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.

Applicable Regulations

• General Procedures and Information for Licensure (effective 02/2011) (PDF)
• Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (effective 08/2012) (PDF)
• Standards for Licensed Assisted Living Facilities (effective 11/01/2011) (PDF)

Technical Assistance

• Technical Assistance for General Procedures and Information for Licensure (effective 09/2009) (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 (updated 07/2012) (PDF)

Applicable Code of Virginia References

• Code of Virginia: Title 63.2 - Welfare (Social Services) 07/2012 (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

• 2013/05/10: Summer 2013 DSS/VCU Training Announcement (PDF)
• 2013/04/18: Conference Training Opportunity (PDF)
• 2013/04/04: There’s Still Time-Spring 2012 VCU/DSS Training Series (PDF)
• 2013/03/20: Legislative Changes to Financial Responsibility Reporting Requirements & Applications for Licensure (PDF)
• 2013/03/08: Webinar Training Opportunities - Mental Health and Aging Training Series II (PDF)
• 2013/02/14: Dementia Activities Training Flyer-April, 2013 (PDF)
• 2013/02/12: Spring 2013 VCU/DSS Training Series-2nd Announcement (PDF)
• 2013/01/30: Training Opportunities (PDF)
• 2013/01/11: Spring 2013 DSS/VCU Training Announcement (PDF)
• 2012/12/11: VDH - HAI Newsletter (PDF)
• 2012/12/05: Instructions for Renewal and Initial Applications for Licensure (PDF)
• 2012/12/05: 2013 Auxiliary Grant Rate (PDF)
• 2012/11/19: Commonwealth Broadband and Health Information Technology Usage Survey (PDF)
• 2012/10/09: Proposed ALF Regulations 2012 (DRAFT) (PDF)
• 2012/07/19: Clarification to ALF Technical Assistance (DOCX)
• 2012/07/17: Updated ALF Technical Assistance (PDF)
• 2012/06/28: Revised Sworn Disclosure Forms (PDF)
• 2012/06/08: Legislative Update, 2012 (PDF)
• 2012/03/29: Certified Fire Officials (PDF)
• 2011/10/31: Revisions to Assisted Living Facility (ALF) Standards (PDF)
• 2011/04/04: Clarification Regarding Resident Rights (PDF)
• 2010/08/23: Administrator Licenses (PDF)
• 2009/09/04: Revised Enforcement Procedures for Medication Aide Registration and Provisional Authorization (PDF)
• 2009/09/04: Reissue of Enforcement Procedures for Licensure of ALF Administrators (PDF)
• 2009/08/12: Revised Assisted Living Facilities Disclosure Statement Form (PDF)

Guidance & Procedures

• Curriculum Outline for ALF Administrators (Residential Living Care) (PDF)
• Guidance for Determining Civil Penalties Based on Assessed Risks from Violations in ALF (PDF)
• Inspection Protocol for Assisted Living Facilities (PDF)
• Key Health & Safety Standards Subject to Risk Ratings (PDF)
• Model Policies with Suggested Procedures for the Implementation of Section 63.2-1808 (Resident Rights) (effective 01/2008) (PDF)
• Performance Standardization Guidance for Licensure (effective 08/01/11) (PDF)
• Risk Assessment Guidance Manual (Revised 10/24/2007) (PDF)
• Risk Assessment Matrix (PDF)
• Staffing Plans in ALFs (PDF)
• Staffing Plans in ALFs Powerpoint (PPT)
• TB Screening/Testing TA for ALFs & ADCCs (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 Disclosure Statement Adult Facilities (form) (PDF)
• Sworn Statement or Affirmation (form) (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)
• First Aid and Cardiopulmonary Resuscitation (CPR) Course Approval (PDF)
• Individualized Service Plan (DOC)
• Individualized Service Plan (PDF)
• Medication Administration Record (DOC)
• Medication Administration Record (PDF)
• Mental Health Progress Report (PDF)
• Mental Health Screening Determination 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)
• Request for First Aid and CPR Course Approval (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 Disclosure Statement Adult Facilities (PDF)
• Sworn Statement or Affirmation (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 (DOC)
• Renewal Application (PDF)
• Request for Building Evaluation or Inspection (PDF)
• Staff Information Sheet (PDF)
• Staff Information Sheet (DOC)

Training

• DSS/VCU Training Schedule (Web page)
• General Guidelines for Provider Training (PDF)
• Knowledge Center Computer Requirements (PDF)
• Knowledge Center Registration Directions (PDF)
• Small Screen Display for Courses (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)

Additional Resources

• AG Facilities that Accept AG Grants (PDF)
• ALF Relocation Plan (PDF)