VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Vigdonia Guzman
6003 Kelley Court
Alexandria, VA 22312
(703) 582-8520

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Sept. 27, 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 8VAC20-820 HEARINGS PROCEDURES 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:

Recommended updating medication policy to reflect that the provider does not currently have a certification to administer medication. THE PROVIDER MUST SEND DOCUMENTATION TO THE LI THAT THE BACKGROUND CHECKS HAVE BEEN REQUESTED NO LATER THAN 10 DAYS FOLLOWING THIS NOTIFICATION DATED 9/27/23. ONCE THE BACKGROUND CHECK IS RECEIVED BY THE CENTER, THE RESULTS MUST BE FORWARDED TO THE LICENSING INSPECTOR.

Comments:

An unannounced monitoring/renewal inspection was conducted today from 9:20am-11:10am. At the beginning of the inspection there were 6 children directly supervised by 2 caregivers. The home, 3 caregiver records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely. Diapering procedures were also observed. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at Kara.vaughan@doe.virginia.gov or 703-537-6241.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, not all caregivers have submitted to a national criminal record check within the preceding five years. Evidence: Caregiver 1's criminal record check was last conducted on 3/2/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-750-A
Description:	Based on observation, children's topical skin products were not labeled. Evidence: One tube of diaper rash cream was observed without a label of the child's name.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider did not obtain an annual review of children's emergency contact information. Evidence: Child 2 and Child 3's records have not been reviewed in the last year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	Based on record review, the provider failed to review and update the emergency plan at least annually. Evidence: The emergency plan was last reviewed on 11/8/2018
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child 1's record did not contain verification that the child's proof of identity was verified. 2. Child 4's record did not contain the child's health insurance policy number, addresses for one of the emergency contacts, and verification that the child's proof of identity was verified. 3. Child 5's record did not contain the child's health insurance policy number.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider failed to obtain or each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Caregiver 1's Tuberculosis screening was conducted on 2/3/2020.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider failed to obtain or each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Caregiver 1's Tuberculosis screening was conducted on 2/3/2020.
Plan of Correction:	Not available online. Contact Inspector for more information.