Golden Care Services — Virginia Inspection Report

Inspections

On record

With violations

Visits that cited something

Clean visits

Nothing cited

Violations cited

Individual findings

Standards cited

Distinct rules

Complaint visits

Prompted by a complaint

Golden Care Services was inspected 3 times between May 21, 2025 and October 17, 2025 by the Virginia Department of Social Services. 3 of those visits ended with violations cited and 0 with none. Across that history VDSS cited 11 violations under 11 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

Two Year

License expires

11/27/2027

Administrator

Yanova Mitchener

Licensing inspector

Darunda Flint

Inspector phone

(757) 807-9731

Approved for

Assisted Living

Inspection History

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

October 17, 2025Inspection2 violations

Inspection dates

10/17/2025

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 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESS22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Comments

Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 10/17/2025 (arrival 10:43 a.m. / departure 1:41 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 2 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2 Observations by licensing inspector: Breakfast was observed. A medication cart audit was completed. The following were reviewed: fire inspection report, health inspection report, first aid kit, and water temperatures were measured. 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 Darunda Flint, Licensing Inspector at (757)807-9731 or by email at darunda.a.flint@dss.virginia.gov

Violations

22VAC40-73-450-E

Based on record reviewed and staff interviewed, the facility failed to ensure the individualized service plan (ISP) shall be signed and dated by the licensee, administrator or designee and the resident or legal representative.

Evidence

Resident #1’s ISP with an end dated 5-31-2025 did not include the date and signature of the resident and/or legal representative.
Resident #2’s ISP with an end dated of 5-31-2025was not signed and dated by the licensee, administrator or designee and the resident or legal representative.
Staff #1 acknowledged the resident #1’s ISP was not signed by the resident and/or representative. Staff #1 acknowledged resident #2’s ISP was not signed and dated by the licensee, administrator or designee and the resident or legal representative.

Plan of correction

Not published by VDSS.

22VAC40-73-50-B

Based on record reviewed and staff interviewed, the facility failed to ensure written acknowledgement of the receipt of the disclosure by the resident or legal representative was retained in the resident’s record.

Evidence

Resident #1 and resident #2’s record did not include a disclosure nor written receipt of the disclosure. The resident’s date of admission documented as 5-31-2025.
Staff #1 acknowledged the aforementioned resident records’ did not include written receipt of the disclosure nor a copy of the disclosure.

Plan of correction

Not published by VDSS.

July 16, 2025Inspection6 violations

Inspection dates

07/16/2025

Areas reviewed

22VAC40-73 GENERAL PROVISIONS22VAC40-73 STAFFING AND SUPERVISION22VAC40-73 RESIDENT CARE AND RELATED SERVICES22VAC40-73 RESIDENT ACCOMMODATIONS AND RELATED PROVISIONS22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESS

Technical assistance

22VAC40-73-100

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: 07/16/2025 (arrival 10:14 am / departure 12:24 pm) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 7 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 1 Number of interviews conducted with residents:1 Number of interviews conducted with staff: 2 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 Darunda Flint, Licensing Inspector at (757)807-9731 or by email at Darunda.a.flint@dss.virginia.gov

Violations

22VAC40-73-560-E

Based on observation and interview, it was determined that the facility did not ensure that all resident records shall be retained at the facility.

Evidence

On 07/16/2025, the licensing inspector asked staff #1 for the record for resident #2. Staff #1 disclosed that the resident record was not on site.

Plan of correction

The facility has immediately retrieved all resident records stored off-site and has confirmed the availability of all resident files, including resident #2's record. The administrator placed resident records in a secure and organized storage system to prevent future misplacement or absent records. The facility was recently relocated, and records were stowed away in locked storage unit. Staff received training on the importance of maintaining all resident records on-site or within easily accessible, authorized storage to ensure compliance with regulations. The administrator will be responsible for ensuring all records remain on property. Completed by August 31, 2025

22VAC40-73-450-A

Based on record reviewed and staff interviewed, the facility failed to ensure on or within seven days prior to the day of admission a preliminary plan shall be developed to address the basic needs of the resident that adequately protects his health, safety, and welfare. The preliminary plan shall be identified as such and be signed and dated by the licensee, administrator, or his designee, and by the resident or his legal representative.

Evidence

At the time of the inspection resident #1’s record did not contain a preliminary plan of care. Resident #1’s date of admit was 6/13/2025.
Staff #1 acknowledged resident #1’s record did not contain a preliminary plan of care.

Plan of correction

Developed a preliminary plan for Resident #1 retroactively. Moving forward, a plan will be created within the day of admission, signed by staff and the resident or legal representative. Completed by August 31, 2025

22VAC40-73-250-B

Based on interview, the facility failed to ensure all staff records shall be retained at the facility, treated confidentially and kept in a locked area.

Evidence

On 07/16/2025, the licensing inspector asked staff #1 for the record for staff #2. Staff #1 disclosed that the staff records for staff #1 and staff #2 were not on site.

Plan of correction

The facility has immediately retrieved all staff records stored off-site and has confirmed the availability of all staff files, including staff #2's record. The administrator placed staff records in a secure and organized storage system to prevent future misplacement or absence records. The facility was recently relocated, and records were stowed away in locked storage unit. Administrator received training on the importance of maintaining all staff records on-site or within easily accessible, authorized storage to ensure compliance with regulations. The administrator will be responsible for ensuring all records remain on property. Completed by August 31, 2025

22VAC40-73-450-C

Based on record review and interview, the facility failed to ensure that the comprehensive individualized service plan (ISP) shall be completed within 30 days after admission.

Evidence

The record for resident #1 did not contain a comprehensive ISP. Staff #1 acknowledged resident #1’s record did not contain the aforementioned. Resident #1’s date of admit was 6/13/2025.

Plan of correction

Comprehensive ISP: Have completed Resident #1’s ISP retroactively. New procedures will ensure ISP is completed within 30 days of admission for all residents. The facility is committed to maintaining compliance through staff training and ongoing record audits. Corrected by August 31. 2025

22VAC40-73-50-A

Based on record review and interview, the failed to ensure that the assisted living facility shall prepare and provide a statement to the prospective resident and his legal representative, if any, that discloses information about the facility. The statement shall be on a form developed by the department and shall: Be provided in advance of admission and prior to signing an admission agreement contract.

Evidence

Resident #1’s disclosure statement was not signed.
Staff #1 acknowledged resident #1’s disclosure statement was not signed

Plan of correction

Resident #1 Disclosure statement form was signed and dated retroactively. Staff will verify all residents sign and date their orientation forms upon admission. Staff trained to ensure all future residents sign the required statement in advance. Completed by August 31, 2025

22VAC40-73-410-A

Based on record reviewed and staff interviewed, the facility failed to ensure the record included an acknowledgement of the resident having received an orientation and the acknowledgment signed and dated by the resident, and as appropriate the legal representative and kept in the resident’s record.

Evidence

Resident #1’s orientation document was not dated by the resident.
Staff #1 acknowledged resident #1’s orientation document was not dated.

Plan of correction

Administrator had resident #1’s orientation form signed and dated retroactively. Staff will verify all residents sign and date their orientation forms upon admission. Staff trained to ensure all future residents sign the required statement in advance. Completed by August 31, 2025

May 21, 2025Inspection3 violations

Inspection dates

05/21/2025

Areas reviewed

22VAC40-73 BUILDINGS AND GROUND22VAC40-73 EMERGENCY PREPAREDNESS

Technical assistance

22VAC40-73-950-A-1

Comments

Type of inspection: Initial Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 05/21/2025 (arrival 10:00 a.m. / departure 12:43 p.m.) The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. 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 Darunda Flint, Licensing Inspector at (757) 807-9731 or by email at Darunda.a.flint@dss.virginia.gov

Violations

22VAC40-73-960-C

Based on observation and staff interviewed, the facility failed to ensure the telephone numbers of the fire department, rescue squad or ambulance, police, and Poison Control Center was posted by each telephone shown on the fire and emergency evacuation plan.

Evidence

The facility’s evacuation plan posted did not indicate the location of telephones in the facility. The telephone at the front door did not have posted emergency telephone numbers by it.
Staff #1 acknowledged the required emergency telephone numbers were not available at the telephone located at the front door.

Plan of correction

Administrator posted emergency Listing telephone number posted as required above the facility phone.

22VAC40-73-950-A

Based on observation and staff interviewed, the facility failed to ensure there was a fire and emergency evacuation drawing posted in a conspicuous place on used by residents. The drawing shall show primary and secondary escape routes, areas of refuge, assembly areas, telephones, fire alarm boxes and fire extinguishers, as appropriate.

Evidence

During a tour of the facility, the emergency exit plan posted did not include the secondary escape route, areas of refuge, and telephones.
Staff #1 acknowledged the aforementioned were not included in the posted emergency exit plan

Plan of correction

Administrator adjusted emergency exit plan to reflect secondary escape route, areas of refuge, and telephone placement in the facility.

22VAC40-73-920-D

Based on observation, the facility failed to ensure sturdy safeguards shall be provided, with installation in compliance with the Virgina Uniform Statewide Building code to include handrails inside and stools available to stall showers.

Evidence

During a tour of the facility, resident room #4 stall shower did not have handrails inside it.
Staff #1 acknowledged resident room #4 stall shower did not have handrails inside it.

Plan of correction

Administrator placed handrail inside shower of bedroom 4.