Announcements
Hello Providers,
VDSS is introducing a new way for you to submit an initial application for licensure. Within the coming weeks, VDSS will launch an online portal, the Virginia Enterprise Licensing Application (VELA), where you can enter your application. The online portal will be available February 14, 2022.
For more information email us at nela@dss.virginia.gov.
Assisted living facilities (ALFs) are non-medical residential settings that provide or coordinate personal and health care services, 24-hour supervision, and assistance for the care of four or more adults who are aged, infirm or disabled. This care may be provided in one or more locations. Non-residential adult facilities are listed under Adult Day Care.
Assisted living facilities are not nursing homes. A nursing home is a facility in which the primary function is the provision, on a continuing basis, of nursing services and health-related services for the treatment and inpatient care of two or more non-related individuals. Nursing homes are regulated by the Virginia Department of Health (VDH). To find a nursing home, visit the VDH website.
Regulations & Code References
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Regulations
- ALF Recommendations for Reopening (PDF)
- COVID-19 ALF Leniency List (PDF)
- General Procedures and Information for Licensure (PDF)
- Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
- Replacement Pages for Standards for Licensed Assisted Living Facilities - 22VAC-40-73-540 (PDF)
- Standards for Licensed Assisted Living Facilities (PDF)
Applicable Code of Virginia References
New ALF Applicants
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Application Process
The Division of Licensing Programs at the Virginia Department of Social Services offers pre-application orientation at all licensing field offices. Topics covered include: the application process, licensing regulations and approvals required by other state agencies.
Application Forms
- ALF Addendum (PDF)
- Annual Operating Budget (DOC)
- Annual Operating Budget (PDF)
- Initial Application (DOC)
- Initial Application (PDF)
- Instructions: Initial Application for Licensure (PDF)
- Personal Qualifying Information (PDF)
- Report of Environmental Sanitation Inspection (PDF)
- Request for Building Evaluation or Inspection (PDF)
- Staff Information Sheet (DOC)
- Staff Information Sheet (PDF)
Current ALF Providers (includes forms)
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Notices
- 2022/01/14: Regional Meetings for Infection Prevention and Control Grant (PDF)
- 2022/01/13: COVID-19 Antigen Testing Supply Resource (PDF)
- 2022/01/11: Updated - COVID-19 Isolation and Quarantine Guidance (PDF)
- 2022/01/11: REMINDER - Infection Prevention & Control Survey & Documents (PDF)
- 2022/01/07: Alzheimer's Association Dementia Training (PDF)
- 2021/12/30: ALF Infection Prevention and Control Survey (PDF)
- 2021/12/17: VDSS COVID Update (PDF)
- 2021/11/18: VDSS Receives Infection Control Grant (PDF)
- 2021/11/17: Update - Return to Full Onsite Inspections (PDF)
- 2021/10/28: Revisions to General Procedures and Information for Licensure (PDF)
- 2021/10/28: Revisions to Chapter 73. Standards for Licensed Assisted Living Facilities (PDF)
- 2021/10/04: Federal Funding Opportunities (PDF)
- 2021/09/21: New COVID-19 Vaccine Resources – Assisted Living Facilities (PDF)
- 2021/09/13: Updated Licensing Office Contact Information (PDF)
- 2021/09/13: CORRECTION- Updated Licensing Office Contact Information (PDF)
- 2021/09/07: VDSS COVID-19 Update (PDF)
- 2021/09/07: REMINDER - COVID-19 Vaccine and Booster Survey (PDF)
- 2021/08/31: IMPORTANT - Long-Term Care Facility Vaccine Access Survey (PDF)
- 2021/08/30: Revised Barrier Crimes List (PDF)
- 2021/08/25: VDH Lunch & Learn - Injection Safety and Blood Glucose Monitoring (PDF)
- 2021/07/29: DOLP Public Website Updates (PDF)
- 2021/07/08: CORRECTED Updates to Licensing Offices Memo (PDF)
- 2021/07/07: VDSS DOLP Office Updates (PDF)
- 2021/07/02: FEMA Releases Shelter-in-Place Guidance (PDF)
- 2021/06/28: Expiration of Regulatory Leniency on June 30, 2021 (PDF)
- 2021/06/25: PPE Changes and Updates (PDF)
- 2021/06/15: Legislation that passed in the 2021 General Assembly (PDF)
- 2021/06/14: VDSS Division of Licensing Programs Return to On-site Inspections effective June 15, 2021 (PDF)
- 2021/06/11: VDSS/VDH May 27 ALF COVID-19 Lunch & Learn Recording and Presentation Slides Available & Announcement of Additional Webinar Episodes (PDF)
- 2021/06/10: Hurricane Preparedness (PDF)
- 2021/06/03: VDSS & VDH ALF COVID-19 Webinar Series, Episode 3 - COVID-19 Infection Control Update (Recording)
- 2021/06/03: Presentation Slides - VDSS & VDH ALF COVID-19 Webinar Series, Episode 3 - COVID-19 Infection Control Update (PDF)
- 2021/05/21: VDSS/VDH COVID-19 Lunch & Learn Webinar Series: Episode Three - COVID-19 Infection Control Update (PDF)
- 2021/05/12: ALF Visitation Recommendations Updated 5/12/21 (PDF)
- 2021/05/05: VDSS/VDH April 29th ALF COVID-19 Lunch & Learn Recording and Presentation (PDF)
- 2021/05/05: VDSS & VDH ALF COVID-19 Webinar Series, Episode 2 - COVID-19 Testing Update
- 2021/05/05: Presentation Slides - VDSS & VDH ALF COVID-19 Webinar Series, Episode 2 Testing Update.pdf (PDF)
- 2021/04/27: TIME SENSITIVE: VDH Follow-Up Long Term Care COVID-19 Vaccine Completion Survey (PDF)
- 2021/04/27: Reminder & Updated Agenda: VDSS/VDH COVID-19 Lunch & Learn Webinar Series: Episode Two – COVID-19 Testing Update (PDF)
- 2021/04/26: Reminder: Importance of Reporting PPE Inventory/Burn Rate & Urgent PPE Requests for ALFs (PDF)
- 2021/04/20: VDSS/VDH COVID-19 Lunch & Learn Webinar Series: Episode Two - COVID-19 Testing Update (PDF)
- 2021/03/19: Updated ALF Visitation Recommendations (PDF)
- 2021/03/16: Virginia Department of Health COVID-19 Long Term Care Facility Vaccine Bridge Program (PDF)
- 2021/03/08: Reminder: Virginia Department of Health (VDH) COVID-19 Vaccine Uptake in Long Term Care Facilities Survey & COVID-19 Vaccine Request Form (PDF)
- 2021/02/25: Virginia Department of Health (VDH) COVID-19 Vaccine Uptake in Long Term Care Facilities Survey (PDF)
- 2021/02/22: Long-Term Care Facility REDCap Form (PDF)
- 2021/02/17: Emergency Preparedness-Severe Winter Weather (PDF)
- 2021/02/09: Long-Term Care Facility Clinician Letter (PDF)
- 2021/01/19: Coronavirus Aid, Relief and Economic Security (CARES) Act and AG Recipients (PDF)
- 2021/01/04: COVID-19 Vaccination Update and FAQ (PDF)
- 2020/12/22: ALF Outbreak Toolkit (PDF)
- 2020/12/18: Governor Northam Announces New Executive Order 72 (PDF)
- 2020/12/09: VDSS Division of Licensing Programs Onsite Inspections - COVID-19 Safety and Health Precautions (PDF)
- 2020/11/20: Update to 11/17/20 Memo (PDF)
- 2020/11/17: Governor Northam Announces New Statewide Measures to Contain COVID-19 (PDF)
- 2020/11/16: Visitation in Assisted Living Facilities: Tips and Best Practices - Updated Visitation Considerations During the Holidays (PDF)
- 2020/11/05: Pharmacy Partnership for COVID-19 Vaccination (PDF)
- 2020/10/28: ALF-Final Point Prevalent Survey (PDF)
- 2020/10/20: Pharmacy Partnership for COVID-19 Vaccination (PDF)
- 2020/10/15: Amended Standards for Licensed Assisted Living Facilities, 22VAC40-73 (PDF)
- 2020/09/17: Assisted Living Facility COVID-19 Vaccine Survey (PDF)
- 2020/08/31: Point Prevalence Surveys in Assisted Living Facilities (PDF)
- 2020/08/21: CARES Act Funding for Assisted Living Providers (PDF)
- 2020/08/13: Nurse Aide Education Program Waiver Update (PDF)
- 2020/07/31: COVID-19 Tips and Best Practices for ALFs (PDF)
- 2020/07/24: Respiratory Fit Testing Train-the-Trainer for ALFs (PDF)
- 2020/07/17: FDA Issues a Hand Sanitizer Alert (PDF)
- 2020/06/26: 2020 Legislative Implementation (PDF)
- 2020/06/23: ALF Recommendations for Reopening (PDF)
- 2020/06/17: Point Prevalence Surveys for Assisted Living Facilities (PDF)
- 2020/04/17: VDSS Updated COVID-19 Information and FAQs (PDF)
- 2020/04/15: Licensing Waivers During Virginia’s State of Emergency-COVID-19 (PDF)
- 2020/03/27: Department on Aging and Rehabilitation (DARS)-Information for Assisted Living Facilities (ALFs) during COVID-19 Crisis (PDF)
- 2020/03/17: COVID-19 Letter to Adult Programs - Updates (PDF)
- 2020/03/12: Information on Community Resources - COVID-19 (PDF)
- 2020/02/03: Virginia Department of Health- Information on the Coronavirus (PDF)
Documents & Procedures
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Blood Glucose Monitoring
- Monitoring Protocol (PDF)
- Clarification on Safety Criteria for Fingerstick Devices for Assisted Blood Glucose Monitoring (PDF)
- Clinical Reminder Fingerstick Devices (PDF)
- Diabetes & Viral Hepatitis (PDF)
- Monitoring Update (PDF)
- Payment Information (PDF)
- Resources (PDF)
All Other
- Protocol for Inspections (PDF)
- Risk Assessment - Matrix (PDF)
- Staffing - Plans (PDF)
Background Investigations
- Barrier Crimes (PDF)
- Criminal Background Checks (conducted by Virginia State Police) (Web page)
- Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
- Sworn Statement or Affirmation for Adult Facility Employees (PDF)
- Sworn Statement or Affirmation - Applicants for Assisted Living Facility Licensure (PDF)
Forms
- Approval for Placement in Special Care Unit (PDF)
- Assessment of Serious Cognitive Impairment (PDF)
- Authorization for Release of Confidential Information (PDF)
- Auxiliary Grant Program Provider/DSS Communication Form (PDF)
- Auxiliary Grant Program Provider/DSS Communication Form (DOC)
- Department Approved Educational Program for Geriatric Assistant or Home Health Aide or for Nurse Aide (Not Covered Under 22 VAC 40-73-200 C 2) (PDF)
- Discharge Notification and Statement (PDF)
- Disclosure Statement (DOC)
- Disclosure Statement (PDF)
- Documentation of Physicians or Other Prescribers Oral Order for PRN (as needed) Medication (PDF)
- Individualized Service Plan (PDF)
- Liability Insurance Disclosure Notification Form (DOC)
- Liability Insurance Disclosure Notification Form (PDF)
- Medication Administration Record (DOC)
- Medication Administration Record (PDF)
- Mental Health Screening Determination Form (PDF)
- Model Transfer Form (PDF)
- Non-Availability of Recommended Mental Health Services Form (PDF)
- Publication Order Form (PDF)
- Record of Initial ALF Staff Training (DOC)
- Record of Initial ALF Staff Training (PDF)
- Record of On-Site Health Care Oversight (DOC)
- Record of On-Site Health Care Oversight (PDF)
- Record of On-Site Health Care Oversight Additional Requirements for Restrained Residents (PDF)
- Record of Required Fire and Emergency Evacuation Drills (PDF)
- Record of Restraint Usage (PDF)
- Record of Staff Training and Education Following Employment (PDF)
- Report of Environmental Sanitation Inspection (PDF)
- Report of Resident Physical Examination (PDF)
- Report of TB Screening (PDF)
- Report of Tuberculosis Screening (PDF)
- Resident Personal/Social Data (PDF)
- Resident Agreement (DOC)
- Resident Agreement (PDF)
- Review of Appropriateness of Continued Residence in Special Care Unit (PDF)
- Rights and Responsibilities of Residents of ALFs (DOC)
- Rights and Responsibilities of Residents of ALFs (PDF)
- Staff Record (PDF)
- Sworn Statement or Affirmation for Adult Facility Employees (PDF)
- Sworn Statement or Affirmation - Applicants for ALF Licensure (PDF)
- UAI (Uniform Assessment Instrument) Private Pay (DOC)
- UAI (Uniform Assessment Instrument) Private Pay (PDF)
Forms - License Renewal
- ALF Addendum (PDF)
- Instructions: Renewal Application for Licensure (PDF)
- Personal Quailfying Information (PDF)
- Renewal Application (DOC)
- Renewal Application (PDF)
- Request for Building Evaluation or Inspection (PDF)
- Staff Information Sheet (DOC)
- Staff Information Sheet (PDF)
Training
- ALF Direct Care Staff Training - Instructors Guide (PDF)
- ALF Personnel Taking ADS1102 - Private Pay Uniform Assessment Instrument (PDF)
- Commonwealth of Virginia Learning Center Access Directions
- DSS/VCU Training Information
- Mandated Reported Training
- Private Pay Uniform Assessment Instrument Online Training
- Staffing in Assisted Living Facilities (PPT)
Manuals
- ALF Assessment Manual (Public Pay) (PDF)
- Private Pay Assessment Manual (PDF)
- Transmittal 227 (PDF)
- Transmittal 234 (PDF)
- UAI User's Manual (PDF)
Additional Resources
- AG Certification Form (PDF)
- AG Rate Letter (PDF)
- ALF Facilities that Accept AG Grant (PDF)
- ALF Relocation Plan (PDF)
- Local Fire Official Listing (PDF)
