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Lucia Martinez
5646 Kathryn Street
Alexandria, VA 22303
(703) 960-6438

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Oct. 18, 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 Emergencies
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Please submit documentation to verify that caregiver's background checks have been submitted.

Comments:
An unannounced inspection was conducted today. There were 7 children present with 2 caregivers for a total of 23 points. The house was checked, records reviewed, special care provisions reviewed, and care of children observed. Please call with questions 703-479-4679.

Violations:
Standard #: 22VAC40-111-120-A
Description: Based on interview, the provider has not maintained a record for a caregiver present. Evidence: 1. The Provider stated she has not completed references, Orientation, emergency contact, and a TB Screening report. 2. She stated she does not have a file prepared for the caregiver.

Plan of Correction: I will get it done.

Standard #: 22VAC40-111-240-A
Description: Based on observation, it was determined the provider did not maintain an area inside and outside in a clean and safe condition. Evidence: 1. The walkway from the kitchen to the door leading to the backyard has debris, stacks of materials and trash. The outside space has trash and debris that has been there since last inspection.

Plan of Correction: I will clean it up.

Standard #: 22VAC40-111-320-A
Description: Based on observation, it was determined the provider has not unplugged small electrical appliances that are not in use. These appliances were observed in the kitchen.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-191-40-D-1-a
Description: Based on record review and staff interviews, it was determined the provider did not obtain a sworn disclosure statement, search of central agency, and criminal background check for a caregiver who began working in the home in early September, 2017. Evidence: 1. Inspector asked for new caregiver's file. Provider stated she has not finished the file but is sending the background checks.

Plan of Correction: I will get it done.

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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