VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Goodwin House Bailey's Crossroads
3440 South Jefferson Street
Falls church, VA 22041
(703) 820-1488

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: April 28, 2023

Complaint Related: No

Areas Reviewed:

Administration and Administrative Services Personnel Staffing and Supervision Admission, Retention and Discharge of Residents Resident Care and Related Services Resident Accommodations and Related Provisions Building and Grounds Emergency Preparedness Additional Requirements for Facilities that Care for Adults with Serious Cognitive Impairments Background Checks for Assisted Living Facilities The Sworn Statement

Comments:

Date of Inspection: April 28 and May 1, 2023 Type of Inspection: Monitoring inspection Census 40 Number of records reviewed and interviews conducted- 8 records, 7 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The LI observed residents engaged in activity programs and eating lunch. LI observed medication administration and treatment administration and toured the kitchen and observed emergency food and water. If you have any questions or email changes, please do not hesitate to contact me at sarah.pearson@dss.virginia.gov. If you need a copy of any of the DSS Model forms or to review any inspection or regulation, you can find the information on the internet: www.dss.virginia.gov.