VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Vitality Living Arlington
3821 Wilson Boulevard
Arlington, VA 22203
(703) 294-6875

Current Inspector: Alexandra Roberts (804) 845-6956

Inspection Date: Nov. 18, 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 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDINGS AND GROUND 22VAC40-73 EMERGENCY PREPAREDNESS 63.2 GENERAL PROVISIONS 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

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: 11/18/2025 9am - 4:30pm 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: 115 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 6 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Observed the residents participating in social hour and eating in the dining hall. Additional Comments/Discussion: 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 Alexandra Roberts, Licensing Inspector at 804-845-6956 or by email at Alexandra.N.Roberts@dss.virginia.gov.

Violations:

Standard #:	22VAC40-73-100-A
Description:	Based on record review and staff interview, the facility failed to ensure at least an annual review of infection prevention policies and procedures for any necessary updates. A licensed health care professional, practicing within the scope of his profession and with training in infection prevention, shall be included in the review to ensure compliance with applicable guidelines and regulations. Documentation of the review shall be maintained at the facility. Evidence: 1. During the onsite inspection on 11/18/2025, licensing staff requested the annual review of infection prevention policies and procedures for any necessary updates. 2. Staff 1 confirmed that the plan has not been reviewed annually.
Plan of Correction:	? The Infection control policy was reviewed and signed by Vitality Senior Vice President of Wellness, Syndell Lawhon RN ? The Director of Wellness was in-serviced on regulation 22VAC40-73-100 on 12/2/2025 ? The infection control policy will be reviewed by Vitalitys? VP of Wellness and signed annually ? Executive Director or designee will verify that a review of the Infection Control policy occurs annual as indicated by the signature on the policy.
Standard #:	22VAC40-73-150-A
Description:	Based on observation and interview, the facility failed to ensure to have an administrator of record. Evidence: 1. On 10/13/2025, licensing staff received an email that Staff 7 resigned (last day of employment 10/10/2025), and Staff 1 would be the point of contact for the facility. 2. Staff 1 is not a qualified administrator. 3. During onsite inspection on 11/18/2025, the facility did not have an appointed administrator. 4. Staff 1 confirmed that facility has not yet employed a new administrator or appoint a qualified acting administrator resulting in a lapse in administrator coverage since 10/10/2025 to date of inspection on 11/18/2025.
Plan of Correction:	? An administrator was hired an in place on 12/1/2025 ? Staff person #1, while not a licensed administrator managed and oversaw the day to day operations of the community
Standard #:	22VAC40-73-150-B
Description:	Based on interview, the facility failed to immediately employ a new administrator or appoint a qualified acting administrator so that no lapse in administrator coverage occurs. Evidence: 1. On 10/13/2025, licensing staff received an email that Staff 7 resigned (last day of employment 10/10/2025), and Staff 1 would be the point of contact for the facility. 2. Staff 1 is not a qualified administrator. 3. During onsite inspection on 11/18/2025, the facility did not have an appointed administrator. 4. Staff 1 confirmed that facility has not yet employed a new administrator or appoint a qualified acting administrator resulting in a lapse in administrator coverage since 10/10/2025 to date of inspection on 11/18/2025.
Plan of Correction:	? An administrator was hired an in place on 12/1/2025 ? Staff person #1, while not a licensed administrator managed and oversaw the day to day operations of the community
Standard #:	22VAC40-73-320-A
Description:	Based on record review and staff interview, the facility failed to ensure that a resident?s physical examination contained all required information. Evidence: 1. Resident 1 (admitted 02/24/2025) physical examination, completed on 02/20/2025, was missing the resident?s address and significant medical history. 2. Staff 1 acknowledged missing information on the physical examination.
Plan of Correction:	? The Physical Exam for residents # 1 was unable to be updated as he passed away on 11/18/25 ? An audit of Physical Exams will be completed to verify that current resident physical exams contain the required information. Exams identified as not in compliance with the regulation will be marked. ? The Director of Wellness was in-serviced on the physical examination content requirements on 12/2/2025. ? The Executive Director or designee will conduct a random monthly audit of 5% of current resident files for 3 months to verify that the physical exams contain the required information.
Standard #:	22VAC40-73-350-C
Description:	Based on record review and staff interview, the facility failed to ensure that each resident or his legal representative is fully informed, prior to or at the time of admission and annually, that he should exercise whatever due diligence he deems necessary with respect to information on any sex offenders registered pursuant to Chapter 9 (? 9.1-900 et. seq.) of Title 9.1 of the Code of Virginia, including how to obtain such information. Written acknowledgment of having been so informed shall be provided by the resident or his legal representative and shall be maintained in the resident's record Evidence: 1. Resident 1,2,3,4,5 and 6 records did not contain written acknowledgment of having been informed regarding sex offender registry. 2. Staff 1 confirmed that they do not complete this notification to residents or representative. 3. Facility was previously cited during the 05/08/2025 inspection.
Plan of Correction:	? Residents #1, 3, 4, 5, and 6 and their families ( POA/RP) were provided with the annual information regarding the sex offender registry and signatures were obtained acknowledging receipt. ? Business office Director conducted an audit of current resident administrative files to verify that annual signatures have been obtained indicating that residents and Responsible Parties have received the annual information. ? Business Office Director was in-serviced on regulation 22VAC40-73-350 12/4/2025 ? The Executive Director or designee will conduct a random monthly audit of 5% of resident administrative files x _3___ months to verify compliance with the regulation.
Standard #:	22VAC40-73-430-H-1
Description:	Based on record review and interview, the facility failed to provide to the resident and, as appropriate, his legal representative and designated contact person a dated statement signed by the licensee or administrator that contains the following information: The date on which the resident, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; The reason or reasons for the discharge; The actions taken by the facility to assist the resident in the discharge and relocation process; and The date of the actual discharge from the facility and the resident's destination. Evidence: 1. Resident 5 admitted on 04/17/25 and discharged from the facility on 9/19/25. 2. During renewal inspection on 11/18/2025, Staff 1 confirmed that the facility did not complete a dated statement signed by the licensee or administrator that contains the date on which Resident 5, his legal representative, or designated contact person was notified of the planned discharge and the name of the legal representative or designated contact person who was notified; The reason or reasons for the discharge; The actions taken by the facility to assist the resident in the discharge and relocation process; and The date of the actual discharge from the facility and Resident 5?s destination.
Plan of Correction:	? Resident # 5 discharge statement was completed by signed by the Executive Director or designee ? An audit will be completed of planned discharged resident from Jan 2025 to the current date to verify that the statement of discharge is completed ? The Executive Director and designee were in-serviced on the regulation requiring the statement of discharge ? The Executive Director or designee will conduct a random monthly audit of 5% of resident administrative files to verify compliance with the regulation.
Standard #:	22VAC40-73-450-E
Description:	Based on record review and interview, the facility failed to ensure individualized service plans are signed and dated by the resident or his legal representative. Evidence: 1. During the renewal inspection on 11/18/2025, the following resident?s individualized service plans did not contain written signature from resident or the legal representative: a. Resident 1; ISP dated 07/22/2025 b. Resident 2; ISP dated 03/03/2025 c. Resident 3; ISP dated 01/20/2025 d. Resident 4; ISP dated 03/17/2025 e. Resident 6; ISP dated 10/22/2025 2. Staff 1 confirmed that Resident 1, 2, 3, 4, and 6?s individualized service plans were not signed and dated by the resident or his legal representative. 3. Picture evidence obtained.
Plan of Correction:	2VAC40-73-450-E Based on record review and interview, the facility failed to ensure individualized service plans are signed and dated by the resident or his legal representative. Evidence: 1. During the renewal inspection on 11/18/2025, the following resident?s individualized service plans did not contain written signature from resident or the legal representative: a. Resident 1; ISP dated 07/22/2025 b. Resident 2; ISP dated 03/03/2025 c. Resident 3; ISP dated 01/20/2025 d. Resident 4; ISP dated 03/17/2025 e. Resident 6; ISP dated 10/22/2025 2. Staff 1 confirmed that Resident 1, 2, 3, 4, and 6?s individualized service plans were not signed and dated by the resident or his legal representative. 3. Picture evidence obtained. ? Emails confirming that the Responsible Parties have reviewed the IPS have been printed and attached to the Service Plans. The Service Plans have also been sent via Adobe Sign for signatures ? An audit of current resident ISPs will be completed to verify that they are signed, or an email is attached indicating review. Service plan will also be sent via Adobe Sign as required ? DOW or designee will be in-serviced regarding ISP reviews and signatures on 12/2/2025 ? Executive Director or designee will conduct a random monthly audit of 5% of resident files x 3 months to verify compliance with the regulation.
Standard #:	22VAC40-73-860-I
Description:	Based on observation and interview, the facility failed to store cleaning supplies and other hazardous materials in a locked area. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed Room 719 was vacant, unlocked and under construction. Licensing staff observed this room to have exposed installation, cement, paint and other hazardous construction material. 2. During facility tour on 11/18/2025, two licensing staff observed an unlocked electrical room with exposed wires and a bottle of drain-o in the room. 3. During facility tour on 11/18/2025, two licensing staff observed the communication closets on floor 7,8, and 9 to be unlocked with exposed wires that control the facility power source labeled ?life support system?. 4. Staff 1 acknowledged the unlocked rooms with cleaning supplies and hazardous materials. 5. Photo evidence was obtained.
Plan of Correction:	? Hazardous Materials were secured at time of inspection, and the doors were verified as locked. ? A physical plant inspection was completed the week of 11/21 to confirm that hazardous materials were secured in a locked storage area. ? An Inservice will be completed by Maintenance Directo regarding securing hazardous materials. ? Executive Director or designee will perform a physical plant inspection monthly x 3 months to verify that hazardous materials are secured in a locked storage area.
Standard #:	22VAC40-73-870-A
Description:	Based on observation and interview, the facility failed to ensure that the interior and exterior of all buildings shall be maintained in good repair and kept clean and free of rubbish. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed water fountains on floors 1, 4, 7, 8, and 9 with erosion markings with exposed cups on top of the fountain. 2. Staff 1 was notified of this matter and confirmed that he could not recall the last time they have been taken apart and cleaned. 3. Photo evidence was obtained.
Plan of Correction:	? The water dispensers on floors 1, 4 ,7, 8 and 9 have been serviced ? An audit of the water dispensers within the community was completed by Maintenance Director to verify that the machines have been cleaned/serviced and the routine maintenance of these machines was added to the TELS application to ensure that they are maintained on a routine basis. ? Environmental Services Director was in-serviced on regulation 22VAC40-73-870A ? Executive Director or designee will perform a physical plant inspection monthly x 3 months to verify that water dispensers are properly maintained and clean.
Standard #:	22VAC40-73-870-B
Description:	Based on observation and interview, the facility failed to ensure that the building was well-ventilated and free from foul, stale, and musty odors. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed black and brown spotting on the ceiling, dried urine around the toilet, and trash in cabinet under the sink in the 4th floor bathroom. 2. During facility tour on 11/18/2025, two licensing staff smelled strong odors of urine and feces on floors 7 and 8. 3. Staff 1 was notified of this matter. 4. Photo evidence was obtained.
Plan of Correction:	? The 4th floor bathroom was cleaned at the time of inspection ? A physical plant audit was completed on 11/20/2025 to verify that common bathrooms were clean and free of odors ? Environmental Services Director was in-serviced on regulation 22VAC40-73-870B ? Executive Director or designee will perform a physical plant inspection monthly x 3 months to verify that common bathrooms are properly maintained
Standard #:	22VAC40-73-925-B
Description:	Based on observation and interview, the facility failed to ensure that common face/hand washing sinks have paper towels or an air dryer. Evidence: 1. During facility tour on 11/18/2025, two licensing staff observed the 4th floor common area bathroom across from physical therapy room to have no paper towels. 2. Staff 1 acknowledged bathroom not having paper towels. 3. Photo evidence was obtained.
Plan of Correction:	? A physical plant audit was conducted on 11/20/25 to verify that common bathrooms paper towel holders are stocked ? Environmental Services Director was in-serviced on regulation 22VAC40-73-870B Executive Director or designee will perform a physical plant inspection monthly x 3 months to verify that common space bathrooms paper towel dispensers contain an adequate supply of paper towels ? Executive Director or designee will perform a physical plant inspection monthly x 3 months to verify that common bathrooms are properly maintained.