VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Natalia C. Quiroga
12969 Orleans Street
Woodbridge, VA 22192
(571) 991-5577

Current Inspector: Cathy Aylor (540) 222-6352

Inspection Date: Feb. 2, 2024

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 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

1. Consultation provided on requirements for newly hired caregivers; 2. Consultation provided on annual training requirements- please refer to standard 210A 3. Consultation provided on timeframes for tuberculosis test/screenings- please refer to standards 170A and 180A; 4. Consultation provided on the need for 2 shelter-in-place drills annually and varying the time of day you conduct your monthly escape drills;

Comments:

An unannounced renewal inspection was conducted today with the provider from 9:30 am to 10:50 am. The provider was present with a second caregiver, 8 children, ages ranging from 14 months to 5 years, for a total of 21 points. There were no medications on site, however the provider has Medication Administration Training, which wont expire until 9/3/25. The provider's First Aid/CPR certification expires in August 2025. The provider reported that there have been no injuries/accidents. Eight children and four adult ( household/caregiver) files were reviewed during this inspection. The areas of non compliance are outlined on the violation notice.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Repeat Violation: Based on interview, it was determined that an employee did not have a fingerprint background check at the time of hire. Evidence: Person D was hired on 9/11/23 and to date does not have a Fingerprint background check.
Plan of Correction:	We will get the fingerprint background check.
Standard #:	8VAC20-770-60-C-2
Description:	Based on interview, it was determined that an employee did not have a central registry finding background check within 30 days of employment. Evidence: Person D was hired on 9/11/23 and to date does not have a central registry background check.
Plan of Correction:	We will get the central registry background check.
Standard #:	8VAC20-800-830-B
Description:	Repeat Violation: Based on a review of recordkeeping and interview, it was determined that shelter in place procedures have not been practiced at least twice per year. Evidence: There were no shelter in place procedures or 2023.
Plan of Correction:	We will conduct and document the shelter in place drills.
Standard #:	8VAC20-800-120-B
Description:	Based on interview, it was determined that a caregiver did not have a record that contained required information. Evidence: Person D was hired on 9/11/23 and to date the file was missing the following: 1) address, verification of age, job title, emergency contact information and references. This information is required at the time of the hire date.
Plan of Correction:	I will get and document this information in the file.
Standard #:	8VAC20-800-80-A
Description:	Based on a review of 8 children's files and interview, it was determined that within 7 business days of one child's first day of attendance, the provider did not obtain proof of identify. Evidence: Child A enrolled on 2/20/23 and there has been no proof of identify established.
Plan of Correction:	We will view the proof of identity.
Standard #:	8VAC20-800-170-A
Description:	Repeat Violation: Based on interview, it was determined that an employee and caregiver did not have a tuberculosis test/screening prior to coming into contact with the children and at the time of hire. Evidence: Person D does not have a tuberculosis test/screening on file. Person D was hired on 9/11/23.
Plan of Correction:	Person D will get the tuberculosis test.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of recordkeeping and interview, it was determined that caregivers and household members did not have a repeat tuberculosis test/screening on file every two years from the date of the first test. Evidence: Person A and C's tuberculosis tests were dated 4/18/21, Person B's tuberculosis test was dated 3/25/21. These tuberculosis tests have not been repeated within 2 years.
Plan of Correction:	We will get the repeat tuberculosis tests.
Standard #:	8VAC20-800-200-A
Description:	Based on interview, it was determined that Person D did not have orientation training by the end of their first week of assuming job responsibilities. Person D assumed their job duties on 9/11/23.
Plan of Correction:	When Person D returns to provide care, I will give the orientation training.
Standard #:	8VAC20-800-210-A
Description:	Based on a review of recordkeeping and interview, it was determined that caregivers did not have 16 hours of annual training for 2023. Evidence: Person A and B both had 5 of the 16 hours of annual training for 2023.
Plan of Correction:	We will obtain the additional training.
Standard #:	8VAC20-800-280
Description:	Repeat Violation: Based on observation, it was determined that a hazardous substance was in reach of the children. Evidence: The Licensing Inspector observed a container of hand sanitizer stored on the ledge of the half door in the basement. The children present could reach the hand sanitizer.
Plan of Correction:	The hand sanitizer was removed during the inspection.
Standard #:	8VAC20-800-460-C
Description:	Based on a review of recordkeeping and interview, it was determined that the household pet was not up-to-date with their rabies vaccination. Evidence: Charlie, the household dog's rabies expired on 8/25/23.
Plan of Correction:	We will update the rabies vaccination.