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: Oct. 3, 2024

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 63.2- (1) GENERAL PROVISIONS 63.2- (16) PROTECTION OF ADULTS AND REPORTING 63.2- (17) 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:

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: 10/03/2024, 09:45 am-01:20 pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of participants present at the facility at the beginning of the inspection: (6) The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: (3) Number of staff records reviewed: (3) Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Lunch and exercise activities. Additional Comments/Discussion: 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: 10/03/2024, 09:45 am-01:20 pm. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of participants present at the facility at the beginning of the inspection: (6) The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of participant records reviewed: (3) Number of staff records reviewed: (3) Number of interviews conducted with participants: 0 Number of interviews conducted with staff: 2 Observations by licensing inspector: Lunch and exercise activities. Additional Comments/Discussion: An exit meeting will be conducted to review the inspection findings. 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 Jacquelyn Kabiri, Licensing Inspector at (703) 397-3017 or by email at JacquelynKabiri@dss.virginia.gov