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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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Katherine Maldonado-Tapia
3023 Wayne Rd
Falls church, VA 22042
(703) 462-0152

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: June 28, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Preventing the Spread of Disease
63.2 Licensure and Registration Procedures

Technical Assistance:
Documents given to provider: Documentation of Orientation form Discussed with provider: tight fitting crib sheets (no crib in use during the inspection)

An unannounced monitoring inspection was conducted today. There are 8 children present (22 points) with 2 caregivers. 1 Staff and 1 child's records were reviewed. See violation notice for missing information. Children were observed playing with puzzles, Legos and books, washing hands and eating snack. If you have any questions regarding this inspection, please contact me at 703-479-4678 or at LI was present today from 9:27 AM- 10:15 AM

Standard #: 22VAC40-111-200-C
Description: Based upon a review of records, one staff record is incomplete. Evidence: One staff record does not contain documentation of orientation by the end of the first week of working. (Date of Hire: 6/1/18) No orientation is documented.

Plan of Correction: I will complete orientation with the staff person today. Documentation will be placed in the record.

Standard #: 63.2-1720.1-B-2
Description: Based upon a review of records, one staff record di not contain documentation of a completed fingerprint search, prior to becoming a resident of the home (Residency began 5/25/18). Evidence: Staff A's DOH is documented as 6/1/18. The Eligible for Hire letter is dated 6/19/2018.

Plan of Correction: No one will become a resident or begin employment without the search being done.

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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