Virginia DSS · Assisted Living Facility

Tilden Memory Care & Assisted Living

📍 7800 Belvedere Drive, Alexandria, VA, 22306

ID 48855One Year licenseActive
7
Inspections
On record
5
With violations
Visits that cited something
2
Clean visits
Nothing cited
24
Violations cited
Individual findings
23
Standards cited
Distinct rules
0
Complaint visits
Prompted by a complaint

Tilden Memory Care & Assisted Living was inspected 7 times between November 18, 2022 and May 12, 2026 by the Virginia Department of Social Services. 5 of those visits ended with violations cited and 2 with none. Across that history VDSS cited 24 violations under 23 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.

Every inspection listed here is currently published on the VDSS site.

Provider Information

Facility type
Assisted Living Facility
License type
One Year
License expires
06/30/2026
Administrator
Wade Chilcoat
Licensing inspector
Nina Wilson
Inspector phone
(703) 635-6074
Approved for
Assisted Living · Non-Ambulatory

Inspection History

7

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

May 12, 2026Inspection6 violations
Inspection dates
05/12/2026
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 reviewed the following standards with the facility: 22VAC40-73-50, 22VAC40-280, and 22VAC40-73-450.
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: 05/12/2026 Time in: 10:49 AM Time out: 1:56 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: 6 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: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector (LI) observed residents participating in scheduled activities, dining for lunch, and visiting with family and friends. 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. 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
22VAC40-73-290-A
Based on record review and staff interview, the facility failed to maintain a written work schedule that included the names and job classifications of all staff working each shift, with an indication of whomever is in charge at any given time. Any absences, substitutions, or other changes should be noted on the schedule.
Evidence
  1. The staffing plan stated that 1 Registered Medication Aide (RMA) was scheduled on Monday through Friday, 7:00 am to 3:00 pm, 2:30 pm – 10:30 pm, and 10:00 pm to 7:15 am; 1 Certified Nurse’s Aide (CNA) was scheduled on Monday through Friday, 7:00 am to 8:00 pm; and 1 RMA Saturday through Sunday, 7:00 am to 7:00 pm and 7:00 pm to 7:00 am.
  2. May and November 2025’s work schedule indicated that an RMA was not scheduled 7:00 am to 3:00 pm on the following weekdays: 05/05-07/2025.
  3. May 2025, November 2025, and February 2026’s work schedule indicated that an RMA was not scheduled 7:00 am to 7:00 pm on the following weekend days: 05/04/2025, 05/11/2025,05/24-25/2025, 05/31/2025, 12/20-21/2025, 02/08/2026, and 02/22/2026.
  4. May and December 2025’s work schedule indicated that an RMA was not scheduled from 7:00 pm to 7:00 am on the following weekend days: 05/10/2025, 05/17-18/2025, 11/30/2025, 12/14/2025, 12/20/2025, and 12/27/2025.
  5. May 2025’s and February 2026’s work schedule indicated that a CNA was not scheduled on the following days: 05/04-05/2025, 05/07/2025, 05/09/2025, 05/12/2025, 05/14/2025, 05/16/2025,05/19/2025, 05/21/2025, 05/23/2025, 05/26/2025, 05/28/2025, and 05/30/2025.
  6. During the onsite inspection, 05/12/2026, staff 5 acknowledged that the written schedule for May 2025, November 2025, and February 2026’s were not updated to include absences, substitutions or changes.
Plan of correction
The facility reviewed its work schedule documentation process and identified that the scheduling system/printed schedule format did not consistently show all required information in a clear and complete manner, including staff job classifications, the staff person in charge for each shift, and absences, substitutions, or other schedule changes. The facility will continue to use its electronic scheduling/timekeeping system for operational scheduling, but will implement a standardized monthly written schedule format for compliance documentation. The revised written schedule will clearly include the name of each staff person working, each staff person’s job classification/role, scheduled shift time, and the designated person in charge for each shift. Any absences, call-outs, no-shows, substitutions, or other schedule changes will be documented on the schedule or on an attached schedule change log. The administrator/designee will review the schedule before posting and will ensure that the schedule is updated when changes occur. The facility will also review and update its staffing plan so that the schedule format and staffing plan use consistent job classifications and reflect the facility’s current staffing model. The administrator will be responsible for monitoring compliance with the written schedule requirements. The house manager/designee will assist with maintaining the schedule and documenting any changes or substitutions.
22VAC40-73-930-D
Based on resident record review and staff interview, the facility failed to ensure for each resident with an inability to use the signaling device, in addition to any other services, the following should be met: this inability should be included in the resident’s individualized service plan (ISP).
Evidence
  1. Resident 1’s ISP (dated, 02/11/2026) stated “without orientation due to cognitive impairment related to dementia;” however, the ISP did not include an inability to use a signaling device.
  2. Resident 2’s ISP (dated, 06/24/2025) stated, “without orientation;” however, the ISP did not include an inability to use a signaling device.
  3. During the onsite inspection, 05/12/2026, staff 5 confirmed that resident 1 and resident 2 were without orientation and have an inability to use a signaling device, which was not documented on their ISPs.
Plan of correction
The facility reviewed the individualized service plans for residents who are unable to use the signaling device/call system due to cognitive impairment, disorientation, or inability to understand and use the device independently. The facility will update the individualized service plans for affected residents to clearly document the resident’s inability to use the signaling device and the supervision/intervention process staff will use to monitor and respond to resident needs. The ISP will identify the resident’s need for staff observation, routine checks, assistance with communication of needs, and any other individualized intervention used in place of independent signaling device use. The facility will also revise its ISP review process so that ability or inability to use the signaling device is addressed during admission, 30-day review, annual review, and any significant change in condition. The administrator/designee will review current ISPs and update the ISP template or checklist to include this item going forward. The administrator will be responsible for ensuring affected ISPs are updated and for monitoring compliance during routine ISP reviews. The house manager/LPN or designee will assist with identifying residents who are unable to use the signaling device and ensuring staff understand the resident-specific monitoring plan.
22VAC40-73-680-D
Based on resident record review and staff interview, the facility failed to ensure that medications were administered in accordance with the physician’s or other prescriber’s instructions.
Evidence
  1. Resident 1 was prescribed Amlodipine Besylate 2.5 MG (start date, 01/07/2026) that was discontinued by a physician on 04/03/2026. April 2026’s MAR indicated that resident 1 was administered Amlodipine Besylate 2.5 MG, 04/03-10/206.
  2. During the onsite inspection, 05/12/2026, staff 6 acknowledged that resident 1’s Amlodipine Besylate 2.5 MG was not administered in accordance with the physician’s order, as the medication was discontinued on 04/03/2026 and documented as administered, 04/03-10/2026.
  3. Resident 2 was prescribed Apixaban 2.5 MG (take 1 tablet by mouth every 12 hours for a total of 35 days) on 11/18/2025. Resident 2’s medication, Apixaban 2.5 MG were not transcribed on November 2025’s MAR.
  4. During the onsite inspection, 05/12/2026, staff 6 acknowledged that resident 2’s Apixaban 2.5 MG was not administered in accordance with the physician’s order, as the medication was ordered on 11/18/2026 for a total of 35 days but was not documented as administered on the November 2025’s MAR.
Plan of correction
The facility reviewed the medication administration concerns identified during the inspection and determined that the issues were related to gaps in medication order communication, order verification, and timely eMAR/MAR updating after new or discontinued medication orders were received. The facility will implement a clarified medication administration safeguard requiring that medication administration staff verify that the MAR/eMAR matches the current valid prescriber order before administering medications, especially after a new order, discontinued order, hospital return/readmission, pharmacy update, or medication change. If there is a discrepancy between the prescriber order, pharmacy information, and MAR/eMAR, staff will not administer the medication until the order is clarified, unless otherwise directed by an authorized prescriber in accordance with applicable requirements. Discontinued medications will be removed, stopped, or clearly marked according to the medication management policy so that medication administration staff do not continue administering medications after discontinuation. New medications will not be administered until the medication administration staff have access to a valid prescriber order and the MAR/eMAR accurately reflects the order. For hospital returns/readmissions, weekend orders, and after-hours medication changes, the administrator/designee and/or qualified medication administration staff will ensure that medication orders are reviewed and verified promptly and that any discrepancies are escalated to the pharmacy, provider, LPN/house manager, or administrator as needed. The facility will not delay review of medication orders solely because the LPN is not physically present if another qualified staff member or administrator/designee is available to complete the required follow-up within scope and facility policy. The facility has contacted the pharmacy and requested that copies of prescriber orders be faxed to the facility when received by the pharmacy to support timely verification and accurate medication administration. Medication administration staff will be trained on the revised process, including how to handle pending pharmacy/eMAR orders, discontinued medications, new medication orders, hospital return orders, and discrepancies between orders and the MAR/eMAR. The LPN/house manager will assist with medication administration oversight and review of medication order changes. The administrator/designee will monitor compliance by reviewing medication order change documentation and following up on identified discrepancies.
22VAC40-73-980-A
Based on record review and staff interview, the facility failed to ensure that a complete first aid kit include required, unexpired items to include antiseptic wipes or ointment.
Evidence
  1. During the onsite inspection, 05/12/2026, licensing inspector (LI) reviewed the first aid kit and noted that the antiseptic wipes expired 08/31/2025. LI observed that the first aid kit also included wound and burn dressing that expired on 08/01/2023.
  2. During the onsite inspection, 05/12/2026, staff 5 confirmed that the first aid kit included items with expiration dates that have already passed, antiseptic wipes, 08/31/2025 and wound and burn dressing, 08/01/2023.
Plan of correction
The facility reviewed the first aid kit and removed/replaced expired items. The administrator/designee will ensure the first aid kit contains required, unexpired supplies, including antiseptic wipes or ointment. The facility will update its monthly first aid kit review process to include a specific expiration-date check for each required item. Any expired or soon-to-expire item will be removed and replaced. The monthly check will be documented on a first aid kit checklist that includes the date of review, staff initials/signature, and any corrective action taken. The administrator will be responsible for monitoring compliance with the first aid kit requirements. The administrator/designee will review the first aid kit checklist monthly to ensure required supplies are present and unexpired.
22VAC40-73-990-B
Based on record review and staff interview, the facility failed to ensure 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, 05/12/2026, the facility did not provide documentation that resident emergencies were reviewed with all staff at least every six months.
  2. During the onsite inspection, 05/12/2026, staff 5 acknowledged that documentation of resident emergencies were not provided to the licensing department representative.
Plan of correction
The facility reviewed its emergency documentation process and identified that the six-month emergency preparedness review and resident emergency procedures review were not clearly separated and labeled. The facility had been reviewing the general emergency preparedness plan and conducting resident emergency practice scenarios, but did not maintain a separate, clearly labeled six-month review of the resident emergency procedures required under 22VAC40-73-990-B. The facility will create and implement a separate Resident Emergency Procedures Review process for all staff. This review will be separate from the general emergency preparedness plan review required under 22VAC40-73-950 and separate from fire drill documentation. The resident emergency review will include resident medical emergencies, mental health emergencies, missing resident/elopement procedures, resident information to provide to emergency responders, family/legal representative notification, licensing notification when required, and documentation expectations. The facility will provide the resident emergency procedures review to all staff at least every six months. Staff completion will be documented by signature/date or by a Tilden-specific electronic training completion record. The facility will maintain this documentation for inspection. The facility will also continue to conduct and document resident emergency practice exercises as required. The administrator/designee will ensure the six-month resident emergency review and the resident emergency practice exercise are clearly labeled and maintained as separate compliance records going forward. The administrator will be responsible for creating the revised resident emergency review documentation and monitoring completion. The house manager/LPN or designee will assist with staff communication and ensuring staff complete the required review.
22VAC40-73-640-A
Based on resident record review and staff interview, the facility failed to have, keep current, and implement a written plan for medication management. The facility’s medication plan should address procedures for administering medications and should include: methods for verifying that medication orders have been accurately transcribed to medication administration records (MARs) within 24 hours of receipt of a new order or change in an order.
Evidence
  1. Resident 1 received a discontinue order for Amlodipine Besylate 2.5 MG (1 tablet by mouth every morning for blood pressure) on 04/03/2026. Resident 1’s April 2026 MAR indicated that the Amlodipine Besylate 2.5 MG was administered 04/03-10/2026. Amlodipine Besylate 2.5 MG was documented as discontinued on the April 2026 MAR on 04/10/2026.
  2. During the onsite inspection, 05/12/2026, staff 6 acknowledged that Resident 1’s medication, Amlodipine Besylate 2.5 MG was discontinued on 04/03/2026; however, the medication was documented as administered until 04/10/2026; and documented as discontinued on 04/10/2026.
  3. Resident 2 received a discontinue order for Tramadol HCL 50 MG on 04/03/2026. Resident 2’s April 2026’s MAR indicated that the Tramadol HCL 50 MG (1 tablet by mouth every 6 hours as needed for pain) was documented as discontinued on 04/10/2026.
  4. During the onsite inspection, 05/12/2026, staff 6 acknowledged that resident 2’s medication, Tramadol HCL 50 MG was discontinued on 04/03/2025 but was not documented as discontinued on the April 2025 MAR until 04/10/2025.
  5. Resident 2 received a physician’s order for Ativan 0.5 MG (PRN for breakthrough anxiety) on 11/12/2025. Resident 1’s Ativan 0.5 MG was not transcribed on the November 2025 MAR.
  6. Resident 2 received a physician’s order for Apixaban 2.5 MG (take 1 tablet by mouth every 12 hours) on 11/18/2025. Resident 2’s Apixaban 2.5 MG was not transcribed on the November 2025 MAR.
  7. During the onsite inspection, 05/12/2026, staff 6 acknowledged that resident 2 was prescribed Ativan 0.5 MG on 11/12/2026 and Apixaban 2.5 MG on 11/18/2025, but the medications were not transcribed on the November 2025 MAR.
Plan of correction
The facility reviewed its medication order management process and identified that the medication management plan and workflow did not clearly define the process for timely review, verification, transcription, and documentation of new medication orders, discontinued medication orders, and medication changes, including orders received after hours, on weekends, or through the pharmacy/eMAR system. The facility is revising its Medication Management Policy to clarify that all new medication orders, discontinued medication orders, and medication changes must be reviewed and verified against a valid prescriber order and accurately reflected on the MAR/eMAR within 24 hours of receipt. If the pharmacy sends a pending eMAR order before the facility has received the signed prescriber order, staff will promptly request the signed order from the pharmacy and/or provider and document the follow-up. Medications will not be administered from a pending eMAR entry unless there is a valid prescriber order available to support administration. The facility has contacted its pharmacy and requested that copies of prescriber orders be faxed to the facility when the pharmacy receives them, so the facility has timely access to the source order and can verify the eMAR accurately. The facility will update its weekend and after-hours medication order process so that if the LPN is not available, the administrator/designee and/or qualified medication administration staff will be responsible for ensuring that new orders, discontinued orders, hospital return orders, and medication changes are reviewed, communicated, and processed according to facility policy and staff scope of responsibility. The LPN/house manager will review medication order changes and follow-up documentation as part of medication oversight. Staff responsible for medication administration and medication documentation will receive training on the revised Medication Management Policy and medication order change process. Training will include timely review of orders, handling pending pharmacy/eMAR entries, discontinued medications, readmission/hospital return orders, weekend/after-hours orders, documentation expectations, and escalation to the administrator/designee or LPN when clarification is needed. The administrator will be responsible for ensuring the Medication Management Policy is revised and training is completed. The LPN/house manager will be responsible for assisting with staff training, medication order review, and monitoring medication order change documentation. The administrator/designee will periodically review medication order change documentation to monitor compliance.
May 12, 2026Inspection2 violations
Inspection dates
05/12/2026
Areas reviewed
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 RESIDENT CARE AND RELATED SERVICES
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: 05/12/2026 Time in: 1:57 PM Time out: 3:30 PM The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A self-reported incident was received by VDSS Division of Licensing on 05/05/2026 regarding allegations in the area(s) of: Administration and Administrative Services and Resident Care and Related Services. Number of residents present at the facility at the beginning of the inspection: 6 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Licensing inspector observed residents participating in scheduled activities. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported the self-report of non-compliance with standard(s) or law, and violation(s) were issued. Any violation(s) not related to the self-report 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. 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
22VAC40-73-460-A
Based on record review, resident record review and staff interview, the facility failed to assume general responsibility for the health, safety, and well-being of the residents.
Evidence
  1. On 05/05/2026, licensing inspector received an incident report that stated, “at approximately 1:24 pm, resident 1 exited the building through our delayed-egress door after holding the door open and triggering the release countdown and the alarm.” Staff 2 immediately followed resident 1 and remained for approximately 9 minutes, until staff 2 re-entered the building for about two minutes, returning outside around 1:35 pm; however resident 1 was no longer in sight. Resident 1 returned on their own around 2:05 pm. To the present date, staff 2 is unaware of resident 1’s location while they were out of sight.
  2. Resident 1’s (admit date, 05/05/2026) Uniformed Assessment Instrument (UAI, dated, 04/15/2026) indicated that resident 1 was “disoriented – some spheres, some of the time” and “wandering/passive – weekly or more.”
  3. During the onsite inspection, 05/12/2026, staff 1 confirmed that the facility is mixed population and staff 2 did not assume general responsibility for the safety and well-being of resident 1 when leaving resident 1 outside without supervision.
Plan of correction
The facility has implemented a clear supervision expectation for any resident who exits unexpectedly or demonstrates exit-seeking behavior. Staff will be trained that when a resident exits unexpectedly or is actively exit-seeking, staff must maintain continuous visual supervision until the resident is safely back inside, another staff member assumes supervision, or emergency responders/administrator provide direction. Staff will be trained that a resident may not be left unattended outside after an unexpected exit, even briefly, unless another staff member has clearly taken over supervision. Staff will also be trained that the delayed-egress system, door alarm, or other environmental safeguard is a safety support and does not replace staff response and supervision. The training will reinforce that if a resident cannot be located immediately during a rapid premises check, or if the resident is out of sight and there is concern for safety, 911 must be called. Staff will also be trained to notify the administrator/designee, notify the responsible party/legal representative as applicable, document the event, and communicate the event to the next shift. The facility will strengthen transition monitoring for newly admitted residents with cognitive impairment, disorientation, wandering history, independent outdoor walking history, or other potential safety concerns. During the initial adjustment period, the administrator/designee and house manager/LPN will review available admission information, provider notes, UAI/assessment information, and responsible party input to determine whether additional supervision or exit-seeking interventions are needed. These interventions will be documented in the resident record and individualized service plan as appropriate. The facility had completed an elopement practice exercise prior to the incident, which supported staff recognition of the need for prompt action, including notification of the administrator and law enforcement once the resident was no longer in sight. Going forward, the facility will continue to conduct and document resident emergency practice exercises, including missing resident/elopement scenarios, as required. The administrator is responsible for monitoring implementation of the revised procedure. The house manager/LPN is responsible for reinforcing supervision expectations with direct care staff and reporting exit-seeking concerns to the administrator for follow-up.
22VAC40-73-40-A
Based on resident record review and staff interview, the facility failed to ensure compliance with all regulations for licensed assisted living facilities and terms of the license issued by the department; with relevant federal, state, and local laws; with other relevant regulations; and with the facility’s own policies and procedures.
Evidence
  1. On 05/05/2026, the licensing department submitted an incident report stating that resident 1 eloped from the facility for approximately 25-30 minutes that afternoon.
  2. The Elopement/Missing Resident policy stated, “obtain updated medical evaluation from hospital or doctors office. Initiate any new orders; establish private duty care for resident oversight until resident re-assessment indicates there is no longer a need; and inservice care staff and any relevant staff members.
  3. Upon request, 05/12/2026, the facility did not provide documentation that a medical evaluation had occurred or was scheduled, private duty care was initiated for oversight or signed and dated inservice for care staff.
  4. During the onsite inspection, 05/12/2026, staff 1 confirmed that the Elopement/Missing Resident policy was not followed and documentation of resident 1’s medical evaluation, private duty oversight, and an inservice for care staff was not provided to licensing upon request.
Plan of correction
The facility has revised its Elopement, Exit-Seeking, and Missing Resident Policy to better reflect the facility’s current operating model, resident population, and actual response expectations. The revised policy clarifies immediate staff response steps, continuous visual supervision expectations, notification requirements, documentation, post-incident review, individualized follow-up interventions, and when additional supervision or outside services may be considered. The revised policy also removes language that could be interpreted as requiring private duty oversight automatically after every elopement, unexpected exit, or exit-seeking event. Instead, the administrator/designee will evaluate resident-specific risk and determine appropriate follow-up interventions, which may include enhanced monitoring, provider evaluation, one-to-one supervision, private duty support, transfer review, discharge review, or other individualized interventions as appropriate. The resident involved in the incident received psychiatric provider follow-up the day after the incident. The resident was also flagged in the electronic resident record as high risk for exit-seeking so staff are alerted to the resident’s supervision needs. The resident’s individualized service plan will be updated to reflect exit-seeking/elopement risk and current interventions as part of the resident’s admission-period ISP review. The facility has created a Tilden-specific Relias training course based on the revised Elopement, Exit-Seeking, and Missing Resident Policy. Staff will complete this training no later than 07/01/2026. Training completion will be documented through Relias completion records and/or staff acknowledgment records. The administrator is responsible for revising the policy, ensuring staff training is assigned and completed, and monitoring implementation. The house manager/LPN will assist with staff communication, resident-specific supervision interventions, and follow-up documentation.
April 25, 2025Inspection10 violations
Inspection dates
04/25/2025
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 22VAC40-73-300, 22VAC40-73-490, 22VAC40-73-970-A, 22VAC40-73-980-A, 22VAC40-73-1030-A.
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: 04/25/2025 Time In: 11:29 AM Time Out: 3:14 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: 5 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: 2 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 3 Observations by licensing inspector: Licensing inspector (LI) observed residents dining for lunch, interacting with peers and staff, and watching television. LI observed visitors entering and exiting the facility. LI observed staff providing quality care to the residents throughout the inspection. 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
22VAC40-73-50-A
Based on record review and staff interview, the facility failed to ensure that the disclosure statement was on a form developed by the department.
Evidence
  1. The disclosure statement was on a former department document (dated, 10/2019).
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that the disclosure statement was not updated to the correct department approved form.
Plan of correction
The DSS disclosure statement form had been updated just earlier this year and we were still using the older version of the form. Moving forward, the updated form is now part of our admissions packet.
22VAC40-90-40-F
Based on record review and staff interview, the facility failed to ensure a criminal history record report issued by the State Police was not accepted by the facility if the report was dated more than 90 days prior to the date of employment.
Evidence
  1. Staff 4’s (hire date, 04/14/2025) criminal history record report was obtained on 11/14/2024.
  2. On 04/25/2025, LI interviewed staff 4 who confirmed that the criminal history record report for Staff 4 was obtained more than 90 days prior to the date of employment.
Plan of correction
We obtained a criminal background check for this employee on 11/14/2024 when she was working as a private aide for one of our residents. She did an amazing job and we offered her part-time employment with us after the resident was discharged. We did not order another background check at the time because the original was still less than six months old. Upon being informed of the violation, a new criminal background check was ordered on 5/2/2025 and has been returned again showing no criminal convictions.
22VAC40-73-950-E
Based on record review and staff interview, the facility failed to ensure to implement a semiannual 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 04/25/2025, LI interviewed staff 3 who confirmed that a semi-annual review on the emergency preparedness and response plan was not completed for all staff, residents, and volunteers.
Plan of correction
The administrator reviewed, updated, and signed the emergency response plan on 4/14/2025. Moving forward, we will be sure to include signatures from staff, residents, and volunteers during the bi-annual review.
22VAC40-73-430-H-1
Based on resident record review and staff interview, the facility failed to provide the resident and legal representative a dated discharge statement signed by the administrator.
Evidence
  1. Resident 1’s records did not include a discharge statement.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that a discharge statement was not completed for resident 1.
Plan of correction
Moving forward, the facility will include a discharge statement for all residents regardless if the discharge was initiated by the resident or the facility.
22VAC40-73-240-C
Based on volunteer record review and staff interview, the facility failed to maintain documentation on volunteers.
Evidence
  1. Upon request the facility did not provide volunteer 5’s records.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that the facility does not acquire or maintain volunteer records.
Plan of correction
Moving forward we will use the model Staff Record Form with volunteers in addition to employees.
22VAC40-73-280-B
Based on record review and staff interview, the facility to maintain a written plan that specified the number and type of direct care staff required to meet day-to-day, routine direct care needs.
Evidence
  1. Upon request the facility did not provide a staffing plan. The facility provided the disclosure statement.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that the disclosure statement was used as a staffing plan.
Plan of correction
There was a misunderstanding that the staffing plan was part of section five on the disclosure statement, as there is no model staffing form listed on the DSS website for ALF providers. We are creating a separate staffing plan to satisfy this requirement.
22VAC40-73-45-B
Based on record review and staff interview, the facility failed to prepare a statement on the liability insurance form provided by the department.
Evidence
  1. The liability insurance was not prepared on a department statement form.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that the liability insurance was not prepared on a department statement form.
Plan of correction
The older disclosure statement from 50-A included the liability insurance disclosure, whereas now it is a separate form. Moving forward, the new liability insurance form will be included right after the updated DSS disclosure statement in our admissions packet.
22VAC40-73-260-A
Based on record review and staff interview, the facility failed to ensure that each direct care staff member maintained current certification in first aid from the American Red Cross, American Heart Association, National Safety Council, or American Safety and Health Institute.
Evidence
  1. Staff 2’s first aid certification expired 09/25/2024 and was completed with American Academy of CPR and First Aid, Inc.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that staff 2’s certification was expired on 09/25/2024 and not completed with a required organization.
Plan of correction
To help ensure that we remain in compliance, Tilden offers a free CPR & First Aid class to our staff every quarter. We had noticed that one of our new part-time hires had obtained credentials not recognized by DSS, so we said she must attend our next CPR & First Aid class in order to get the proper credentials. The employee said she had a schedule conflict during our training time, but that she would attend class the following week at the larger facility where she worked full time. She never presented proper certification to us and has since been terminated.
22VAC40-73-950-A
Based upon record review and 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 04/25/2025, LI interviewed staff 3 who confirmed that the emergency preparedness and response plan did not include documentation of annual contact with the local emergency coordinator.
Plan of correction
We met with a representative from the Fairfax County Office of the Fire Marshall on 5/28/2025 and moving forward will document contact annually.
22VAC40-73-290-A
Based on record review and staff interview, the facility failed to maintain a written work schedule that included the job classifications of all staff working each shift, with an indication of whomever was in charge at any given time.
Evidence
  1. The April 2025 (04/20-04/26/2025) schedule did not include job classifications and whomever was in charge at any given time.
  2. On 04/25/2025, LI interviewed staff 3 who confirmed that the staff schedule did not include job classifications and whomever was in charge.
Plan of correction
Because we are a small facility with a limited number of staff, our previous licensing inspector suggested posting a notice on our public bulletin board announcing the manager on duty to satisfy this requirement. Our current work schedules show job classifications by color code, but moving forward we will also include the manager on duty for each printed work schedule.
April 24, 2024Inspection3 violations
Inspection dates
04/24/2024
Areas reviewed
22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 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
Comments
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: 4 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: LI toured the physical plant of the facility, and observed residents involved in independent pursuits, such as lunch, physical therapy, and a pianist solo. LI also observed a medication pass. 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. 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
22VAC40-73-690-G
Based on resident record review and staff interview, the facility failed to ensure that action was taken in response to the recommendations noted in the medication review and that this is documented in the resident record.
Evidence
  1. Resident 2 and Resident 3’s Pharmacy Reviews were completed on 09/20/2023, 03/13/2023, and 03/28/2023.
  2. No documentation was present in Resident 2 or Resident 3’s record regarding action taken to recommendation in the medication review.
  3. On 04/24/2024, LI interviewed Staff 4, who stated that he “did not know” it was a requirement to respond to physician recommendations for pharmacy reviews.
Plan of correction
What did you do to fix this specific violation? The third-party medication audits will be sent to each residents’ primary care provider for review. The facility will document that the audits were sent and if the primary care providers wish to change medication orders based upon the recommendations. What steps are you going to implement to ensure future compliance? Moving forward the facility will keep documentation showing that bi-annual medication audits were sent to residents’ primary care providers and if providers wished to change medication orders based upon the recommendations. What measures will be put into place to monitor compliance? Documentation will be uploaded into the facility’s Synkwise electronic health records system with an alert set to trigger the administrator and staff one month before expiration. What date will this be completed by? This will be completed within one week of receiving the next bi-annual audit, which is expected to arrive 6/30/2024.
22VAC40-73-940-A
Based on facility record review and staff interview, the facility failed to ensure that at least an annual inspection by the appropriate fire official was conducted and reports of the inspections shall be retained at the facility for at least two years.
Evidence
  1. The most recent inspection completed by the fire official was completed on 11/04/2022. On 04/24/2024, LI interviewed Staff 4, who stated, “the Fire Marshal and former LI did not advise that I needed an annual inspection completed.”
Plan of correction
What did you do to fix this specific violation? The administrator immediately ordered a new fire safety inspection to be performed by the Fairfax County Fire Marshall. An inspection was conducted on May 29, 2024, and zero violations were found. A new annual permit was issued (inspection sequence #3342969). What steps are you going to implement to ensure future compliance? A new fire safety inspection will be conducted every twelve months cWhat measures will be put into place to monitor compliance? The annual fire permit has been uploaded into the facility’s Synkwise electronic health records system with an alert set to trigger the administrator and staff one month before expiration. A new inspection will be ordered one month before the current permit expires. What date will this be completed by? A new annual fire safety inspection will be conducted by May 29, 2025, which is when the current permit expires.
22VAC40-73-70-A
Based on a facility record review and staff interviews, the facility failed to report major incidents that threatened the life, health, safety, or welfare of any resident to the regional licensing office within 24 hours.
Evidence
  1. Resident 2’s record contained documentation dated 01/10/2024 that stated an onset of an unspecified wound.
  2. On 04/24/2024, Staff 2 (hire date, 01/01/2023) and Staff 4 (hire date, 01/01/2023); both stated, they were “unaware” of the requirement to report incidents, such as wounds to the regional licensing office.
Plan of correction
What did you do to fix this specific violation? The administrator told the inspector that moving forward all resident wounds will be reported within 24-hours via email steps are you going to implement to ensure future compliance? The administrator told the LPN and third-party wound nurse to inform him of any new resident wounds so that he can report them to the regional licensing office What measures will be put into place to monitor compliance? Direct care staff have been instructed to alert the LPN and administrator of any new resident wounds dWhat date will this be completed by? All new resident wounds will be reported to the regional licensing office via email within 24-hours of initial observation
June 15, 2023Inspection0 violations
Inspection dates
06/15/2023
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
Please ensure that all staff have documentation of First Aid Training. Discussed Resident Service Plans
Comments
An unannounced renewal inspection was conducted on 6/15/2023. At the time of entrance four residents were in care with two staff providing care. The sample size consisted of two resident records, two 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. Residents were observed eating breakfast and engaging in activities including coloring and music appreciation. 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.
March 27, 2023Inspection3 violations
Inspection dates
03/27/2023
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 ACCOMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDING AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESSArticle 1Subjectivity32.1 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 model form for fire drill reports, staff records, employee orientation. Discussed UAI signatures.
Comments
An unannounced mandated monitoring inspection was conducted on 3/27/2023. At the time of entrance four residents were in care with two staff providing care. The sample size consisted of two resident records, two 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. Residents were observed eating breakfast and engaging in activities including current events. Medication administration was reviewed. An exit meeting was 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 Lynette Storr, Licensing Inspector at (703) 479-4708 or by email at lynette.storr@dss.virginia.gov
Violations
22VAC40-73-250-D
Facility failed to ensure that each staff person on or within seven days prior to the first day of work at the facility and each household member prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of tuberculosis in a communicable form as
Evidence
  1. d by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: Staff #2 hired on 3/10/2023 did not have documentation of a current TB screening.
Plan of correction
Administrator/Owner to ensure all TB screening are completed prior to hire.
22VAC40-73-450-A
Facility failed to ensure that on or within seven days prior to the day of admission a preliminary plan of care shall be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare.
Evidence
  1. Resident #1 was admitted on 1/1/2023. A plan of care was not developed until 1/2/2023.
Plan of correction
Administrator/Owner to ensure all plans of care are completed prior to or on the day of admission.
22VAC40-73-440-A
Facility failed to ensure that all residents of and applicants to assisted living facilities shall be assessed face to face using the uniform assessment instrument.
Evidence
  1. Resident #2’s most recent UAI dated 3/12/2023 did not assess the resident’s needs in mobility and eating/feeding.
Plan of correction
Administrator/Owner to ensure all UAIs assess all areas of assessed need.
November 18, 2022Inspection0 violations
Inspection dates
11/18/2022
Areas reviewed
22VAC40-73 GENERAL PROVISIONS22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES22VAC40-73 PERSONNEL22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDING AND GROUNDS22VAC40-73 EMERGENCY PREPAREDNESSArticle 1Subjectivity32.1 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 forward Building Inspection Report when it is completed.
Comments
Licensing Inspector (LI) conducted an announced initial inspection on 11/18/2022. LI walked the physical plant, verified window and room measurements, discussed required postings, inspected first aid kits, reviewed policies and procedures and tested the call bell system. All required Virginia State Police background checks received and reviewed. No violations cited today and exit interview held. 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.