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: Jan. 17, 2025 and Jan. 23, 2025

Complaint Related: No

Areas Reviewed:

22VAC40-73 PERSONNEL 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS ARTICLE 1 ? SUBJECTIVITY

Technical Assistance:

None

Comments:

Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 1/17/2025 Time in: 9:39 a.m. Time out: 11:00 a.m. 1/23/2025 Time in: 11:46 a.m. Time out: 1:50 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 11/29/2024 regarding allegations in the area(s) of: Personnel, Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments, and Article 3: Safe, Secure Environment Number of residents present at the facility at the beginning of the inspection: 43 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 1 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 4 Observations by licensing inspector: Licensing inspector (LI) toured the safe, secure environment unit. LI observed residents engaging in physical therapy, interacting with staff and peers in the common area, and walking to and from their bedrooms. Additional Comments/Discussion: None An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-1140-B
Description:	Based on record reviews and staff interviews, the facility failed to ensure that direct care staff attended at least 10 hours of training in cognitive impairment within four months of the starting date of employment in the safe, secure environment. Evidence: 1. During the review of serious cognitive impairment training for the safe, secure environment unit, licensing inspector (LI) observed that 33 direct care staff and nurse?s records did not include serious cognitive impairment training. 22 out of 33 direct care staff and nurses hire dates were between one year and four months. 2. The serious cognitive impairment training titled ?Dementia: Connect First ? Live Event? was a half an hour. The 22 direct staff and nurse?s records did not include this training. 3. On 1/23/2025, LI interviewed staff 5 who confirmed that ?Dementia: Connect First ? Live Event? was the serious cognitive impairment training.
Plan of Correction:	Not available online. Contact Inspector for more information.