VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Providence of Fairfax
9490 Sprague Avenue
Fairfax, VA 22031
(571) 396-0500

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date: Feb. 9, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS Article 1 Subjectivity 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 COMPLAINT INVESTIGATION. 22VAC40-80 SANCTIONS.

Technical Assistance:

Please provide final test documentation for the call system. Please ensure that all staff are aware that resident room doors leading to the Juliet balconies remain secure until the residents occupying that room are assessed to ensure the residents' safety.

Comments:

Licensing Inspector (LI) conducted an announced initial inspection on 2/9/2021. LI walked the physical plant, verified window and room measurements, reviewed policies and procedures and staff background checks and tested the call bell system. All inspections have been completed. Evacuation and Resident Rights Postings will be updated. No violations cited today and exit interview held. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.