VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Reflections-A Senior Living Community
246 West Market Street
Leesburg, VA 20176
(703) 777-1971

Current Inspector: Marshall Massenberg (804) 543-5188

Inspection Date: Nov. 8, 2021 and Nov. 17, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-73 GENERAL PROVISIONS 22VAC40-73 ADMINISTRATION AND ADMINISTRATIVE SERVICES 22VAC40-73 PERSONNEL 22VAC40-73 STAFFING AND SUPERVISION 22VAC40-73 ADMISSION, RETENTION, AND DISCHARGE OF RESIDENTS 22VAC40-73 RESIDENT CARE AND RELATED SERVICES 22VAC40-73 RESIDENT ACCOMODATIONS AND RELATED PROVISIONS 22VAC40-73 BUILDING AND GROUNDS 22VAC40-73 EMERGENCY PREPAREDNESS 32.1 Reported by persons other than physicians 63.2 General Provisions. 63.2 Protection of adults and reporting. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 22VAC40-90 Background Checks for Assisted Living Facilities 22VAC40-90 The Sworn Statement or Affirmation 22VAC40-90 The Criminal History Record Report 22VAC40-80 THE LICENSE.

Comments:

A renewal inspection was initiated on 11/8/2021 and concluded on 11/17/2021. The administrator was contacted by telephone to initiate the inspection. The administrator reported that the current census was 14. The inspector emailed the administrator a list of items required to complete the remote documentation review portion of the inspection. The inspector reviewed two resident records, two staff records, the activity calendar, monthly menu, staff work schedule, healthcare and dietary oversight reports, fire drill reports, annual health and fire inspection reports submitted by the facility to ensure documentation was complete. Criminal Background Checks of all staff hired since the previous inspection conducted on 12/14/2020 were reviewed. The inspector conducted the on-site portion of the inspection on 11/16/2021. An exit interview was conducted with the administrator on 11/17/2021 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.