VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Loudoun County Adult Day Center at Leesburg
16501 Meadowview Court
Leesburg, VA 20175
(703) 771-5334

Current Inspector: Amanda Velasco (703) 397-4587

Inspection Date: June 13, 2023

Complaint Related: No

Areas Reviewed:

22VAC40-61 GENERAL PROVISIONS 22VAC40-61 ADMINISTRATION 22VAC40-61 PERSONNEL 22VAC40-61 SUPERVISION 22VAC40-61 ADMISSION, RETENTION AND DISCHARGE 22VAC40-61 PROGRAMS AND SERVICES 22VAC40-61 BUILDINGS AND GROUND 22VAC40-61 EMERGENCY PREPAREDNESS 22VAC40-80 THE LICENSE 22VAC40-80 THE LICENSING PROCESS 22VAC40-80 SANCTIONS 63.2 GENERAL PROVISIONS 63.2 PROTECTION OF ADULTS AND REPORTING 63.2 LICENSURE AND REGISTRATION PROCEDURES 63.2 CRIMINAL PROCEDURES 22VAC40-90 BACKGROUND CHECKS FOR ASSISTED LIVING FACILITIES 22VAC40-90 THE SWORN STATEMENT OR AFFIRMATION 22VAC40-90 THE CRIMINAL HISTORY RECORD REPORT

Technical Assistance:

A completed Renewal Application must be submitted prior to the expiration of the current license. An application can be obtained from the DSS website. Please mail the application and payment to VDSS ? Western Licensing Office, 190 Patton Street, Suite 100, Abingdon, VA 24210 ? ATTN: Application Processing. Please update the posted resident rights to reflect the current Licensing Administrator ? Sharae Henderson, 804-629-3479

Comments:

An unannounced renewal study was conducted on 6/13/2023. At the time of entrance nine participants were present with four center staff providing supervision as well as the Director and Assistant Director. This far exceeds the required ratio of one staff per six participants. The sample size consisted of two participant records, two staff records and one individual interview. Participant and staff records and other documentation reviewed. Criminal Background Checks of all staff hired since previous inspection conducted on 4/5/2022 were reviewed. Participants were observed engaging in activities including current events, picture activity and exercise. Exit interview held. 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 Lyn lynette.storr@dss.virginia.gov