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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. 14, 2016

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.

Technical Assistance:
At this inspection, the provider and inspector discussed the importance of documenting when background checks were sent out and following up on the status of background checks. We also discussed the requirements for any family members turning 18 years old and the need to complete background checks and have tuberculosis screenings completed.

Comments:
An unannounced renewal inspection was conducted today from 10:00am-11:40am. There were 10 children(27 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 4 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, singing and dancing and eating lunch which consisted of crackers, slices of deli meat, cheese and carrots. Hand washing procedures were also observed. There was a sufficient 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 Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain initial tuberculosis screenings form each household member and new staff members. Evidence: Staff member B (start date: 9/1/2016) did not have a negative tuberculosis screening. Household member C (dob 2/1998) did not have a negative tuberculosis screening completed.

Plan of Correction: I will make sure the tuberculosis screenings or tests are completed.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not have current Report of Tuberculosis Screening forms completed for all household and staff members. Evidence: Staff A, household members A and B have tuberculosis screenings which expired on 10/6/2016.

Plan of Correction: We will complete the tuberculosis screenings.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on observation, Staff B does not have completed a sworn statement on file. Evidence: Staff B (start date: 9/1/2016) does not have a completed sworn statement in the record.

Plan of Correction: I will have Staff B complete the sworn statement.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review, the provider did not complete a repeat sworn statement. Evidence: No repeat sworn statement was in Staff A's record.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, a household member who turned 18 years old did not have all completed background checks. Evidence: Household member C (dob 02/1998) did not have a completed sworn statement or criminal history record check completed.

Plan of Correction: I will make sure the background checks are completed.

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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