VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Paragon Assisted Living McLean, LLC
1612 Brookside Rd
Mclean, VA 22101
(703) 861-3045

Current Inspector: Laura Lunceford (540) 219-9264

Inspection Date: May 31, 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 Article 1 Subjectivity 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.

Technical Assistance:

Please note: Standard 490.D requires that the specific residents for whom the oversight was provided must be identified

Comments:

An unannounced renewal inspection was conducted on 5/31/2022. At the time of entrance eight residents were in care with three staff providing care. The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. The sample size consisted of four 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 6/9/2021. Residents were observed eating breakfast and engaging in activities including current events. Medication administration was reviewed. Exit interview held with Administrator. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Lynette Storr, Licensing Inspector at 703-479-4708 or by email at lynette.storr@dss.virginia.gov

Violations:

Standard #:	22VAC40-73-260-A
Description:	Facility failed to ensure that each direct care staff maintains current certification in First Aid. Evidence: Staff #2 hired on 10/30/2021 does not have documentation to verify that first aid training was completed.
Plan of Correction:	Manager to ensure that employee attends first aid training.
Standard #:	22VAC40-73-560-E
Description:	Facility failed to ensure that resident records are kept in a locked area. Evidence: Upon the Licensing Inspector?s arrival the closet where the resident records are kept was found unlocked.
Plan of Correction:	Manager to conduct training regarding the storage of resident records.