VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Stefani Penaranda
14636 Chapel Lane
Leesburg, VA 20176
(703) 989-3891

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Oct. 24, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussed with the provider outdoor equipment. The outdoor play structure can only be used by the preschoolers in care.

Comments:

An unannounced renewal inspection was conducted today from 11:30am-2:30pm. There were 13 children, 11 children in care and 2 resident children (32 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, being bottle fed, playing outdoors, and eating lunch. Hand washing procedures were also observed. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-830-B
Description:	Based on review of emergency response drills, shelter-in-place drills were not practiced a minimum of twice per year. Evidence: A shelter-in-place drill was practiced in the month of July 2018, no other drill was documented in 2018.
Plan of Correction:	I conducted the drill but did not document it, I will make sure I document each drill.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child#2' record contains a physical examination that has not been completed or signed by the child's physician.
Plan of Correction:	I have already requested a new physical form.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's record did not contain all the required information. Evidence: Child#2's record is missing the medical insurance policy number and the emergency contact's street number.
Plan of Correction:	Corrected during the inspection.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years. Evidence: Child#1's record contains an immunization record that was last updated on 2/27/2019. Child#4's record contains an immunization record that was last updated on 2/18/2019.
Plan of Correction:	I have already requested updated immunization documentation.
Standard #:	22VAC40-111-480-D
Description:	Based on observation, an outdoor bucket swing was not used according to the manufacturer's instructions. Evidence: A child was observed in the bucket swing during the inspection and the safety strap was not used and securely fastened.
Plan of Correction:	We will make sure that we buckle them every time they use the swing.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the provider does not have documentation of a central registry result within 30 days of employment for a staff member. Evidence: Staff#2's record does not contain a central registry check result. The staff member's first day of employment was documented as 8/19/2019.
Plan of Correction:	I have sent out the central registry request, I will follow up with them.
Standard #:	63.2-1720.1-B-3
Description:	Based on record review and interview, there is no documentation that Out-of-State Child Abuse and Neglect checks were initiated for employees that have resided outside the state of Virginia within the last 5 years. Evidence: Staff#2 (DOH: 8/19/2019) has resided outside the state of Virginia within the last 5 years, their record did not have documentation that out-of-state child abuse and neglect results were obtained.
Plan of Correction:	We will send out the documentation as soon as possible.