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Elisa Zewide
7900 Gunston Woods Place
Lorton, VA 22079
(703) 678-5044

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: May 16, 2018

Complaint Related: No

Areas Reviewed:
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
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with Provider fingerprint requirements and the importance of making sure background checks are on-site for all caregivers/assistants.

Comments:
Today an unannounced renewal visit was conducted with the Provider. This visit took place in the afternoon between 12:30pm-3:45 there were 4 children with the Provider for a total of 11points within the supervision guidelines. The children were observed during lunch, nap and free play. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and provider records, fire drill log, attendance and emergency procedures were observed during this inspection. If you have any questions, please e-mail me at Mayasah.Thomas@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on documentation review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: Caregiver#2's record did not include documentation of an update Tb Screening two years from the date of the last screening (2/16).

Plan of Correction: Provider stated that today will be the caregivers last day and does not need an assistant.

Standard #: 22VAC40-111-200-A
Description: Based on review of the caregiver records, one record did not include documentation of a signed and dated orientation traning. Evidence: Caregiver #2's record did not include orientation training.

Plan of Correction: Provider stated that she just started last week and only helps/works two days or as needed. Provider stated that she will not be returning.

Standard #: 22VAC40-111-240-A
Description: Based on direct observation, areas of the home were not maintained in an operable manner. Evidence: 1. chipped/peeling paint were found along the hallway wall in the childcare area.

Plan of Correction: Provider stated that she will have it repainted in the summer during her two-week vacation time.

Standard #: 22VAC40-191-60-B
Description: Based on review of records and interview with provider, the provider did not obtain a Sworn Disclosure Statement for a caregiver.

Evidence:
1. Record for Caregiver #2 (hired 5/9/2018) did not have documentation of a Sworn Disclosure Statement completed prior to employment.

Plan of Correction: Provider stated that the employee is part time, and only comes two days a week and since her daughter was sick she needed to take her to the doctor. Provider stated that she will make sure she gets all of the paperwork completed. Provider stated that caregiver will not be returning.

Standard #: 63.2-1720.1-B-2
Description: Based on review of records and interview with provider, the provider did not obtain a Criminal Record fingerprint check for a caregiver. Evidence: 1. Record for Caregiver #2 (hired 5/9/2018) did not have documentation of a Criminal Record fingerprint check completed prior to employment. 2. Provider confirmed that a fingerprint criminal record check have not been completed for caregiver #2.

Plan of Correction: Provider stated that she still haven't received her field print code and have called and gave her information. Provider stated that the employee is part time, and only comes two days a week and since her daughter was sick she needed to take her to the doctor. Provider stated that caregiver will not be returning.

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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