VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Goodwin House Alexandria
4800 Fillmore Ave
Alexandria, VA 22311
(703) 824-1000

Current Inspector: Nina Wilson (703) 635-6074

Inspection Date: May 10, 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 CARE AND RELATED SERVICES 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 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.

Comments:

A inspection was initiated on 5/10/2021 and concluded on 5/10/2021. The executive director was contacted by telephone for an entrance interview to initiate the inspection. The executive director reported that the current census was 49. The inspector emailed the executive director a list of items required to complete the inspection. The inspector reviewed three resident records and three staff records. Criminal record checks and sworn statements of all staff hired since last inspection and other documentation submitted by the facility was reviewed to ensure documentation was complete. Exit interview was conducted with the executive director and the administrator of assisted living on 5/17/2021. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued.