VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sunrise of Fairfax
9207 Arlington Boulevard
Fairfax, VA 22031
(703) 691-0046

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: July 21, 2025 , Aug. 6, 2025 , Aug. 19, 2025 , Aug. 21, 2025 and Aug. 28, 2025

Complaint Related: Yes

Areas Reviewed:

22VAC40-73 RESIDENT CARE AND RELATED SERVICES

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: 7/21/25 (4:10 PM - 5:15 PM), 8/6/25 (9:05 AM - 2:25 PM), 8/19/25 (2:50 PM - 4:25 PM), 8/21/25(3:05 PM - 4:06 PM), 8/28/25 (2:20 PM - 4:10 PM). The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. An exit meeting was conducted. A complaint was received by VDSS Division of Licensing on 7/8/25 regarding an allegation in the area of: Resident Care and Related Services Number of resident records reviewed: Four Number of interviews conducted with staff: Eight Observations by licensing inspector: Meals, Activities, Medication Administration The evidence gathered during the investigation supported the allegation of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. 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 Marshall Massenberg, Licensing Inspector at (804) 543-5188 or by email at Marshall.x.massenberg@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-550-G
Complaint related:	Yes
Description:	Based on record review, the facility did not ensure that resident rights are reviewed annually with each staff person. Evidence: The record for Staff #1, hired on 9/18/23, was observed during the inspection. Staff #1's record indicates that the most recent review of resident rights was completed in March 2024. Staff #1's most recent review of resident rights was more than a year old, when the inspection was initiated. Facility staff confirmed that Staff #1's most recent review of resident rights was more than a year old, when the inspection was initiated.
Plan of Correction:	A. With respect to the specific situation cited: Staff #1 is completed required annual review for resident rights. B. With respect to how the facility will identify situations with the potential for the identified concerns: The Human Resource Coordinator (HRC) and/or designee are conducting audit of training records for current staff members to verify staff's annual review of Resident Rights is current. Issues that may be identified, will be addressed and resolved. C. With respect to what systemic measures have been put into place to address the citation: In order to confirm that the processes outlined above are sustained: The Human Resource Coordinator and/or Designee will report results of the audits at Quarterly QAPI meeting. Issues that may be identified will be addressed and resolved and refresher training initiated as needed. D. With respect to how the plan of correction will be monitored: The Executive Director or designee is responsible for implementation and ongoing compliance with the components of this Plan of Correction and addressing and resolving variances that may occur. Tracking and trending will take place during Quarterly QAPI meeting for the next 2 QAPI committee meetings.