VIRGINIA DEPARTMENT OF SOCIAL SERVICES

You Matter Adult Day Services
4240 Bonnibank Road
Richmond, VA 23234
(804) 447-6590

Current Inspector: Tamara Watkins (804) 840-3710

Inspection Date: Jan. 20, 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 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-80 SANCTIONS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Technical Assistance:

Licensing inspector provided technical assistance regarding documentation and model forms available on the VDSS website.

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: 1/20/2026, 10:45-2:15pm 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: 29 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with participants: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector observed required facility postings and the scheduled participant activities. Additional Comments/Discussion: An exit meeting was 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 Tamara Watkins, Licensing Inspector at 804-840-3710 or by email at tamara.g.watkins@dss.virginia.gov

Violations:

Standard #:	22VAC40-61-110-A
Description:	Based on a review of staff records, the facility did not ensure prior to working with participants that all staff received orientation training. Evidence: 1. When reviewed, Staff 2 and Staff 3?s records did not contain documentation of orientation training prior to working with participants. 2. When asked, Staff 1 and Staff 4 stated there was no documented orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-110-B
Description:	Based on a review of staff records, the facility did not ensure staff who worked with participants received initial training no later than three weeks after their starting date of employment. Evidence: 1. When reviewed, Staff 2 and Staff 3?s records did not contain documentation of initial training no later than three weeks after their start date. 2. When asked, Staff 1 and Staff 4 stated there was no documentation of initial training conducted with Staff 2 and Staff 3 in their records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-180-D
Description:	Based on a review of staff records, the facility did not ensure the personal and social date was maintained on staff to include position title and date employed. Evidence: 1. When reviewed, Staff 2?s record did not contain their position title nor the date of employment. 2. When asked, Staff 1, stated the information was not listed in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-240-A
Description:	Based on a review of participant records, the facility did not ensure the written agreement between the facility and the participant was signed and dated by the participant or legal representative and the facility representative. Evidence: 1. Participant 3?s record did not contain a signed written agreement between the facility and the participant or their legal representative. 2. When asked, Staff 1 stated there was no documentation of a signed agreement with the facility and Participant 3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-250-B
Description:	Based on a review of participant records, the facility did not ensure a current photograph or narrative physical description of the participant was in the file. Evidence: 1. Participant 3?s record did not contain a photograph or narrative physical description. 2. When asked, Staff 1 stated there was no picture in the participant file.
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 facility did not ensure within 30 days preceding admission, participants have a physical examination by a licensed physician. Evidence: 1. When reviewed, Participant 1?s record did not contain documentation of a physical examination 30 days prior to admission. 2. When asked Staff 1 and Staff 4 stated there was no documentation a physical examination was completed for Participant 1 by a licensed physician 30 days preceding admission.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-260-B
Description:	Based on a review of participant records, the facility did not ensure an evaluation by a qualified licensed practitioner who completes an assessment for tuberculosis in a communicable form no earlier than 30 days before admission was completed. Evidence: 1. Participant 3?s admission date was 8/1/2025 and the documented tuberculosis test was dated 5/1/2025. 2. When asked, Staff 1 stated there was no tuberculosis assessment completed with a documented date no earlier than 30 days before admission.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-61-340-C
Description:	Based on a review of facility documentation, the facility did not ensure the catering service or contract food service used was approved by the local health department. Evidence: 1. When asked, Staff 1 stated there was no documentation that the catering service used by the facility was approved by the local health department.
Plan of Correction:	Not available online. Contact Inspector for more information.