VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Encinas-Arevalo
2304 Emmett Drive
Alexandria, VA 22307
(571) 575-0249

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Feb. 7, 2023

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:

I had a discussion with the provider regarding websites for resources (childcareva.com & betterkidcare.com).

Comments:

A monitoring inspection was conducted 02/07/2023. There were a total of 10 children (28 points) observed with 3 caregivers present. The children were engaged in the following: toy play, lunch, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 5 child records and 3 caregiver/household member 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. Please contact me if you have any questions at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of caregiving files, all applicants for employment did not undergo a background check in accordance with subsection B prior to employment. Evidence: Assistant #2 (date of hire 09/2022) did not have a Central Registry background check on file during the inspection.
Plan of Correction:	She will have a background check by date of correction.
Standard #:	8VAC20-800-800-B
Description:	Based on a review of documentation, the provider did not review the emergency plan at least annually. Evidence: The last documented emergency preparedness plan was dated 1/8/2020.
Plan of Correction:	Emergency plan will be reviewed on 2/9/2023
Standard #:	8VAC20-800-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and the date. Evidence: 2 of 2 sets of bottles located in the refrigerator were not labeled with full name and date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of documentation, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form documenting the absence of tuberculosis. Evidence: Assistant #2 (date of hire 09/2022) did not have a TB test or screening on file during the inspection.
Plan of Correction:	She will present to a clinic to have a TB screening performed.
Standard #:	8VAC20-800-200-A
Description:	Based on a review of caregiver files, the provider did not orient the assistants by the end of their first week of assuming job responsibilities. Evidence: Assistant #1 (date of hire 09/2022) and Assistant #2 (date of hire 09/2022) did not have orientation documentation.
Plan of Correction:	Both employees will be oriented and follow the documentation of assistant and substitute orientation form.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of documentation, caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: Caregiver #1 had 1 hour of documented training for 2022.
Plan of Correction:	Employees will undergo training through better kidcare.com
Standard #:	8VAC20-800-340-C
Description:	Based on observation, the bathroom did not contain paper towels. Evidence: Paper towels were not available when I arrived for the inspection.
Plan of Correction:	Paper towels will be placed and stocked as needed frequently.