VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Youngs Healthcare Senior Center
4215 Evergreen Lane
Annandale, VA 22003
(703) 988-2044

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: Feb. 6, 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 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

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 Participant Rights posting to reflect the current Licensing Administrator: Sharae Henderson, 804-629-3479

Comments:

An unannounced renewal inspection was conducted 2/6/2023. At the time of entrance there were approximately 60 participants in care and 10 staff members providing supervision. Five participant and two staff records were reviewed. No participants received medications during the inspection. Participants were observed having a snack. Activities observed included current events, traditional games, dancing, music appreciation and morning exercise. Background checks of all staff hired since the previous inspection on 12/28/2022 were reviewed. Participant interviews were not conducted because the participants? first language is not English and no interpreters were provided. 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. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. The department's inspection findings are subject to public disclosure. 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.