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Sandra Velasquez
5229 Forman Court
Springfield, VA 22151
(703) 477-1989

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: Oct. 8, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 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
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program.
A renewal inspection was initiated on October 7, 2021 and concluded on October 8, 2021. The Provider was contacted by telephone and a virtual inspection was conducted. There were 5 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 and 1 staff record was reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice.
If you have any questions, please contact me at tanya.johnson@doe.virginia.
gov or call me at 571.423.6392.

Violations:
Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of caregiver's and household member, the provider failed to obtain current Central Registry Background checks.

Evidence:
Caregiver #1 Household Member #2 and HHM#3's records do not contain documentation of a current Central Registry Background checks.
Caregiver #1's Central Registry Check expired 5/9/2021
HHM #2's Central Registry Check expired 5/13/2021
HHM #3's Central Registry Check expired 5/13/2021

Plan of Correction: I will submit forms to get Central Registry checks completed.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on a review of household member's records, the provider failed to obtain a Central Registry Background check within 30 days of the household members 14th birthday.

Plan of Correction: I will obtain the Central Registry check for the 14 year old.

Standard #: 63.2-1721.1-B-2
Description: Based on a review of household member's records, the provider failed to obtain fingerprints for household member over the age of 18.

Evidence:
Household member #2's record does not contain documentation of submitting to a fingerprint check.

Plan of Correction: I will obtain fingerprints for household member.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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