Assisted living facilities (ALFs) are non-medical residential settings that provide or coordinate personal and health care services, 24-hour supervision, and assistance for the care of four or more adults who are aged, infirm or disabled. This care may be provided in one or more locations. Non-residential adult facilities are listed under Adult Day Care.

Assisted living facilities are not nursing homes. A nursing home is a facility in which the primary function is the provision, on a continuing basis, of nursing services and health-related services for the treatment and inpatient care of two or more non-related individuals. Nursing homes are regulated by the Virginia Department of Health (VDH). To find a nursing home, visit the VDH website.

Regulations

• General Procedures and Information for Licensure (PDF)
• Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
• Replacement Page for Standards for Licensed Assisted Living Facilities (PDF)
• Standards for Licensed Assisted Living Facilities (PDF)

Technical Assistance

• Technical Assistance for General Procedures and Information for Licensure (PDF)
• Technical Assistance for Regulation for Background Checks for Assisted Living Facilities & Adult Day Care Centers (PDF)
• Technical Assistance for Standards for Licensed Assisted Living Facilities (PDF)

Applicable Code of Virginia References

• 2015 Code of Virginia - Title 63.2 (PDF)

Application Process

The Division of Licensing Programs at the Virginia Department of Social Services offers pre-application orientation at all licensing field offices. Topics covered include: the application process, licensing regulations and approvals required by other state agencies.

Application Forms

• ALF Addendum (PDF)
• Annual Operating Budget (PDF)
• Annual Operating Budget (DOC)
• Initial Application (DOC)
• Initial Application (PDF)
• Instructions: Initial Application for Licensure (PDF)
• Personal Qualifying Information (PDF)
• Report of Environmental Sanitation Inspection (PDF)
• Request for Building Evaluation or Inspection (PDF)
• Staff Information Sheet (PDF)
• Staff Information Sheet (DOC)

Notices

• 2016/02/26: 2016 Mental Health and Aging Webinar Series Announcement (PDF)
• 2016/02/08: New Direct Care Staff Training Curriculum Released (PDF)
• 2016/02/08: Licensing Administrators for Adult Programs (PDF)
• 2016/01/13: Mental Health First Aid Instructor Training (PDF)
• 2016/01/07: Spring 2016 DSS/VCU Training Announcement (PDF)
• 2015/12/22: TA for Siderails (PDF)
• 2015/12/21: Auxiliary Grant (PDF)
• 2015/12/14: Revised Uniform Assessment Instrument Manual (PDF)
• 2015/11/04: Re-organization of the Division of Licensing Programs (PDF)
• 2015/08/19: Updated ALF Technical Assistance Document (PDF)
• 2014/11/17: Blood Glucose Monitoring Update for Providers (PDF)
• 2014/09/03: Action Requested - It Started Like Any Other Day (PDF)
• 2014/05/12: 2014 Legislative Update- New Background Check Requirements (PDF)
• 2014/05/01: Auto-Retractable Safety Lancets: DMAS Coverage Criteria; Private Pay Source (PDF)
• 2014/03/19: Information/Instructions Regarding Use of ALF Training Regulations Chart (PDF)
• 2014/01/30: Revised Applications and Addenda (PDF)
• 2013/11/15: Blood Glucose Monitoring: Current Update for Providers and Staff (PDF)
• 2013/07/12: Revisions to Standards for Licensed Assisted Living Facilities and General Procedures and Information for Licensure (PDF)
• 2013/06/24: Independent Living (PDF)
• 2011/04/04: Clarification Regarding Resident Rights (PDF)

Guidance & Procedures

Blood Glucose Monitoring

• Monitoring Protocol (PDF)
• Clinical Reminder Fingerstick Devices (PDF)
• Diabetes & Viral Hepatitis (PDF)
• Monitoring Update (PDF)
• Payment Information (PDF)
• Resources (PDF)

All Other

• Guidance for Assessing Civil Penalties Against ALFs (PDF)
• Health & Safety - Key Standards Subject to Risk Ratings (PDF)
• Model Policies - Suggested Implementation of § 63.2-1801 (resident rights) (PDF)
• Performance Standardization - Guidance for Licensure (PDF)
• Protocol for Inspections (PDF)
• Risk Assessment - Guidance Manual (PDF)
• Risk Assessment - Matrix (PDF)
• Staffing - Plans (PPT)
• Staffing - Plans (PDF)
• TB - Screening/Testing (PDF)
• Training - Administrators (PDF)
• Training Regulations Chart (PDF)

Background Investigations

• Barrier Crimes (PDF)
• Criminal Background Checks (conducted by Virginia State Police) (Web page)
• Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (effective 08/2012) (PDF)
• Sworn Statement or Affirmation (PDF)
• Sworn Statement or Affirmation for Adult Facility Employees (PDF)
• Technical Assistance for Regulation for Background Checks for Assisted Living Facilities & Adult Day Care Centers (PDF)

Forms

• Agreement for Mental Health Services (PDF)
• Approval for Placement in Special Care Unit (PDF)
• Assessment of Serious Cognitive Impairment (PDF)
• Authorization for Release of Confidential Information (PDF)
• Auxiliary Grant Program Provider/DSS Communication Form (PDF)
• Department – Approved Educational Curriculum for Nursing Assistant Geriatric Assistant or Home Health Aide (PDF)
• Discharge Notification and Statement (PDF)
• Disclosure Statement (PDF)
• Disclosure Statement (DOC)
• Documentation of Physicians Oral Order for PRN (as needed) Medication (PDF)
• Employee Record (PDF)
• Individualized Service Plan (PDF)
• License Modification Request for Facility Change of Location (PDF)
• Medication Administration Record (DOC)
• Medication Administration Record (PDF)
• Mental Health Progress Report (PDF)
• Mental Health Screening Determination Form (PDF)
• Model Transfer Form (PDF)
• Non-Availability of Recommended Mental Health Services Form (PDF)
• Publication Order Form (PDF)
• Record of Initial ALF Staff Training (DOC)
• Record of Initial ALF Staff Training (PDF)
• Record of On-Site Health Care Oversight (PDF)
• Record of On-Site Health Care Oversight (DOC)
• Record of Required Fire and Emergency Evacuation Drills (PDF)
• Record of Restraint Usage (PDF)
• Record of Staff Training and Education Following Employment (PDF)
• Report of Environmental Sanitation Inspection (PDF)
• Report of Resident Physical Examination (PDF)
• Report of TB Screening (PDF)
• Report of Tuberculosis Screening (PDF)
• Resident Personal/Social Data (PDF)
• Resident Agreement (DOC)
• Resident Agreement (PDF)
• Review of Appropriateness of Continued Residence in Special Care Unit (PDF)
• Rights and Responsibilities of Residents of Assisted Living Facilities (PDF)
• Sworn Statement or Affirmation for Adult Facility Employees (PDF)
• Sworn Statement or Affirmation - Applicants for Assisted Living Facility Licensure (PDF)
• UAI (Uniform Assessment Instrument) Private Pay (PDF)
• UAI (Uniform Assessment Instrument) Private Pay (DOC)

Forms - License Renewal

• ALF Addendum (PDF)
• Instructions: Renewal Application for Licensure (PDF)
• Personal Quailfying Information (PDF)
• Renewal Application (PDF)
• Renewal Application (DOC)
• Request for Building Evaluation or Inspection (PDF)
• Staff Information Sheet (PDF)
• Staff Information Sheet (DOC)

Training

• Assisted Living Facility Direct Care Staff Training-Instructors Guide (PDF)
• Courses Display Problems (PDF)
• DSS/VCU Training Schedule (Web page)
• General Guidelines for Provider Training (PDF)
• Knowledge Center Computer System Requirements (PDF)
• Knowledge Center Registration Directions (PDF)
• Training Video Catalog (PDF)
• UAI Private Pay On-Line Training (Web page)

Manuals

• ALF Assessment Manual (Public Pay) (PDF)
• ALF Private Pay (PDF)
• Transmittal 227 (PDF)
• Transmittal 234 (PDF)
• UAI User's Manual (PDF)

Additional Resources

• AG Rate Letter (PDF)
• ALF Facilities that Accept AG Grants (PDF)
• ALF Relocation Plan (PDF)
• Adverse ALF Closures: Tips and Strategies for Challenging Conditions (PDF)
• Local Fire Official Listing (PDF)
• State Fire Marshal’s Regional Offices (Web page)