VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elizabeth House Assisted Living
3590 Mountain Road
Glen allen, VA 23060
(804) 672-7580

Current Inspector: Belinda Dyson (804) 662-9780

Inspection Date: June 14, 2023 and June 15, 2023

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUNDS

Comments:

Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 06/14/2023, 9:30 a.m.-1:00 p.m. 06/15/2023 9:50 a.m.-10:30 a.m. 06/26/2023 10:00 a.m.-11:00 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident/ complaint was received by VDSS Division of Licensing on 6/12/2023 regarding allegations in the area(s) of: RESIDENT CARE AND RELATED SERVICES, RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS, BUILDINGS AND GROUNDS Number of residents present at the facility at the beginning of the inspection: 36 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident?s record reviewed: 1 Number of staff interviewed: 2 Number of interviews conducted with residents:1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Resident?s Individualized Service Plan, Uniform Assessment Instrument, room, clothing, personal appearance, documentation. Additional Comments/Discussion: Resident is a PACE participant. PACE has been working with the resident?s adjustment to the facility since admission in February. Facility sent a self-report on 6/12/2023 before the complaint the lodged. An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation did not support the allegation(s) of non-compliance with standard(s) or law. The inspection summary will be posted to the VDSS website within 5 business days of your receipt of the inspection summary. 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 Belinda Dyson, Licensing Inspector at (804) 662-9780 or by email at belinda.dyson@dss.virginia.gov