VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Heritage Village Assisted Living and Memory Care
13650 Heathcote Boulevard
Gainesville, VA 20155
(703) 468-1895

Current Inspector: Sarah Pearson (540) 680-9469

Inspection Date: Oct. 18, 2022

Complaint Related: No

Areas Reviewed:

Personnel

Comments:

Date of Inspection: October 18 2022, 2:15pm-2:45pm Type of Inspection: Monitoring Inspection If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov. Census 91 Number of records reviewed and interviews conducted- 1 record, 2 interviews. The Licensing Inspector and the Administrator discussed the risk assessment ratings for the violations for this inspection. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to the office. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). The completed corrective action needs to be in the licensing office by October November 7th, 2022

Violations:

Standard #:	22VAC40-73-120-A
Description:	Based on staff record review and staff interviews, it was determined that the facility failed to document Staff A's initial ALF orientation and training within seven working days of employment.
Plan of Correction:	Staff A was trained and this was corrected on 10/20/2022. Employee initial ALF training will be scheduled on the first day of employment to meet 7-day requirement. LCS Corporate HR will conduct training audit on 11/16/2022. Quarterly training audits will be conducted by the Business Office Manager and or designee starting the first quarter of 2023.