Virginia DSS · Assisted Living Facility

Emilia Assisted Living Home

📍 5501 Brookland Road, Alexandria, VA, 22310

ID 30905One Year licenseActive
6
Inspections
On record
4
With violations
Visits that cited something
2
Clean visits
Nothing cited
28
Violations cited
Individual findings
25
Standards cited
Distinct rules
0
Complaint visits
Prompted by a complaint

Emilia Assisted Living Home was inspected 6 times between March 4, 2021 and March 19, 2026 by the Virginia Department of Social Services. 4 of those visits ended with violations cited and 2 with none. Across that history VDSS cited 28 violations under 25 distinct standards.

A violation is a licensing standard - a rule in the Virginia Administrative Code - that the inspector found the facility was not meeting. Each is shown with the evidence the inspector recorded and, where VDSS publishes it, the facility's own plan of correction.

VDSS publishes inspections on a rolling window. 5 of these 6 are still on the state's site; the other 1 has since dropped off it and is reproduced from Assisted Living Magazine's archive of the original VDSS reports.

Provider Information

Facility type
Assisted Living Facility
License type
One Year
License expires
05/14/2027
Administrator
Rio Porneso
Licensing inspector
Nina Wilson
Inspector phone
(703) 635-6074
Approved for
Assisted Living · Non-Ambulatory

Inspection History

6

Select an inspection to read the areas reviewed, the inspector's comments and any violations cited.

March 19, 2026Inspection16 violations
Inspection dates
03/19/2026
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-73 ADDITIONAL REQUIREMENTS FOR FACILITIES THAT CARE FOR ADULTS WITH SERIOUS COGNITIVE IMPAIRMENTS
Technical assistance
Licensing inspector (LI) reviewed the following standards with the facility: 22VAC40-73-520. LI recommends that the fire inspection is completed by the fire marshal prior to 05/14/2026.
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: 03/19/2026 Time in: 1:02 PM Time out: 3:30 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: 8 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector (LI) observed residents watching television and interacting with staff and visitors. Additional Comments/Discussion: The fire inspection permit expires 05/02/2026, prior to the license renewal. 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. 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). 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 these 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. Refer to General Procedures and Information for Licensure, 22VAC40-80-260-B for information on requesting a problem solving conference. 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
22VAC40-73-990-B
Based on record review and staff interview, the facility failed to ensure that the procedures in the plan for resident emergencies required in subsection A of this section should be reviewed by the facility at least every six months with all staff. Documentation of the review should be signed and dated by each staff person.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide documentation that resident emergencies were reviewed with all staff at least every six months.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation that resident emergencies were reviewed with all staff at least every six months was not provided to licensing.
Plan of correction
The facility will review the emergency procedures with all staff at least every six months. Documentation of the review will be signed and dated by each staff person and maintained on file. Moving forward, the facility will ensure this review is completed every six months to maintain compliance.
22VAC40-73-100-A
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. Documentation of the review should be maintained at the facility.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide documentation of an annual review of infection prevention policies and procedures.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation of an annual review of infection prevention policies and procedures was not provided to licensing upon request.
Plan of correction
Infection control training will be conducted for all staff and documented. Moving forward, the facility will ensure infection control training is completed annually, tracked, and maintained for compliance.
22VAC40-73-990-C
Based on record review and staff interview, the facility failed to ensure that at least once every six months, all staff currently on duty on each shift should participate in an exercise in which the procedures for resident emergencies were practiced. Documentation of each exercise should be maintained in the facility for at least two years.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide documentation that staff practiced resident emergency procedures at least every six months.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation was not provided of resident emergency exercises with staff at least every six months.
Plan of correction
The facility will conduct resident emergency drills at least every six months for all shifts. Staff participation will be documented, and records will be maintained for at least two years. Moving forward, the facility will ensure drills are completed every six months to maintain compliance.
22VAC40-73-450-B
Based on staff record review and staff interview, the facility failed to ensure that the licensee, administrator, or his designee who had successfully completed the department-approved individualized service plan (ISP) training, provided by a licensed health care professional practicing within the scope of his profession, should develop a comprehensive ISP to meet the resident’s service needs.
Evidence
  1. Staff 4’s (09/01/2024) record did not include documentation of a successfully completed department-approved ISP training.
  2. Resident 1’s ISP (dated, 03/07/2026) stated, “developed by/date: staff 4, RMA – 03/07/2026.”
  3. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation of a successfully completed department-approved ISP training was not provided to licensing.
Plan of correction
ISP training has been completed by the staff responsible for completing Individualized Service Plans; however, documentation for the training was not available at the time of inspection. Documentation of the training completed will be obtained and placed in staff files.
22VAC40-73-325-B
Based on resident record review and staff interview, the facility failed to ensure that the fall risk rating was reviewed and updated at least annually.
Evidence
  1. Resident 2’s (admit date, 12/22/2022) record did not include an annual fall risk rating within the last 12 months.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation of the fall risk rating completed within the past 12 months was not included in resident 2’s record.
Plan of correction
Fall risk evaluations have been completed for all current residents, and documentation has been placed in each resident’s record. Moving forward, fall risk evaluations will be completed upon admission and annually thereafter to maintain compliance.
22VAC40-73-450-E
Based on resident record review and staff interview, the facility failed to ensure that the individualized service plan (ISP) should be signed and dated by the licensee, administrator, or his designee (i.e., the person who had developed the plan), and by the resident or his legal representative. The plan should also indicate any other individuals who contributed to the development of the plan, with a notation of the date of contribution.
Evidence
  1. Resident 1’s ISP, 03/07/2026, was not signed by resident 1 or resident 1’s legal representative.
  2. During the onsite inspection, 03/07/2026, staff 4 confirmed that resident 1’s ISP, 03/07/2026, was not signed by resident 1 or resident 1’s legal representative.
Plan of correction
The resident’s ISP has been completed and the resident’s family/POA signature has been obtained. The signed ISP has been placed in the resident’s file. Moving forward, the facility will ensure that all ISPs are completed and signed timely to maintain compliance.
22VAC40-73-50-A
Based on record review and staff interview, the facility failed to prepare and provide a statement to the prospective resident and the prospective resident’s legal representative, if any, that disclosed information about the facility. The statement should be on a form developed by the department and should: whether the facility had an onsite emergency electrical power source for the provision of electricity during an interruption of the normal electric power supply. If the facility does have an onsite emergency electrical power source, the statement must include (i) the items for which the source will supply power and (ii) whether staff of the facility have been trained to maintain and operate the power source. For the purposes of this subdivision k, an onsite emergency electrical power supply should include both permanent emergency electrical power sources and portable emergency electrical power sources, provided that such temporary electrical power supply source remained on the premises of the facility at all times. Written acknowledgment of the disclosure should be
Evidence
  1. d by the signature or initials of the resident or the resident’s legal representative immediately following the onsite emergency electrical power source disclosure statement. Evidence:
  2. The disclosure statement indicated that the facility does not have an onsite emergency electrical power source.
  3. During the onsite inspection, 03/19/2026, staff 4 confirmed that the disclosure statement was incorrect; the facility does have a generator that provided electricity during an emergency.
Plan of correction
The disclosure statement forms have been updated to accurately reflect the 950C generator. Residents and/or their Power of Attorney (POA) have been notified of the correction, and updated disclosure forms have been reviewed and waiting for them to sign.
22VAC40-73-490-A
Based on record review and staff interview, the facility failed to ensure that all residents should be included at least annually in health care oversight.
Evidence
  1. The healthcare oversight was completed on 09/07/2025 and 03/07/2026. The healthcare oversights did not indicate the residents reviewed to verify all residents were reviewed at least annually.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that the healthcare oversights completed on 09/07/2025 and 03/07/2026 did not indicate the residents reviewed.
Plan of correction
Documentation of the most recent oversight has been updated to include the names of residents reviewed, and the corrected documentation has been placed on file. Moving forward, all oversight documentation will include the names of residents reviewed to ensure ongoing compliance.
22VAC40-73-310-B
Based on resident record review and staff interview, the facility failed to not admit an individual before a determination had been made that the facility can meet the needs of the individual to include a documented interview between the administrator or a designee responsible for admission and retention decisions, the individual, and his legal representative, if any. In some cases, conditions may create special circumstances that make it necessary to hold the interview on the date of admission.
Evidence
  1. Resident 1’s (admit date, 03/07/2026) record did not include a documented interview.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that resident 1’s record did not include a documented interview between the administrator or a designee responsible for admission and retention decisions, the individual, and their legal representative
Plan of correction
Moving forward, the facility will ensure that all admission forms, including the documented interview, are completed prior to admission or on the day of admission. Documentation will be maintained in the resident’s file to ensure compliance.
22VAC40-73-950-B
Based on record review and staff interview, the facility failed to ensure to equipped with an onsite emergency generator should include in its emergency preparedness and response plan a description of the generator’s capacity to provide sufficient power for the operation of lighting, ventilation, temperature control, supplied oxygen, and refrigeration by December 1, 2020.
Evidence
  1. The emergency preparedness and response plan did not state that the facility was equipped with an onsite emergency generator; and did not include a description of the generator’s capacity to provide sufficient power for the operation of lighting, ventilation, temperature control, supplied oxygen, and refrigeration
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that the facility is equipped with an onsite emergency generator and that the emergency preparedness and response plan was not updated to include the description of its capacity.
Plan of correction
The disclosure statement forms have been updated to accurately reflect the 950C generator. Residents and/or their Power of Attorney (POA) have been notified of the correction, and updated disclosure forms have been reviewed and waiting for them to sign.
22VAC40-73-280-B
Based on record review and staff interview, the facility failed to maintain a written plan that specified the number and type of direct care staff required to meet the day-to-day, routine direct care needs and any identified special needs for the residents in care. This plan should be directly related to actual resident acuity levels and individualized care needs.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide a written staffing plan.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that a written staffing plan was not provided to licensing upon request.
Plan of correction
The facility has developed and completed a staffing plan based on resident needs and acuity levels. A monthly staff schedule has also been implemented. The staffing plan and monthly schedule will be always maintained and made available in the facility for review.
22VAC40-73-980-C
Based on record review and staff interview, the facility failed to ensure that first aid kits were checked at least monthly to ensure that all items were present and items with expiration dates were not past their expiration dates.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide documentation that first aid kits were checked at least monthly.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation that first aid kits were checked at least monthly was not provided to licensing.
Plan of correction
Moving forward, a monthly record checklist of the first aid kit log will be maintained and made available for review.
22VAC40-73-980-C
Based on record review and staff interview, the facility failed to ensure that first aid kits were checked at least monthly to ensure that all items were present and items with expiration dates were not past their expiration dates.
Evidence
  1. Upon request, 03/19/2026, the facility did not provide documentation that first aid kits were checked at least monthly.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that documentation that first aid kits were checked at least monthly was not provided to licensing.
Plan of correction
The facility will review the emergency procedures with all staff at least every six months. Documentation of the review will be signed and dated by each staff person and maintained on file. Moving forward, the facility will ensure this review is completed every six months to maintain compliance.
22VAC40-73-325-A
Based on resident record review and staff interview, the facility failed to ensure for residents who met the criteria for assisted living care, by the time the comprehensive ISP was completed, a written fall risk rating should be completed.
Evidence
  1. Resident 1’s record included a UAI, 03/02/2026, which indicated that the resident meets the criteria for assisted living care.
  2. Resident 1’s record indicated their comprehensive ISP was completed on 03/07/2026.
  3. Resident 1 (admit date, 03/07/2026) record did not include a written fall risk rating.
  4. During the onsite inspection, 03/07/2026, staff 4 confirmed that the written fall risk rating for Resident 1 was not provided to licensing upon request.
Plan of correction
Fall risk evaluations have been completed for all current residents, and documentation has been placed in each resident’s record. Moving forward, fall risk evaluations will be completed upon admission and annually thereafter to maintain compliance.
22VAC40-73-550-G
Based on resident record review and staff interview, the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities should be reviewed annually with each staff person.
Evidence
  1. of this review should be the staff person’s written acknowledgment of having been so informed, which should include the date of the review and should be filed in the staff person’s record. Evidence:
  2. Staff 1’s (hire date, 09/20/2017) record did not include documentation of an annual review of resident rights within the last 12 months.
  3. Staff 2’s (hire date, 02/23/2025) record did not include documentation of an annual review of resident rights within the last 12 months.
  4. During the onsite inspection, 03/19/2026, staff 4 confirmed that staff 1 and staff 2 records did not include documentation of an annual review of resident rights within the last 12 months.
Plan of correction
The facility will review residents’ rights and responsibilities annually with each resident, legal representative, or responsible individual, and with each staff person. Written acknowledgments including the date of review will be obtained and maintained in the resident and staff records. Moving forward, the facility will ensure this review is completed annually to maintain compliance.
22VAC40-73-380-A
Based on resident record review and staff interview, the facility failed to ensure that prior to or at the time of admission to an assisted living facility, the personal and social information on a personal should be obtained.
Evidence
  1. Resident 1’s (admit date, 03/07/2026) record did not include any personal and social information as required by the standard.
  2. During the onsite inspection, 03/19/2026, staff 4 confirmed that resident 1’s record did not include any personal and social information.
Plan of correction
The face sheet was not completed at the time of admission due to missing information from the family. The required information has since been obtained, and the face sheet has been completed and filed in the resident’s record. Moving forward, the facility will ensure face sheets are completed prior to admission or on the day of admission to maintain compliance
April 23, 2025Inspection9 violations
Inspection dates
04/23/2025
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESS
Technical assistance
Licensing inspector (LI) reviewed standards 22VAC40-73-70, 22VAC40-73-240, 22VAC40-73-450 22VAC40-73-290, 22VAC40-73-450, and 22VAC40-970.
Comments
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 04/23/2025 Time In: 11:40 AM Time Out: 3:02 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: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of staff records reviewed: 2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing Inspector (LI) observed staff preparing meals and snacks for residents, residents lounging in the living room, residents playing board games, and staff assisting residents with daily tasks. 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 Nina Wilson, Licensing Inspector at (703) 635-6074 or by email at nina.wilson@dss.virginia.gov.
Violations
22VAC40-73-950-F
Based on staff interview, the facility failed to review the emergency preparedness and response plan annually.
Evidence
  1. Upon request the facility did not provide an annual review on the emergency preparedness and response plan.
  2. On 04/23/2025, LI interviewed Staff 2 confirmed an annual review on the emergency preparedness and response plan was not completed.
Plan of correction
Emergency preparedness and response training and review sessions were conducted for all staff and residents on May 1, 2025, covering the complete emergency preparedness plan. Moving forward, the facility will conduct and document emergency preparedness training and review sessions annually & semi-annually, with sessions scheduled for May and November each year.
22VAC40-73-950-A
Based upon staff interview, the facility failed to ensure to develop a written emergency preparedness and response plan that addressed documentation of annual contact with the local emergency coordinator.
Evidence
  1. Upon request the facility did not provide a written emergency preparedness and response plan that included documentation of annual contact with the local emergency coordinator.
  2. On 04/23/2025, LI interviewed Staff 2 confirmed the emergency preparedness and response plan did not include documentation of annual contact with the local emergency coordinator.
Plan of correction
Not published by VDSS.
22VAC40-73-200-C
Based on staff record review and staff interview, the facility failed to ensure that direct care staff successfully met a department approved 40-hour training requirement within two months of employment.
Evidence
  1. Staff 1’s (hire date, 07/11/2024) 40-hour direct care staff training was completed on 10/24/2024.
  2. On 04/23/2025, LI interviewed Staff 2 who confirmed that staff 1 did not complete the 40-hour direct care staff training within 2 months of hire.
Plan of correction
All current direct care staff have completed the department-approved 40-hour training. Moving forward, all new direct care employees will complete the required training within 30 days of hire to ensure ongoing compliance.
22VAC40-73-260-A
Based on staff record review and staff interview, the facility failed to ensure that each direct care staff member received certification in first aid within 60 days of employment.
Evidence
  1. Staff 1’s (hire date, 07/11/2024) records did not include a certification in first aid.
  2. On 04/23/2025, LI interviewed staff 2 who confirmed that the first aid certification was not found in staff 1’s records.
Plan of correction
All current staff without first aid certification will obtain it. Moving forward, all new employees will be required to complete first aid certification within 60 days of employment to maintain compliance.
22VAC40-73-680-I
Based on resident record review and staff interview, the facility failed to ensure that medication administration record (MAR) included date prescribed, diagnosis, and the name and signature of all staff that administered medications.
Evidence
  1. Resident 1’s April 2025 MAR did not include the prescribed date of the medication, the diagnosis, or the name and signature of the staff that administered the medications for all of their prescribed medications.
  2. Resident 7’s October 2024, January 2025, and April 2025 MAR’s did not include the name and signature of the staff that administered the medications.
Plan of correction
The facility will request that all Medication Administration Records (MARs) from the pharmacy include the prescribed date, diagnosis, and the name and signature of the Registered Medication Aid who administered each prescribed medication. This will ensure complete and accurate documentation for all resident medications in compliance with regulatory standards.
22VAC40-73-950-E
Based on staff interview, the facility failed to implement a semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers.
Evidence
  1. Upon request the facility did not provide a semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers.
  2. On 04/23/2025, LI interviewed Staff 2 confirmed a semi-annual review on the emergency preparedness and response plan was not completed for all staff, residents, and volunteers.
Plan of correction
Emergency preparedness and response training and review sessions were conducted for all staff and residents on May 1, 2025, covering the complete emergency preparedness plan. Moving forward, the facility will conduct and document emergency preparedness training and review sessions annually & semi-annually, with sessions scheduled for May and November each year.
22VAC40-90-40-B
Based on staff record review and interview, the facility failed to ensure that the criminal history record report was obtained on or prior to the 30th day of employment for each employee.
Evidence
  1. Staff 1’s (hire date, 07/11/2024) criminal history record report was obtained on 09/01/2024.
  2. Staff 4’s (hire date, 12/23/2024) criminal history record report was requested on 02/20/2025. The report was not documented as obtained.
  3. Staff 5’s (hire date, 07/01/2024) criminal history record report was obtained on 09/01/2024.
  4. Volunteer 7’s (volunteer date, 07/24/2024) criminal history record report was obtained 09/25/2024.
  5. On 04/23/2025, LI interviewed staff 2 who confirmed that Volunteer 7 worked as a staff member.
  6. On 04/23/2025, LI interviewed staff 2 (hire date, 09/01/2024), who confirmed that the criminal history record reports were not completed.
Plan of correction
All current staff have criminal history records on file, and documentation has been reviewed for completeness. Moving forward, the facility will ensure background checks are completed within 30 days of hire. A new hire checklist and monthly personnel file audits will be used to monitor compliance.
22VAC40-73-560-F
Based on record review and staff interview, the facility failed to ensure that all records were made available for inspection by the department’s representative.
Evidence
  1. Upon request the facility did not provide resident 8’s records.
  2. On 04/23/2025, LI interviewed staff 2 who confirmed that resident 8’s records were not available for review. Staff 2 stated that records of residents who were discharged were locked in the attic. Staff 2 further stated that only the administrator had access to the key.
Plan of correction
The facility will ensure that a duplicate key to the records room is made and securely stored to maintain proper access and security of residents and facility records at all times.
22VAC40-73-250-D
Based on staff record review and staff interview, the facility failed to ensure that each staff person on or within seven days prior to the first day of work and prior to coming in contact with residents submitted the results of a tuberculosis risk assessment.
Evidence
  1. Staff 1’s (hire date, 07/11/2024) initial tuberculosis risk assessment was completed on 04/11/2025.
  2. On 04/23/2025, LI interviewed Staff 2 who confirmed that an initial tuberculosis risk assessment was not completed on or within seven days prior to the first day of work and prior to coming in contact with residents.
Plan of correction
The facility will ensure that tuberculosis (TB) test results are obtained and documented within 7 days of employment for all new staff, in accordance with regulatory requirements.
April 17, 2024Inspection2 violations
Inspection dates
04/17/2024
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND
Technical assistance
LI encouraged facility to keep initial and most current documents in resident and staff charts. The facility files away documents in a way that are not easily accessible when needed.
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: 04/17/2024 Time In: 12:41 pm Time Out: 3:55 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: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 3 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 1 Observations by licensing inspector: LI toured the physical plant of the facility, and observed residents involved in independent pursuits. 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 Nina Wilson, Licensing Inspector at 703.635.6074 or by email at nina.wilson@dss.virginia.gov
Violations
22VAC40-73-440-A
Based on a record review, the facility failed to ensure that the Uniform Assessment Instrument (UAI) was completed annually.
Evidence
  1. The most recent UAI assessment was for Resident 2, admitted 12/22/2022, was completed on 01/23/2024. Prior to the last assessment date, a UAI was completed on 12/22/2022. On 04/17/2024, LI interviewed Staff 1, who stated that a UAI was completed in 2023 and the documentation was filed in the attic. Staff 1 advised that Resident 2’s 2023 UAI would be emailed to LI. On 04/23/2024, Staff 1 emailed documentation stating that “the past UAI was created December 2022, it should have been due on December 2023. The reassessment was done on January 2024.”
Plan of correction
What did you do to fix this specific violation? The violation was not fixed, although moving forward, the person in charge with the UAI will ensure to re assess the resident not more than a year after the last UAI assessment. What steps are you going to implement to ensure future compliance? The person in charge for the UAI has set up a reminder 30 days before due date to re assess residents. This reminder is placed in an excel spreadsheet which the person in charge checks at least once a month to ensure compliance. What measures will be put into place to monitor compliance? A programmed reminder on excel spreadsheet has been made to remind the person in charge to perform the assessment. The reminder is 30 days before the due date. The person in charge checks this once a month.
22VAC40-73-260-A
Based on record review and staff interview, the facility failed to ensure that a current certification in first aid is maintained for each direct care staff member.
Evidence
  1. Staff 2’s (hire date: 09/20/2017) record contained first aid certification that expired on 01/25/2024.Staff 3’s (hire date:04.07.2022) contained first aid certification that expired on 02/08/2024. On 04/17/2024, LI interviewed Staff 1, who stated that the first aid certifications were expired due to their first aid instructor visiting a different country for an extended period of time. Staff 1 advised that the facility would identify a different instructor if they were unable to schedule with their primary within the week.
Plan of correction
What did you do to fix this specific violation? CPR/First aid training was performed a few days after the inspection and new cards have been received for all employees needing CPR/First aid renewal. What steps are you going to implement to ensure future compliance? In case that the renewal falls at the time that the CPR/First Aide instructor is unavailable, Emilia Assisted Living will hire another instructor to maintain compliance. Emilia assisted living will ensure that at least 1 person who is on duty is CPR/first aide certified. What measures will be put into place to monitor compliance? A programmed reminder on excel spreadsheet has been made to track employee record and if update is needed to be made. The person in charge checks this once a month
June 8, 2023Inspection0 violations
Inspection dates
06/08/2023
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESSARTICLE 1 – SUBJECTIVITY32.1 REPORTED BY PERSONS OTHER THAN PHYSICIANS63.2 GENERAL PROVISIONS63.2 PROTECTION OF ADULTS AND REPORTING63.2 LICENSURE AND REGISTRATION PROCEDURES63.2 FACILITIES AND PROGRAMS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT22VAC40-80 THE LICENSE22VAC40-80 THE LICENSING PROCESS22VAC40-80 COMPLAINT INVESTIGATION22VAC40-80 SANCTIONS
Technical assistance
Discussed Standard 310.H.1 and the definition of “maximum physical assistance”
Comments
An unannounced mandated inspection was conducted on 6/8/2023. At the time of entrance eight residents were in care with three staff providing care. The sample size consisted of three resident records, three staff records and one individual interview. Resident and staff records and other documentation were reviewed. Virginia State Police background checks reviewed for all new staff hired since the previous inspection conducted on 4/7/2022. Residents were observed eating breakfast and engaging in activities including current events and movie time. Medication administration was reviewed. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website within five (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 Lynette Storr, Licensing Inspector at (703) 479-4708 or by email at lynette.storr@dss.virginia.gov
Violations
✅
No violations cited
The inspector documented no violation of standards at this inspection.
April 7, 2022Inspection1 violation
Inspection dates
04/07/2022
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDING AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS32.1 Reported by persons other than physicians63.2 General Provisions63.2 Protection of adults and reporting63.2 Licensure and Registration Procedures63.2 Facilities and Programs22VAC40-90 Background Checks for Assisted Living Facilities22VAC40-90 The Sworn Statement or Affirmation22VAC40-90 The Criminal History Record Report22VAC40-80 THE LICENSE22VAC40-80 THE LICENSING PROCESS22VAC40-80 COMPLAINT INVESTIGATION22VAC40-80 SANCTIONS
Comments
An unannounced renewal inspection was conducted on 4/7/2022. At the time of entrance seven residents were in care with three staff providing care. The sample size consisted of three resident records, three staff records and one individual interview. Resident and staff records and other documentation were reviewed. Virginia State Police background checks reviewed for all new staff hired since the previous inspection conducted on 3/3/2021. Residents were observed eating breakfast and engaging in activities including current events and socializing with staff. Medication administration was reviewed. Exit interview held with Administrator. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.
Violations
22VAC40-73-450-B
Based on documentation review and staff interview, the facility failed to ensure that the licensee, administrator, or his designee who has successfully completed the department-approved individualized service plan (ISP) training, provided by a licensed health care professional practicing within the scope of his profession, shall develop a comprehensive ISP to meet the resident's service needs.
Evidence
  1. Resident #2's most recent UAI dated 1/6/2022 indicates that the resident requires assistance with dressing and toileting. This assessed need is not included on Resident #2's most recent ISP dated 1/17/2022. Resident #1 has a dietary note dated 12/22/2021 indicating that the resident is on a mechanical soft diet and a note indicating that the resident receives Physical Therapy (PT). The assessed need for a special diet and PT are not included on Resident #1's most recent ISP dated 1/24/2022.
Plan of correction
All ISPs will be reviewed and updated as required by the Administrator.
March 4, 2021Inspection0 violations
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDING AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESS32.1 Reported by persons other than physicians63.2 General Provisions63.2 Protection of adults and reporting63.2 Licensure and Registration Procedures63.2 Facilities and Programs22VAC40-90 Background Checks for Assisted Living Facilities22VAC40-90 The Sworn Statement or Affirmation22VAC40-90 The Criminal History Record Report22VAC40-80 THE LICENSE22VAC40-80 THE LICENSING PROCESS22VAC40-80 COMPLAINT INVESTIGATION22VAC40-80 SANCTIONS
Technical assistance
Please ensure that once pandemic restrictions are lifted that all staff up date their TB Risk Assessments and First Aid/CPR training
Comments
This inspection was conducted by licensing staff using an alternate remote protocol necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A mandated monitoring inspection was initiated on 3/3/2021 and concluded on 3/4/2021. The Administrator was contacted by email to initiate the inspection. The Manager reported that the current census is eight. The inspector emailed the Manager a list of items required to complete the inspection. The inspector reviewed two resident records, two staff records, medication administration records, local fire and health inspection and other documentation submitted by the facility to ensure documentation was complete. All background checks of staff hired after the most recent inspection were reviewed. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.
Violations
✅
No violations cited
The inspector documented no violation of standards at this inspection.