VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Ramos Vigil
8116 Norwood Drive
Alexandria, VA 22309
(571) 699-9336

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Dec. 18, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced renewal inspection was conducted today between 11:15am and 12:50pm. There were 8 children present with the Provider and 1 assistant for a total of 24 points within the supervision guidelines. The children were observed playing with trains, listening to holiday music and eating lunch. Diaper changing procedures were observed. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Repeat Violation. Based on record review, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment: 3/21/2021) record does not contain a physical exam. 2. Child #8 (date of enrollment: 9/5/2023) record does not contain a physical exam.
Plan of Correction:	I will have the parents bring it to me this week.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation. Based on record review, children's records did not contain all required information. Evidence: 1. Child #3s record does not contain the information for parents form. 2. Child #5s record does not contain a second emergency contact. 3. Child #7s record does not contain the information for parents form, verification of the providers emergency plan and insurance liability declaration.
Plan of Correction:	I will have the parents give me the missing information this week.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: An unused outlet in the infant nap room, under the window, did not have a protective cover.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, caregiver hand washing requirements were not met. Evidence: The provider was observed changing four children's diapers. The provider did not wash their hands at the end of each diaper change.
Plan of Correction:	I will have to switch the play rooms around so that I have access to the bathroom.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, children's hand washing requirements were not met. Evidence: Four children were observed having their diapers change. Four out of four children's hands were not washed after their diaper change.
Plan of Correction:	I will have to switch the play rooms around so that I have access to the bathroom.