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Ms. Iluminada Yap
14894 Courage Drive
Woodbridge, VA 22193
(703) 590-7413

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Nov. 14, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures

Comments:
An unannounced monitoring inspection was conducted from 11:15 am - 1:00 pm with the provider and her assistant. There were nine children in care, ranging from 16 months to five years of age, for a total of 19 points. The children were observed having free play with a variety of toys including legos, dress up clothes and pretend kitchen food, and preparing for and eating lunch. Lunch served today: ham and cheese sandwiches on whole wheat bread, broccoli, sliced apples and milk. Four children's records were reviewed and in compliance. Two caregiver records were reviewed. The emergency drill log was reviewed. The provider is not Medication Administration Training (MAT) certified and cannot administer medications to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on observation of the emergency drill log, it was determined that the provider failed to conduct a monthly fire drills as required. Evidence: The last documented fire drill was conducted on 9/28/2018.

Plan of Correction: Will conduct a practice fire drill each month.

Standard #: 22VAC40-191-60-B
Description: Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers had a completed sworn statement or affirmation before employment. Evidence: Caregiver B (date of hire 11/5/2018) did not have documentation of a sworn statement in their file.

Plan of Correction: Will have the caregiver sign a sworn statement today.

Standard #: 63.2-1721.1-B-2
Description: Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record determination letter prior to a beginning employment. Evidence: Caregiver B's (date of hire: 11/5/2018) record did not include an OBI fingerprinting determination letter.

Plan of Correction: Will have the caregiver obtain a fingerprint-based background check immediately.

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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