VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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Current Inspector:

Inspection Date: Jan. 28, 2022

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 63.2 General Provisions. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs..

Comments:

An unannounced initial inspection was conducted on 01/28/2022. A tour was conducted of the facility. The resident rooms that were checked met the requirements. All of the general posting were in place and the facility was clean and free from any foul odors. Compliance in several areas of the standards could not be determined during the initial inspection and will be reviewed during future inspections. A six-month conditional license based on the compliance found during this initial inspection will be issued by the licensing administrator. New criminal record checks and sworn statements must be completed on all staff. New facility disclosure form and resident agreement must be signed by resident or legal representative. Also, immediately upon change of the contact email address, please forward this information to this inspector. NOTE: A copy of the Certificate of Occupancy must be submitted to the licensing office with the new owner's name listed.