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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.
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Regulations
- General Procedures and Information for Licensure (PDF)
- Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
- Replacement Pages for General Procedures and Information for Licensure (PDF)
- Standards for Licensed Assisted Living Facilities (PDF)
Technical Assistance
- Technical Assistance for General Procedures and Information for Licensure (PDF)
- Technical Assistance for Regulation for Background Checks for Assisted Living Facilities & Adult Day Care Centers (PDF)
- Technical Assistance for Standards for Licensed Assisted Living Facilities (PDF)
Applicable Code of Virginia References
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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)
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Notices
- 2018/07/13: Survey of Assisted Living Emergency Operations (PDF)
- 2018/07/13: Legislative Report 2018 (PDF)
- 2018/05/22: ALF Questionnaire (PDF)
- 2018/05/09: Summer 2018 DSS/VCU Training Announcement (PDF)
- 2018/03/30: Revised ALF Model Forms (PDF)
- 2018/03/06: Elder Abuse Prevention Educational Program (PDF)
- 2018/03/02: Updated Forms (PDF)
- 2018/02/06: New ALF Standards (PDF)
- 2017/10/30: Amended General Procedures and Information for Licensure (PDF)
- 2017/10/20: Amended Background Check Regulation for ALFs and ADDCs (PDF)
- 2017/09/22: General Procedures and Information for Licensure Update (PDF)
- 2017/08/22: TA 22VAC40-72-650 Storage of Medications Supplemental Feedings (PDF)
- 2017/08/11: New Barrier Crimes List for Assisted Living Facilities and Adult Day Care Centers (PDF)
- 2017/08/08: Relocation of VDSS Eastern Regional Office (PDF)
- 2017/06/28: CRITICAL ALERT Restraints and Adaptive Equipment (PDF)
- 2017/06/28: 2017 Legislative Update (PDF)
- 2017/06/02: Private Pay Uniform Assessment Instrument Online Training Now Available on the DSS Website (PDF)
- 2016/11/15: Liability Insurance Disclosure Amendments to the Standards for Licensed Assisted Living Facilities (PDF)
- 2016/04/29: New List of Barrier Crimes and New Sworn Statement or Affirmation Model Form (PDF)
- 2016/02/08: Licensing Administrators for Adult Programs (PDF)
- 2014/05/01: Auto-Retractable Safety Lancets: DMAS Coverage Criteria; Private Pay Source (PDF)
Guidance & 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
- Enforcement Procedural Manual (PDF)
- Guidance for Assessing Civil Penalties Against ALFs (PDF)
- Health & Safety - Key Standards Subject to Risk Ratings (PDF)
- Performance Standardization - Guidance for Licensure (PDF)
- Protocol for Inspections (PDF)
- Risk Assessment - Guidance Manual (PDF)
- Risk Assessment - Matrix (PDF)
- Staffing - Plans (PDF)
- Staffing - Plans (PPT)
- TB - Screening/Testing (PDF)
- Training - Administrators (PDF)
- Training Regulations Chart (PDF)
Background Investigations
- Barrier Crimes - Alphabetical Order (PDF)
- Barrier Crimes - Numerical Order (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)
- Technical Assistance for Regulation for Background Checks for Assisted Living Facilities & Adult Day Care Centers (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 Schedule
- General Guidelines for Provider Training (PDF)
- Handout Definitions for Current & New ALF Regulations (PDF)
- Mandated Reported Training
- Private Pay Uniform Assessment Instrument Online Training
- Standards for Licensed ALF New Regulation Training 2017-2018 (PPTX)
- Training Video Catalog (PDF)
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
