VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Araceli Alvarado
7661 Long Pine Drive
Springfield, VA 22151
(703) 371-5614

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Aug. 30, 2021

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 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 Provider must be MAT certified to administer prescription medication.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program. A monitoring inspection was initiated on 8/30/2021 and concluded on 8/30/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 4 children present with 1 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records, 2 household members and 1 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:

Standard #:	22VAC40-111-170-A
Description:	Based on record review, the provider did not obtain from each adult household member a current Report of Tuberculosis Screening form documenting the absence of tuberculosis in a communicable form. Evidence: Household member #3 did not have documentation of a current report of Tuberculosis Screening form on file.
Plan of Correction:	I have an appointment September 17.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each caregiver and each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The records of Household member #1 and Household member #2 did not contain a current Report of Tuberculosis (TB) Screening form. The last screening form was obtained on 6/3/2019 and it expired on 6/3/2021.
Plan of Correction:	I have an appointment September 17.
Standard #:	22VAC40-191-40-D-4-a
Description:	Based on record review and staff interview, fingerprints were not obtained within 30 days of a person residing in the home becoming 18 years old. Evidence: Documentation of a fingerprint check was not obtained within 30 days of a person residing in the home becoming 18 years old. Household member #3 is over the age of 18. Staff stated the fingerprint check was not completed.
Plan of Correction:	I just received the fingerprints.