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Brittany Nkansah
14108 Sorrel Chase Court
Centreville, VA 20121
(571) 365-8559

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Oct. 19, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
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:
The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification dated 10/19/2018.

Comments:
An unannounced monitoring inspection was conducted today from 12:30pm-1:30pm. There were 4 children (11 points) directly supervised by 1 staff. The home, 1 staff records, 4 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed napping. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child 1 and 3's records do not contain documentation of a physical.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-30-C*
Description: Based on record review, not all adult household members have submitted to a fingerprint background check. Evidence: Adult 2's record does not contain the results of an FBI fingerprint background criminal record check.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on record review 3 of 4 children's records did not contain all required information. Evidence: 1. Child 1 and 4's records do not contain the Child Enrollment form containing the names of the parents, children's allergy information, the child's address, the parent's address; phone number; employment location and phone number, the names addresses and phone numbers of two adults to contact in the event of emergency, and the child's health insurance carrier and policy number. 2. Child 4's record does not contain the child's health insurance policy number.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, not all employees have submitted to a fingerprint background check. Evidence: Adult 1's record does not contain the results of an FBI fingerprint background check.

Plan of Correction: Not available online. Contact Inspector for more information.

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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