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Esperanza Cruz
14311 Pinot Noir Lane
Purcellville, VA 20132
(540) 668-7409

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: May 25, 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 Emergencies
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was completed today. The physical plant, 2 caregiver/household member files, 4 children's files, caregiver training, children's activities, emergency procedures, drills and supplies were inspected between 2:40-4:00. There were 4 children, totaling 9 points, under the supervision of the Provider. Today, the children played with toys in the sand, enjoyed free play outside, had reading time, listened to music and rested during naptime. The children bring their lunches to the FDH each day that they are in care. The Provider is not certified in MAT (medication administration training) and there are no children with any medication needs. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on file review, the Provider did not practice emergency evacuation drills each month children are in care. Evidence 1. The most recent evacuation drill was completed on 12/20/17

Plan of Correction: These will be completed and documented.

Standard #: 22VAC40-111-60-B
Description: Based on file review, 4 out of 4 children's records do not have all required information. Evidence 1. Children #3 and #4 do not have addresses for the 2 emergency contacts in case the parents cannot be reached. 2. Children #1-4 do not have the addressed for their parent's work.

Plan of Correction: The Provider will ask the parents to complete this.

Standard #: 22VAC40-111-70-A
Description: Based on file review, 1 out of 4 children's records do not have all required written information given to review from the Provider. Evidence 1. Child #1 does not have a medication policy on file.

Plan of Correction: The Provider will give a copy of this to the parent to sign.

Standard #: 22VAC40-111-140-B-3
Description: Based on interview, the Provider does not have a current certification in CPR. Evidence 1. The most recent CPR certification for the Provider expired 4/16/18. This has not been recertified.

Plan of Correction: This will be completed again.

Standard #: 22VAC40-111-140-B-4
Description: Based on interview, the Provider does not have a current certification in First Aid. Evidence 1. The most recent First Aid certification for the Provider expired 4/16/18. This has not been recertified.

Plan of Correction: This will be completed again.

Standard #: 22VAC40-111-180-A
Description: Based on file review, 1 household member does not have a TB test/screening completed every two years. Evidence 1. Household member #2's most recent TB test/screening was completed on 3/19/16.

Plan of Correction: This will be 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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