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Laura Toledo de Mendoza
7803 Braemer Way
Springfield, VA 22153
(703) 585-7386

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: Aug. 30, 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:
The provider must send documentation to the licensing inspector that the background checks have been requested no later than 10 days following this inspection dated 8/30/2023.

Discussed: Requirements for portability requests and the searches cannot be transferred from provider to provider. The request must go through OBI.

Reminder that CPS will expire in September and to make request through the online portal.

Discussed: online renewal portal, submitting documentation on the staff information sheet once results have been received for expired background checks.

SCC website for fictitious name registration and submit with renewal documentation.

A child was visiting that attending the program and was saying good bye to their friends. Parent verified and was available to have the child leave.

Comments:
An unannounced renewal inspection was conducted today from 10:40 am-11:40 am. There were 12 children directly supervised by 2 staff. The home, 3 staff records, 3children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely with blocks, ducks and reading stories. Diapering/ potty procedures were also observed and reviewed. There was a n ample supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice.

If you have any questions regarding this inspection, please contact Kelly.savittiere@doe.virginia.gov

Violations:
Standard #: 22.1-289.036-B-2
Description: Based on record review, the provider failed to obtain current Criminal History Background Record checks as required.

Evidence:
Caregiver #1 ( Date of Hire 08/21/2023) Criminal History Search dated 7/5/2022 was not requested by the provider.
Caregiver #2 - Criminal history search dated 6/28/2018 expired on 6/28/2023.
Caregiver #3- Criminal History search dated 6/27/2018 expired on 6/27/2023.

Plan of Correction: I thought that I could bring the Fingerprints from the old provider. I will make appointments for all of us to get new fingerprints and send you.

Standard #: 8VAC20-800-140-B-3
Description: Based on record review, provider did not have current certification in CPR.
Evidence:
Provider/ Caregiver #2- CPR certification expired 2/22/2023.
Caregiver #3 - CPR certification expired 2/22/2023.

Plan of Correction: We have appointment. I will send you new cards.

Standard #: 8VAC20-800-140-B-4
Description: Based on record review, certification for first aid was not current.
Evidence:
Provider/ Caregiver #2- first aid certification expired 2/22/2023
Caregiver #3- first aid certification expired 2/22/2023

Plan of Correction: I will send you new cards when we get them.

Standard #: 8VAC20-800-180-A
Description: Based on record review of caregiver and household member records, the provider failed to obtain a current report of Tuberculosis Screening Form, in accordance with 8VAC20-180-170, every 2 years from the date of the first screening.

Evidence:
Caregiver #1's ( date of Hire 8/21/2023) Tuberculosis screen on record is 2/4/22. TB screen must be completed within 30 days prior to hire.
Caregiver #2's record does not contain a current TB screen. The last screening expired 4/28/2023
Caregiver #3's record does not contain a current TB screen. The last screening expired 4/28/2023.

Plan of Correction: I will make appointments for everyone and send to you.

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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