VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Friends Health Care Team Richmond LLC
9200 Arboretum Pkwy #100, Suite 101
Richmond, VA 23236
(804) 938-5209

Current Inspector: Tyia Venable (804) 393-2157

Inspection Date: Jan. 5, 2026

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 GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION

Technical Assistance:

Technical assistance provided regarding facility paperwork

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: 1/5/26, 10:20am-2pm The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of participants present at the facility at the beginning of the inspection: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Licensing inspector observed facility postings, first aid kid and toured the facility. Additional Comments/Discussion: The current participants do not speak English, therefore licensing inspector was unable to conduct an interview. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. 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 Tyia Venable, Licensing Inspector at 804-393-2157 or by email at tyia.venable2@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-50-B
Description:	Based on a tour of the center, the center did not ensure the rights of participants was printed in at least 14 point type and posted conspicuously in a public place in the center. Evidence: 1. Licensing inspector toured the center, and the rights of participants was not posted. 2. When asked, Staff 3 and Staff 4 stated the rights of participants had not been posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-160-A-4
Description:	Based on staff records and interviews, the center did not ensure there was at least one staff person on the premises who has current certification in first aid. Evidence: 1. Staff 1 and 2?s records did not contain first aid certification. 2. When asked if there was any staff member present with first aid certification, Staff 3 replied no. 3. When asked, Staff 4 stated no current staff was certified in first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-160-B
Description:	Based on a review of staff records and interviews, the center did not ensure there was at least two direct care staff on the premises at all times who have current certification in CPR. Evidence: 1. Staff 1 and 2?s records did not contain CPR certification. 2. When asked if there were any staff members present with CPR certification, Staff 3 stated no present staff had CPR certification. 3. When asked, Staff 4 stated no current staff in the building was certified in CPR.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-180-E-2
Description:	Based on a review of participant records, the center did not ensure all staff was screened annually by a licensed practitioner for tuberculosis in a communicable form. Evidence: 1. Staff 2?s record did not have an annual tuberculosis assessment, the one in the record was dated 11/9/18. 2. When asked Staff 4 stated there was not a record of an annual tuberculosis for Staff 2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-240-C
Description:	Based on a review of participant records, the center did not ensure the agreement was signed by the center representative. Evidence: 1. Participant 1 and Participant 2 did not have agreements in their records signed by the center representative. 2. When asked, Staff 4 stated the agreements were not signed by a center representative.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-260-A
Description:	Based on a review of participant records, the center did not ensure the participant had a physical examination by a licensed physician within the 30 days preceding admission. Evidence: 1. Participant 1?s physical examination was dated 12/2/2025, with an admission?s date of 12/1/2025. 2. Participant 2?s physical examination was dated 12/2/2025, with an admission?s date of 12/1/2025. 3. When asked, Staff 4 stated the nurse practitioner was not available to provide physicals for participants prior to their 12/1/2025 admission date.
Plan of Correction:	Not available online. Contact Inspector for more information.