VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mac Brownell Adult Day Center
200 Willie Palmer Way
Purcellville, VA 20132
(571) 258-3402

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: Nov. 5, 2021

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 GROUNDS 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(19.2) Criminal Procedures. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report

Comments:

A monitoring inspection was initiated on 11/4/2021 and concluded on 11/5/2021. The Director was contacted by telephone to initiate the inspection. The Director reported that the current census was eight. The inspector emailed the Director a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed two participant records, one staff record, the staff schedule, Fire Inspection, Health Inspection, Fire and Emergency drills, Activity schedule, and menu submitted by the facility to ensure documentation was complete. An exit interview was conducted with Director on the date of inspection, where findings were reviewed and an opportunity was given for questions, as well as for providing any information or documentation which was not available during the inspection. The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued. Thank you for your cooperation and if you have any questions please call 703-479-4708 or contact me via e-mail at lynette.storr@dss.virginia.gov.