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Suttida Sirirungsri
2011 S. Kenmore Street
Arlington, VA 22204
(703) 772-8085

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: May 20, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Technical Assistance:
Discussed with provider; Medication policy is different for multiple child records. I cannot submit your application for renewal until the repeated background search results have been viewed.

Comments:
An in person renewal study was conducted today. There are 8 children present (25 points) with 3 caregivers. Children were observed playing outside, reading books, and eating lunch. 3 child and 4 caregivers/household records were reviewed. See Violation Notice for non-compliances. LI was present today from 10:45am-12:15pm. If you have questions about this inspection, please contact me at 703-479-4678 or at Sarah.Marbert@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-A
Description: Based on a review of records, caregiver and a household member record does not contain documentation of repeated Central Registry Searches (CPS) in the allowable 5 year time frame.

Plan of Correction: Searches have been submitted I am waiting on the results.

Standard #: 22.1-289.035-B-2
Description: Based on the Provider?s statement, a resident of the home did not submit to a nationwide fingerprint search within 30 days of becoming a resident.
Evidence:
An adult that resided in the home from January 2021 until February 2022 did not submit to fingerprinting. There are no results available for review. (Household Member 3)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-B
Description: Based on Provider's statement, a resident of the home did not complete a Sworn Disclosure Statement.
Evidence:
A resident of the home from January 2021 until February 2022 did not compete a Sworn Disclosure Statement. (Household Member 3)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on the Provider?s statement, a resident of the home did not complete a Central Registry Search within 30 days of becoming a resident.
Evidence:
A Central Registry Search was not completed and Submitted for an adult that resided in the home from January 2021 until February 2022. (Household Member 3)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-C
Description: Based on a review of documentation, monthly emergency evacuation drills have not been documented.
Evidence:
The log of practiced emergency evacuation drills does not have any drills documented since 1-10-22.

Plan of Correction: The drills were practiced, just not written down. I will write drills down as they are dine from now on.

Standard #: 8VAC20-820-120-E-1
Description: Based on observation, the most recently issued license was not posted.
Evidence:
At LI arrival, the most recently issued license was not posted.

Plan of Correction: The license was posted during the inspection.

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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