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Jenny Lozada
4809 Seminole Avenue
Alexandria, VA 22312
(703) 658-0788

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: Oct. 3, 2017

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
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
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:
**Discussed with the provider that the resilient material is too large to be used for the playground, and there were several pieces that were 3-5 inches in length with potentially hazardous ends (points). Please ensure that when you obtain more resilient material, that you choose a material that is better suited for use on playgrounds for young children. **Did not inspect the upper level of the home, due to renovation work occurring during the inspection. Will inspect at the next visit.

Comments:
An unannounced monitoring/renewal inspection was conducted today from 11:40am-1:00pm. There were 8 children (28 points) directly supervised by 3 staff. The home, 3 staff records, 3 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, napping and eating lunch. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to ensure that children's records contained the required information. Evidence: Reviewed 3 children's records and found that CH3 did not have documentation of a complete address for the second emergency contact.

Plan of Correction: I will ask the parent today when they come to pick up.

Standard #: 22VAC40-111-170-A
Description: Based on review, the provider failed to ensure that they obtain from each caregiver and each adult household member a current Report of Tuberculosis Screening form. Evidence: Reviewed 3 staff records and 1 household member's record and found that HM1 did not have documentation of a TB screening.

Plan of Correction: I will get them to do it next week.

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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