VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cobbdale Assisted Living 3
10615 Elmont Ct
Fairfax, VA 22030

Current Inspector: Jacquelyn Kabiri (703) 397-3017

Inspection Date: April 5, 2024

Complaint Related: No

Areas Reviewed:

Administration and Administrative Services Personnel Staffing and Supervision Admission, Retention and Discharge of Residents Resident Care and Related Services Buildings and Grounds Emergency Preparedness Mixed Population

Comments:

Date of Inspection: April 5,m2024 Type of Inspection: Renewal Inspection If you have any questions or email changes, please do not hesitate to contact me at laura.lunceford@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. Census 8 Number of records reviewed and interviews conducted- 6 records (staff and residents), 6 interviews. All facility self-reported incidents since the last inspection were reviewed on this date. The Licensing Inspector observed the residents during activities and meals. The Licensing Inspector reviewed the following at the time of inspection: fire drills, healthcare oversight, dietician report, menus and activity calendars.