VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Benchmark at Alexandria
3440 Berkeley Street
Alexandria, VA 22302
(571) 386-2200

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: Oct. 17, 2024

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-80 COMPLAINT INVESTIGATION

Technical Assistance:

None

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/17/2024 Time In: 9:15 AM Time Out: 12:53 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 10/16/2024 regarding allegations in the areas of: Personnel and Complaint Investigation Number of residents present at the facility at the beginning of the inspection: 29 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 5 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector (LI) observed breakfast being served, residents interacting with peers and staff, and residents exiting the community for activities. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegations of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-1130-A
Complaint related:	Yes
Description:	Based on record reviews and staff interview, the facility failed to ensure that at least two direct care staff members were awake and on duty at all times in the special care unit who were responsible for the care and supervision of the residents. Evidence: 1. During a review of the special care unit census, July 2024 through January 2025, LI observed that there were six residents present on the unit October through November 2024. 2. The October and November 2024 staff schedule indicated that one staff was scheduled 10/18/2024 and 11/28/2024 on each shift, 7:00 a.m. through 3 p.m., 3:00 p.m. through 11:00 p.m., and 11:00 p.m. through 7:00 a.m. 3. There was one staff scheduled, 3:00 p.m. through 11:00 p.m., and two staff scheduled, 7:00 p.m. through 11:00 p.m. There was one staff scheduled, 11:00 p.m. through 7:00 a.m. 4. On 1/17/2025, LI interviewed staff 5 who confirmed that there was only one staff scheduled on each shift on the safe, secure environment unit in October and November 2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-73-430-H-1
Complaint related:	Yes
Description:	Based on record reviews and staff interview, the facility failed to ensure at the time of discharge a dated statement was provided to the resident, legal representative, and designated contact person. Evidence: 1. Resident 1?s progress notes (12/2/2024) indicated that their legal representative was not provided a written discharge statement. 2. On 1/17/2025, LI interviewed staff 5 who confirmed that the legal representative was not provided a written discharge statement.
Plan of Correction:	Not available online. Contact Inspector for more information.