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Ms. Mercedes Martell
1106 Richmond Drive
Stafford, VA 22554
(540) 538-6813

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Dec. 9, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with the provider documentation of annual training.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program.

A monitoring inspection was initiated on 12/9/21 and concluded on 12/14/21. The provider was contacted by telephone and a virtual inspection was conducted. There were 11 children present, ranging in age from six-months to four-years-old, with two staff supervising. The inspector reviewed compliance in the areas of administration, staffing and supervision, programming, special care and emergencies, and nutrition. A total of three child records and two caregiver 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 questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Violations:
Standard #: 22.1-289.035-A
Description: Based on record review and interview with the provider, the provider did not ensure that the results of a central registry check were obtained every five years for a caregiver. Evidence: The most recent central registry check on record for Caregiver #1 was dated 7/14/16.

Plan of Correction: I was confused about which background check was replaced by the fingerprints. I will submit a new central registry check right away.

Standard #: 8VAC20-800-180-A
Description: Based on record review and interview, the provider did not obtain a current tuberculosis (TB) screening every two years for each caregiver. Evidence: The most recent TB screening on record for Caregiver #1 was dated 5/25/18. The most recent TB screening on record for Caregiver #2 was dated 6/14/18.

Plan of Correction: I have been attempting to make appointments with the Health Department but due to COVID I have not been able. I will call again to see if they can get us in sooner and if not, will look into other options for getting screened.

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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