Virginia DSS · Assisted Living Facility

Viva Senior Living at Fredericksburg

📍 1001 Northside Drive, Fredericksburg, VA, 22405

ID 51279One Year licenseActive
5
Inspections
On record
3
With violations
Visits that cited something
2
Clean visits
Nothing cited
15
Violations cited
Individual findings
11
Standards cited
Distinct rules
1
Complaint visits
Prompted by a complaint

Viva Senior Living at Fredericksburg was inspected 5 times between September 30, 2024 and April 8, 2026 by the Virginia Department of Social Services. 3 of those visits ended with violations cited and 2 with none. Across that history VDSS cited 15 violations under 11 distinct standards. 1 inspection was prompted by a complaint.

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
04/14/2026
Administrator
Marteisha Brown-Hickman
Licensing inspector
Patricia Koval
Inspector phone
(804) 621-6046
Approved for
Assisted Living · Non-Ambulatory

Inspection History

5

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

April 8, 2026Inspection7 violations
Inspection dates
04/08/2026
Areas reviewed
22VAC40-73 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 Building and Grounds22VAC40-73 Emergency Preparedness22VAC40-90 Background Checks for Assisted Living Facilities22VAC40-90 Sworn Statement
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: 4/8/2026 9:35am to 4:00pm 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: 24 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 3 Observations by licensing inspector: The LI observed residents participating in activity programs and eating lunch. 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. 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 Sarah Pearson, Licensing Inspector at (540)680-9469 or by email at sarah.pearson@dss.virginia.gov
Violations
22VAC40-73-450-C
Based on resident record review and staff interview the facility failed to ensure the Individualized Service Plan (ISP) included the date of the identified need or the expected outcome and time frame for expected outcome for each identified need.
Evidence
  1. Resident 2’s (admitted 01/16/2023) ISP dated 03/26/2026 did not include the date for each identified need or the date of the expected outcome and time frame for each identified need on the ISP for the following identified needs: diagnosis, allergies, DNR, skin condition information, active wound, pain expression information, assistive device information, vision, bathing, grooming/hygiene, dressing, toileting, continence assistance, incontinence assistance, dining, food choices, diet information, mobility/ambulation, escorts, transfers, evacuation, fall risk, medications, special medications, med pass, 6-11 meds, preferred pharmacy, eye drops, oxygen enabling devices, housekeeping, laundry, finances, activities, activity preferences, preferences/routines, anxiety symptoms, mood disorders/depression symptoms, emergency response, additional services and outside agency services. 2. Resident 4’s (admitted 10/13/2025) ISP dated 12/08/2025 did not include the date for each identified need or the date of the expected outcome and time frame for each identified need on the ISP for the following identified needs: diagnosis, allergies, full code/CPR, skin condition information, pain expression information, pain management, assistive device information, vision, orientation, bathing, grooming/hygiene, dressing, toileting, continence assistance, dining, food choices, diet information, mobility/ambulation, escorts, transfers, evacuation, fall risk, medications, special medications, med pass, 1-5 meds by mouth, preferred pharmacy, eye drops, oxygen enabling devices, housekeeping, laundry, finances, activities, activity preferences, preferences/routines, anxiety symptoms, mood disorders/depression symptoms, emergency response, additional services and outside agency services. 3. Staff 4 acknowledge the ISPs for residents 2 and 4 did not include the required dates for the ISP.
Plan of correction
22VAC40-73-450C: The ED and RCD are reviewing all current Individualized Service Plans (ISPs) on to ensure identified needs to include appropriate initiation dates and expected outcomes/review dates within the designated sections of the ISP. Any incomplete ISPs are being updated at the time of review. Effective immediately, the RCD or designee will review all newly completed and updated ISPs prior to finalization to ensure compliance with regulatory requirements. The ED will conduct monthly chart audits to monitor ongoing compliance.
22VAC40-73-260-A
Based on staff record review and staff interview, the facility failed to ensure each direct care staff member shall maintain current certification in first aid.
Evidence
  1. Staff 2 hired 6/12/2023 had a first aid/CPR certificate on file that expired on 01/23.2026 on the date of the inspection on 04/09/2026. Staff 4 acknowledged the first aid/CPR certificate on file for staff 2 had expired.
Plan of correction
22VAC40-73-260A: The Executive Director (ED) and Resident Care Director (RCD) completed an audit of all staff CPR certifications on (DATE). Staff identified with expired or soon-to-expire CPR certifications were scheduled for CPR recertification training with Southern Pharmacy on 6/10/2026. Moving forward, the ED or designee will maintain a tracking log of CPR expiration dates and conduct monthly audits to ensure all direct care staff maintain current certification in accordance with regulations.
22VAC40-73-325-B
Based on resident record review and staff interview, the facility failed to review and update the fall risk rating at least annually.
Evidence
  1. Resident 2, admitted 01/16/2023, had a Morse Fall Scale completed on 03/26/2025 on the date of the inspection on 04/08/2026. 2. Staff 4 acknowledged the fall risk rating was not reviewed and updated at least annually.
Plan of correction
22VAC40-73-325B: The RCD completed Morse Fall Scale assessments for all residents by 5/20/2026. Effective immediately, fall risk assessments will be completed upon admission, quarterly as applicable, following any fall occurrence, significant change in condition, and annually per facility policy. The RCD or designee will complete monthly audits to ensure ongoing compliance.
22VAC40-73-450-E
Based on resident record review and staff interview, the facility failed to have the Individualized Service Plan (ISP) signed by the resident or legal representative.
Evidence
  1. Resident 2’s (admitted 01/16/2023) ISP dated 03/26/2026 was not signed by the resident or legal representative. 2. Staff 4 acknowledged the ISP for resident 2 was not signed by the residents or legal representatives on the date of the inspection on 04/08/2026.
Plan of correction
22VAC40-73-450E: The ED and RCD completed an audit of all resident ISPs on 5/21/2026 verify that required signatures are present. Any missing signatures identified during the audit are being obtained immediately. Going forward, the RCD or designee will review all ISPs for completeness, including required signatures, prior to filing in the resident record. Monthly audits will be completed to ensure ongoing compliance with ISP signature requirements.
22VAC40-73-450-F
Based on resident record review and staff interview, the facility failed to update the Individualized Service Plan (ISP) as needed for a significant change of resident’s condition.
Evidence
  1. Resident 4 admitted 10/13/2025 had an order written 10/29/2025 for PT/OT (physical therapy/occupational therapy)/speech eval and treat. 2. The ISP dated 12/08/2025 did not include resident 4’s need for physical, occupational and speech therapy. 3. Staff 4 acknowledged the ISP for resident 4 did not include the need for physical, occupational an speech therapy on the date of the inspection on 04/08/2026.
Plan of correction
22VAC40-73-450F: The RCD is reviewing current resident ISPs to ensure resident needs, services and supports were accurately documented based on current assessments and physician recommendations. Necessary revisions were completed at the time of review. Effective immediately, ISPs will be updated upon admission, with any significant change in condition, and during routine care plan review to ensure services provided accurately reflect resident needs. The ED designee will conduct monthly audits for compliance.
22VAC40-73-950-F
Based on facility document review and staff interview, the facility failed to review the emergency preparedness plan annually or more often as needed, document the review by signing and dating the plan.
Evidence
  1. The facility’s fire and emergency plan had a review by facility staff last dated on 09/06/2024. 2. On the date of the inspection on 04/08/2025, staff 4 acknowledged the last documented fire and emergency plan review was completed on 09/06/2024.
Plan of correction
22VAC40-73-950F: The ED and Maintenance Director initiated monthly reviews of the facility emergency preparedness plan beginning 4/13/2026 and implemented documentation of each review. Staff in-services related to emergency preparedness procedures have also been initiated and will continue routinely. Going forward, the facility will maintain documentation of monthly emergency preparedness reviews, drills and staff education to ensure compliance.
22VAC40-73-680-I
Based on resident record review and staff interview the facility failed to ensure the Medication Administration Record (MAR) shall include the diagnosis, condition, or specific indications for administering the drug or supplement.
Evidence
  1. Resident 3 admitted 12/22/2024 had a MAR dated March 1-31st, 2026 included the following medications that did not include a diagnosis, condition or specific indication for administering the drug: Aspirin EC 81MG TAB (start date 02/12/2026, take one tablet by mouth every day, do not crush), Atorvastatin TAB 40MG (start date 02/12/2026, take one tablet by mouth every day, do not crush), Ferosul TAB 325MG (start date 02/12/2026, take one tablet by mouth every day), Folic Acid TAB 1MG (start date 02/12/2026, take one tablet by mouth every day), Gapapentin CAP 100MG (start date 02/12/2026, take 1 capsule by mouth twice daily, do not crush, may open), Hydralazine 25MG Tablet (started date 02/11/2026, take one tablet by mouth twice daily, hold for SBP less than 130), Lidocaine 5% patch (started date 02/12/2026, apply 1 patch topically to lower back every day), Pantoprazole TAB 40MG (start date 02/12/2026, take one tablet by mouth every day 30 minutes to 1 hour before a mean, do not crush), Sertraline TAB 100MG (start date 02/12/2026, take one tablet by mouth every day) and Sucralfate 1GM Tablet (start date 02/12/2026, take one tablet by mouth before meals and bedtime on an empty stomach). 2. Staff 4 acknowledged the MAR did not include a diagnosis, condition or specific indication for administering the drug or supplement.
Plan of correction
22VAC40-73-680I: The ED and licensed healthcare staff reviewed resident medication administration records (MARs) and physician orders on 5/22/2026 to ensure all medications included corresponding diagnoses where applicable. Missing diagnoses were clarified with prescribing provider and updated accordingly. Going forward, the ED or designee will review all new physician orders, and MAR updates to verify required diagnoses are included. RCD or designee will conduct medication record audits monthly to maintain compliance.
August 26, 2025Complaint survey2 violations
Inspection dates
08/26/2025
Areas reviewed
Resident Care and Related ServicesBuilding and Grounds
Comments
Type of inspection: Complaint Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 8/26/2025 The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. A complaint was received by VDSS Division of Licensing on 7/10/2025 regarding allegations in the areas of: Resident Care and Related Services and Building and Grounds Number of residents present at the facility at the beginning of the inspection: 22 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 5 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: LI toured the facility, residents eating lunch Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. The evidence gathered during the investigation supported some, but not all of the allegations; area(s) of non-compliance with standard(s) or law were: Resident Care and Related Services. A violation notice was issued; any violation(s) not related to the complaint but identified during the course of the investigation can also be found on the violation notice. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov
Violations
22VAC40-73-325-B
Based on a complaint received 7/10/2025, facility record review and resident record review, the facility failed to review and update a written fall risk rating after a fall.
Evidence
  1. The Shift to Shift Communication Log dated 8/21/2025, stated resident 5 was found lie on the floor in the dining area.
  2. There was no fall risk rating related to the fall resident 5 had on 8/21/2025 in the medical chart.
  3. Staff 1 stated there was no fall risk rating related to resident 5’s fall on 8/21/2025 in the electronic medical record.
Plan of correction
RCA will Inservice on documenting Fall Risk rating will be completed at mandatory nursing staff meeting 9/17/2025. Resident 5 Fall risk assessment has been completed and filed in chart.
22VAC40-73-450-E
Based on a complaint received 7/10/2025 and resident record review, the facility failed to ensure the Individualized Service Plan (ISP) was signed by the resident or his legal representative.
Evidence
  1. Resident 2’s ISP developed on 1/6/2025 was not signed by the resident or his legal representative.
  2. Resident 3’s ISP developed on 1/7/2025 was not signed by the resident or his legal representative.
  3. Resident 4’s ISP developed on 12/6/2024 was not signed by the resident or his legal representative.
  4. Resident 5’s ISP developed on 12/10/2024 was not signed by the resident or his legal representative.
Plan of correction
RCD, ARCD and ED have begun emailing all unsigned ISP to legal representatives to be signed.
April 3, 2025Inspection6 violations
Inspection dates
04/03/2025
Areas reviewed
Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsResident Care and Related ServicesResident Accommodations and Related ProvisionsAdditional Requirements for Facilities that Care for Adults with Cognitive ImpairmentsBuilding and GroundsEmergency PreparednessBackground Checks for Assisted Living FacilitiesSworn Statement
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: 4/3/2025 & 4/4/2025 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: 25 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 1 Number of interviews conducted with staff: 4 Observations by licensing inspector: The LI observed residents participating in activity programs and eating meals. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov
Violations
22VAC40-73-440-A
22VAC40-73-440A Based on resident record review and staff interview, the facility failed to assess residents using the uniform assessment instrument in accordance with Assessment in Assisted Living Facilities (22VAC30-110).
Evidence
  1. Resident 3 admitted 12/23/2023 did not have a Uniform Assessment Instrument on file within the last year.
  2. Staff 4 stated the new corporation is using a different assessment tool and not the UAI.
Plan of correction
All residents’ ISPs will be audited and compared to UAI to ensure accuracy in documentation to support care plan. Goal date of 6/15/2025 to have all audits for UAI’s, ISP’s, and Care Plans completed. Monthly audits will be conducted by RCD and ED moving forward to ensure ongoing accuracy. Viva has updated Alis, UAIs can now be updated in system.
22VAC40-73-560-F
22VAC40-73-560F Based on LI observation during medication administration observation, the facility failed to ensure all records are treated confidentially and that information shall be made available only when needed for care of the resident.
Evidence
  1. The LI observed a stack of Packing Slips from the pharmacy with resident’s names and medications they were prescribed. The documents were on top of a medication cart that was within a locked nurses’ station, but the documents were physically accessible by reaching over the counter.
  2. Photo evidence
Plan of correction
All resident information binders will be stored in an appropriate location in the nurse’s station to ensure confidentiality. An in service is scheduled to ensure all staff are aware of the importance of confidentiality and HIPPA. This citation was corrected in real time on day of inspection and will continue to follow through.
22VAC40-73-40-A
22VAC40-73-40 Based on resident record review, staff interview and facility policy review, the facility failed to ensure compliance with the facility’s own policies and procedures.
Evidence
  1. Facility policy titled: Medication Management – Administration & Setup, procedure, #9. states: Direct care staff will record in each resident’s medication administration record any problems with medication administration, including refusals.
  2. Resident 4 was prescribed Bumetanide 2MG Tablet, take one tablet by mouth twice daily on 11/6/2024. According to the March 2025 Medication Administration Record (MAR) for Resident 4, the key at the top of the MAR indicated if a date field is highlighted with an explanation point, this means there is an ‘exception’. For the 7:00am dose on March 28, 29, 30 and 31, 2025 and for the 7:00pm does on March 1, 2, 15, 16, 21 and 29, 2025 the date fields are highlighted with an exclamation point.
  3. The March 2025 MAR for Resident 4 did not include any documentation explaining the exceptions.
  4. The LI asked Staff 4 for any notes or documentation pertaining to the exceptions indicated on the March 2025 MAR for Resident 4 and staff 4 stated there were notes that could be located explaining the exceptions for the medication on the forementioned dates.
Plan of correction
RDO and RDCO are in the process of updating the medication management policy to meet VA regulations. Medication is only administered by Med techs and Nurse. Med techs have been in serviced importance of medication documentation for exception/missed medications. On-going training will be held with Med Techs to ensure compliance and reviewed daily by RCD/ARCD. Med techs will take upcoming refresher course in July. (Correction plan for 2-4)
22VAC40-73-450-C
22VAC40-73-450C Based on resident record review, the facility failed to develop an Individualized Service Plan (ISP) that included a description of identified needs and date identified.
Evidence
  1. The ISP for Resident 1, developed on 2/7/2025, did not list the mechanical devices need for Dressing and Toileting. The UAI on file for Resident 1, with an assessment date of 1/17/2024, indicated the resident needed Mechanical & Human Help with Dressing and Toileting. The UAI also indicated Resident 1 needed Mechanical & Human Help with Walking. The ISP does not describe these needs.
  2. The ISP for Resident 2, developed on 12/17/2024, stated the resident needed Minimal Assistance with Dressing. The UAI for Resident 2 with an assessment date of 12/6/2024 indicated the resident needed Mechanical Help Only for Dressing.
Plan of correction
ISPs and UAIs will be audited for signatures. Power of attorney will be contacted if resident is unable to review and sign. Goal date of 6/8/2025 to have all ISP’s signed by resident or legal representative. Monthly audits will be conducted to ensure compliance and real time care plan reviews.
22VAC40-73-980-H
22VAC40-73-980H Based on LI observation during a tour of the kitchen, the facility failed to ensure the availability of a 48-hour supply of emergency food and drinking water on site at any given time.
Evidence
  1. The LI asked to see the emergency drinking water and was taken to a closet that contained a box that contained 6 gallons of drinking water.
  2. Photo evidence
Plan of correction
Dining service director immediately placed an order to fulfill 48 hours’ worth of emergency food and water supply.
22VAC40-73-450-E
22VAC40-73-450E Based on resident record review, the facility failed to ensure the Individualized Service Plan (ISP) shall be signed and dated by the licensee, administrator, or his designee, and by the resident or his legal representative.
Evidence
  1. The ISP on developed for Resident 1 on 2/7/2025 was not signed by the resident or legal representative.
Plan of correction
ISPs and UAIs will be audited for signatures. Power of attorney will be contacted if resident is unable to review and sign. Goal date of 6/8/2025 to have all ISP’s signed by resident or legal representative. Monthly audits will be conducted to ensure compliance and real time care plan reviews.
January 13, 2025Inspection0 violations
Inspection dates
01/13/2025
Areas reviewed
Administration and Administrative ServicesPersonnelStaffing and SupervisionAdmission, Retention and Discharge of ResidentsBuilding and GroundsBackground Checks for Assisted Living FacilitiesSworn Statement
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: 1/13/2025 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: 29 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: All staff's background checks and sworn statement since change of ownership on 10/15/2024. Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: LI observed residents participating in activity programs. 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 Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov
Violations
✅
No violations cited
The inspector documented no violation of standards at this inspection.
September 30, 2024Inspection0 violations
Inspection dates
09/30/2024
Areas reviewed
Building and Grounds
Comments
Number of residents present at the facility at the beginning of the inspection: 27 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Observations by licensing inspector: Additional Comments/Discussion: An exit meeting will be 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 should the facility be issued a license to operate. 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 a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Sarah Pearson, Licensing Inspector at (540) 680-9469 or by email at sarah.pearson@dss.virginia.gov
Violations
✅
No violations cited
The inspector documented no violation of standards at this inspection.