VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise of Arlington
2000 North Glebe Road
Arlington, VA 22207
(703) 524-5300

Current Inspector: Ishmel Paige (804) 963-0360

Inspection Date: July 17, 2025

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 2VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES

Technical Assistance:

Licensing inspector reviewed the following standards with the facility: 22VAC40-73-310, 22VAC40-73-490, 22VAC40-73-970.

Comments:

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 07/17/2025 Time in: 10:41 AM Time out: 4:21 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 49 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: Licensing inspector observed residents dining for lunch, exiting the facility for community outings, and participating in scheduled activities. Additional Comments/Discussion: N/A An exit meeting will be conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-990-B
Description:	Based on record review and staff interview, the facility failed to review resident emergencies at least every six months with all staff. Documentation of the review was signed and dated by each staff person. Evidence: 1. Upon request, the facility did not provide documentation that the plan for resident emergencies was reviewed at least every six months with all staff. 2. During the onsite inspection on 07/17/2025, staff 5 confirmed that licensing inspector (LI) was not provided documentation that the resident emergency plan was reviewed every six months.
Plan of Correction:	A. With respect to the specific resident/situation cited: Residents had no adverse outcomes due to failing to document semi-annual review of resident emergency plan. B. With respect to how the facility will identify residents or situations with the potential for the identified concerns: Following inspection, a review of resident emergency plan has been conducted and documented with current staff. C. With respect to what systemic measures have been put into place to address the stated concern: Review of resident emergency plan has been added semi-annually to community?s annual training calendar. For the next 6 months, Executive Director will confirm with Resident Care Coordinator that review is completed as scheduled. D. With respect to how the plan of correction will be monitored: Documentation of the semi-annual reviews will be presented by the Executive Director at quarterly Quality Assurance and Performance Improvement (QAPI) meeting for quarter three and quarter one to ensure that reviews were completed. After 6 month review period, the Executive Director will re-evaluate effectiveness of POC and extend the review period if necessary.