VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tatiana Fernandez Quisbert
6719 Beddoo Street
Alexandria, VA 22306
(571) 501-2020

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: July 13, 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 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 20 Access to minor?s records 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: Updating all records on the same date, residents required at 18 years of age, permission forms for water play, crib mobile requirements (not applicable yet), pacifier usage ("wub-a-nub") Model forms sent to provider: Swim permission, Documentation of orientation, Asst./Sub record

Comments:

An in person renewal study was conducted today. There were 5 children (14 points) with 2 caregivers present at Licensing Inspector (LI) arrival. One caregiver left shortly thereafter. Children were observed playing outside, during diapering, washing hands, eating snack, and playing indoors. First aid supplies, emergency evacuation drills, fridge/freezer temperatures, and posted documents are all in compliance. 5 child and 4 adult/resident records were reviewed. Please see Violation notice for non-compliances. If you have any questions regarding this inspection, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov. LI was present today from 10:15 AM - 12:00PM.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of records, one staff record does not contain documentation of a nationwide fingerprint search prior to employment. Evidence: There are no fingerprint results on file for Staff A. (Date of Hire: mid June)
Plan of Correction:	There is an appointment scheduled already for Saturday to have the fingerprinting done. I thought I had 30 days to complete the background searches.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of records, staff records are incomplete. Evidence: There is no completed Sworn Disclosure Statement (SDS) on file for Staff A. (Date of Hire: Mid June).
Plan of Correction:	I will have the Sworn Statement completed. I thought I had 30 days to complete the background searches.
Standard #:	8VAC20-800-900-A
Description:	Based on observation, food that is a choking hazard to children under 4 years of age was served for snack. Evidence: Whole baby carrots were served to 4 children for snack. All children present eating snack were under the age of 4years of age.
Plan of Correction:	The provider removed the carrots from the snack during the inspection. Carrots (choking hazards) will not be given to children under 4.
Standard #:	8VAC20-800-920
Description:	Based on observation, the menu posted is not dated. Evidence: The USDA food program menu posted on the bulletin board is not dated.
Plan of Correction:	The menu form will be dated.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, infant bottles were not dated. Evidence: 2 of 2 bottles inspected were labeled with the child's name; however, there was not date on the bottles.
Plan of Correction:	Bottles will be dated.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of records, one staff record does not contain all required information. Evidence: Staff A's record does not include documentation of: *Emergency contact *Education/Experience *Date of employment *Two references
Plan of Correction:	I will have the Assistant/Sub record form completed for the staff person.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of records, the provider did not maintain an up-to-date record for one child. Evidence: 1 of 5 records reviewed was not updated annually. The record is dated 1/14/2020. (Child 2)
Plan of Correction:	I will have the parent update the form.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of records, child records do not contain all required information. Evidence: 5 child records were reviewed. Missing information includes: *Emergency contact information (Child 5) *Parent signature (Child 5)
Plan of Correction:	I will print new forms and ask the parent to complete them.
Standard #:	8VAC20-800-70-A
Description:	Based on a review of records, written acknowledgment of current policies and procedures was not maintained. Evidence: 5 child records were reviewed. *1 of 5 did not contain documentation of acknowledgment of the termination policy, medication administration policy and having provided the parent with the DSS website address for inspection results. (Child 5) *The Information for parents form was not updated to remove an assistant that is no longer employed. (Child 1)
Plan of Correction:	The forms will be update for all children.
Standard #:	8VAC20-800-200-A
Description:	Based on a review of records, one staff record does not contain documentation of orientation by the end of the first week of assuming job responsibilities. Evidence: There is no documentation of orientation available for review for Staff A. (Date of hire: Mid June)
Plan of Correction:	Orientation was done, just not documented. The orientation form will be completed.