VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Avalon House in McLean
1503 Oakview Drive
Mc lean, VA 22101
(301) 656-8823

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-73-560-E
Description:	Based on observation, the facility failed to ensure that resident records are kept in a locked area. Evidence: Shortly after 9 AM, a cabinet was left unlocked and unattended. The cabinet contained resident records.
Plan of Correction:	At the time of the inspection, facility had a census of 2 residents. The medication & resident record cabinet is located in the dining room. The two residents were sitting in the living room being attended to by 2 caregivers making it a 1:1 staff to resident ratio. The Medication Technician was also in the living room with the two residents and two other caregivers where the living room connects to the dining room. The Medication Technician was around four feet from the medication & resident record cabinet, which was closed, and was in the standing in pathway that would have been taken from the living room to the dining room by either of the two residents should they have attempted to open the medication cabinet. Facility RN will retrain the Medication Technician to ensure the cabinet is kept locked and not left unattended. Administrator and RN will do spots checks.
Standard #:	22VAC40-73-660-A-1
Description:	Based on observation, the facility failed to ensure that the medication storage area remains locked. Evidence: Shortly after 9 AM, a cabinet was left unlocked and unattended. The cabinet contained resident medication.
Plan of Correction:	At the time of the inspection, facility had a census of 2 residents. The medication & resident record cabinet is located in the dining room. The two residents were sitting in the living room being attended to by 2 caregivers making it a 1:1 staff to resident ratio. The Medication Technician was also in the living room with the two residents and two other caregivers where the living room connects to the dining room. The Medication Technician was around four feet from the medication & resident record cabinet, which was closed, and was in the standing in pathway that would have been taken from the living room to the dining room by either of the two residents should they have attempted to open the medication cabinet. Facility RN will retrain the Medication Technician to ensure the cabinet is kept locked and not left unattended. Administrator and RN will do spots checks.
Standard #:	22VAC40-73-680-I
Description:	Based on record review, the facility failed to ensure that the medication administration record (MAR) includes: the time that each medication is given. Evidence: The April and May MARs, for Resident #1, did not include the time that each medication was scheduled to be given. Resident #1?s MARs included AM or PM for each medication, but no times were listed to indicate when the resident?s medications would be administered.
Plan of Correction:	RN that works with facility will retrain Medication Technician in regard to MAR documentation and administration times. RN will check the MARS monthly.