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Elena Maldonado
6606 Moly Drive
Falls church, VA 22046
(703) 615-3127

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: Sept. 20, 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
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
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:
Diaper Changing Procedures were discussed. Application for renewal was discussed. Household members have current background clearances but 2 will also need to have newer background checks conducted.

Comments:
An unannounced renewal was conducted from 8:50- 10:45 AM. The Provider and a caregiver were present with 10 children (infants - 3 years) for a total of 30 points. The Provider and caregiver are First Aid/CPR certified and the Provider is MAT certified. The caregiver has attended over 16 hours in training and the Provider has had over 100 hours and is completing her CDA. The children were observed playing and infants were kept from older children. Daily attendance, children's records, staff records, houesehold records were reviewed this morning as well. Please call with questions 703-479-4679

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on record review and interview, the Provider did not practice shelter in place procedures twice in a year. Evidence: 1. Record of drills had one shelter-in-place drill recorded for the last year. 2. Provider stated she thought she only needed one a year.

Plan of Correction: I will do 2 this year.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the Provider did not stop children from drinking while walking and playing. Evidence: 1. Child #5 and #7 were observed walking around and playing while drinking from sippy cups.

Plan of Correction: We will work on having them stay seated.

Standard #: 22VAC40-111-30-B
Description: Based on review of medication procedures, the Provider is not ensuring compliance with the homes policies reagrding medication administration. Evidence: 1. The Provider's medication policy states she can administer drugs only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. 2. Child #1 has written long term authorization for medication administration. Prescription Medication identifies child #1. 3. Child #2 (is the older sibling to #1) and has written long term authorization but Provider stated Child #1's medication would be used for child #2.

Plan of Correction: I will ask medication.

Standard #: 22VAC40-111-60-A
Description: Based on record review, the Provider does not have complete files for Child #1, #2, and # 7. Evidence: 1. The relocation address is not listed on the Emergency Preparedness Plan acknowledgement form for child #1, #2, and #7.

Plan of Correction: I gave the full plan to parents but will add the address on the short form.

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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