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Evergreen Adult Day Healthcare Center
4115 Annadale Road
Suite 207
Annandale, VA 22003
(703) 534-5049

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Oct. 4, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-61 GENERAL PROVISIONS
22VAC40-61 ADMINISTRATION
22VAC40-61 PERSONNEL
22VAC40-61 SUPERVISION
22VAC40-61 ADMISSION, RETENTION, AND DISCHARGE
22VAC40-61 PROGRAMS AND SERVICES
22VAC40-61 BUILDINGS AND GROUNDS
22VAC40-61 EMERGENCY PREPAREDNESS
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
63.2 General Provisions.
63.2 Protection of adults and reporting.
63.2 Licensure and Registration Procedures
63.2(19.2) Criminal Procedures.
22VAC40-90 Background Checks for Assisted Living Facilities
22VAC40-90 The Sworn Statement or Affirmation
22VAC40-90 The Criminal History Record Report

Comments:
Licensing Inspector (LI) conducted an announced initial inspection on 10/4/2022. LI walked the physical plant, verified window and room measurements, reviewed policies and procedures, first aid kit and staff records. All inspections have been completed. No violations cited today and exit interview held.

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 Lynette Storr, Licensing Inspector at (703) 479-4708 or by email at Lyn lynette.storr@dss.virginia.gov

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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