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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ruth Molina
4311 35th Street South
Arlington, VA 22206
(703) 820-7468

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: May 15, 2018

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
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:
Consultation was given on the new background requirements for finger printing, a revised Sworn Disclosure Statement for new staff hired after 7/1/2017 and requesting out of state Central Registry checks for staff who have lived outside the State of VA within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out of state central registry forms. VDSS will be paying for initial child care fingerprint checks until 9/20/18. Each facility must establish a point of contact with DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligible letters will be sent out by emails and staff may not work with children (ratios or supervision) or be on site until a completed letter is received. Please read, review and respond to all correspondences regarding the fingerprint roll out.

An unannounced renewal study was conducted from 9:3--11:25. Five children were present with two caregivers for seventeen points which is within ratios for supervision. Two children were sleeping upon arrival. Observed diaper change, transition to play time, nutrition (food bought from home), reading with children and two walking to the backyard play area in the neighborhood. Space is well equipped and maintained. No medication is on-site and the provider does not administer medication. Reviewed caregiver records, two children records, emergency preparation and attendance. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860

Standard #: 22VAC40-111-800-B
Description: Based on written record, the emergency preparedness plan was not updated annually. Evidence: The last documented update was 4/2016

Plan of Correction: The provider reviewed and signed the plan during the inspection.

Standard #: 22VAC40-111-830-A
Description: Based on documentation and provider statement, evacuation procedures were not practiced monthly. Evidence: The provider conducted a shelter-in place drill in February and April 2018 and did not conduct an evacuation drill that month.

Plan of Correction: The drills will be conducted each month in addition to a shelter in place or relocation drill.

Standard #: 22VAC40-111-680-A
Description: Based on observation, a caregiver did not wash her hands following a diaper change. Evidence: A caregiver was changing a diaper and did not wash her hands before handing books and toys.

Plan of Correction: Hand washing will be done after each diaper change.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the caregiver did not wash a child;s hands with soap and water after diapering. Evidence: A child was having their diaper changed and the child's hands were not cleaned prior to sitting down and playing with tys.

Plan of Correction: Hand washing will be done after each diaper change

Standard #: 22VAC40-111-690-D
Description: Based on observation the diaper changing table was not nonabsorbent and washable. Evidence: A cloth diaper changing pad was covering the plastic changing pad and was not cleaned and sanitized after the diaper change took place.

Plan of Correction: The cloth changing pad will be removed and the pad cleaned after each diaper change.

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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