three staff records and one individual interview. Resident and staff records and other documentation were reviewed. Virginia State Police background checks reviewed for all new staff hired since the previous inspection conducted on 3/3/2021. Residents were observed eating breakfast and engaging in activities including current events and socializing with staff. Medication administration was reviewed. Exit interview held with Administrator. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-450-B
Description:	Based on documentation review and staff interview, the facility failed to ensure that the licensee, administrator, or his designee who has successfully completed the department-approved individualized service plan (ISP) training, provided by a licensed health care professional practicing within the scope of his profession, shall develop a comprehensive ISP to meet the resident's service needs. Evidence: Resident #2's most recent UAI dated 1/6/2022 indicates that the resident requires assistance with dressing and toileting. This assessed need is not included on Resident #2's most recent ISP dated 1/17/2022. Resident #1 has a dietary note dated 12/22/2021 indicating that the resident is on a mechanical soft diet and a note indicating that the resident receives Physical Therapy (PT). The assessed need for a special diet and PT are not included on Resident #1's most recent ISP dated 1/24/2022.
Plan of Correction:	All ISPs will be reviewed and updated as required by the Administrator.