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Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: Oct. 27, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced renewal inspection was conducted 10/27/2015 on from 10:00am-11:30 am . There were 7 children present observed with the provider and 2 assistants . The children were observed in a variety of activities to include: free play, diapering, hand washing and potty time, blocks and singing songs. The following areas were inspected during today?s visit: physical environment, emergency preparedness plan, emergency drills, records ( children and caregiver) emergency supplies and posted documents. If you have any additional questions, please contact me at Kelly.savittiere@dss.virginia.gov 703 479 4746.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based upon record review, required documentation was found to be incomplete or missing. Evidence: Child A's record is missing documentation of first date of attendance and insurance policy number. Child B's record is missing an updated medication administration policy signed. Child C''s record is missing documentation of first date of attendance, complete emergency contact information for contact #1 and #2. Child E's record is missing medical insurance policy number.

Plan of Correction: Will have parents complete information at pick up.

Standard #: 22VAC40-111-80-A
Description: Based upon record review, required documentation was found to be incomplete. Evidence: Child D's record is missing documentation that proof of birth was witnessed by the provider within 7 days of first date of attendance.

Plan of Correction: Will have parents bring to view again.

Standard #: 22VAC40-111-90-A
Description: Based upon review of children's records, required documentation was found to be missing. Evidence: Child A start date October 2015, does not have a record of immunization on file. Child B start date October 2015 does not have immunization record on file.

Plan of Correction: The child does have a form from doctors office in file but it is not signed . Will have parent provide correct form.

Standard #: 22VAC40-111-180-A
Description: Based upon record review, household member is missing required documentation. Evidence: Household member 1 has an expired TB test on file ( expiration 07/2014).

Plan of Correction: Will have her go get TB screening.

Standard #: 22VAC40-191-40-D-1-c
Description: Based upon record review, require record updates are not on file. Evidence: Household member #1 has documentation that CPS forms were submitted for repeat checks and is stamped with the date 10/10/2014. However, there are no findings attached. #1 also has a Criminal History record check on file submitted to the Fairfax County police Department on 09/16/2015. ( this is not the correct form.)

Plan of Correction: Provider will resubmit to obtain correct forms.

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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