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Edith Martinez Serrano
8002 Chanute Place
Apt 8
Falls church, VA 22042
(571) 297-4461

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: May 4, 2022

Complaint Related: No

Areas Reviewed:
22.1 Background Checks Code
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services

Technical Assistance:
1. Reviewed requirements for keeping records.
2. Inspector will provide multiple model forms in Spanish.

Comments:
A scheduled subsidy inspection was conducted at 10:03am. An interpreter was used for communication between the inspector and vendor. There was 1 child present = 2 points with the vendor. Ratios and supervision were in compliance at the time of inspection. The child was observed drawing, playing with toys, eating lunch, and reading books. Lunch today included: fish, rice, broccoli, watermelon, and water. The vendors interactions with the child were pleasant and patient. The home found to be clean, organized, and well supplied with toys and equipment for the children. Information gathered during the inspection determined there were areas of non-compliance with applicable standards or laws reviewed. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Note: Current regulation and Code numbers are handwritten on the original inspection report issued to the Provider.

Violations:
Standard #: 8VAC20-790-170-C
Description: Based on records reviewed, information received, and observations made, it was determined that adult household members do not have all of the required background checks.

Evidence:

1) Adult #1 - There is no documentation of a criminal record check/fingerprinting, according to the local agency. [Note: The central registry check was sent on 3/18/22 and the local agency is awaiting results.]

2) Adult #2 - There was no documentation of a sworn disclosure statement, criminal record check/fingerprinting, and central registry check. Adult #2 moved into the home on 5/1/22.

Plan of Correction: 1) Adult #1 - The vendor stated the first attempt to get the background checks was unsuccessful because additional documents were needed. While this individual has personal belongings in the home, the vendor stated that Adult #1 would not return to the home until the background check is completed.

2) Adult #2 - The vendor stated that she has the paperwork for the background checks and will have Adult #2 complete them promptly.

The vendor agreed to have all background check documents submitted within 10-days.

Standard #: 8VAC20-790-190-B
Description: Based on records reviewed, it was determined that 2 of 2 children's records did not include required information.

Evidence:

1) Child #1 - There was no documentation that the child's proof of identity was viewed by the vendor; there was no emergency contact person listed (name, address, and phone number), the space was left blank; and there was no written permission for the vendor to transport the child in the car.

2) Child #2 - There was no documentation that the child's proof of identity was viewed by the vendor; and there was no written permission for the vendor to transport the child in the car.

Plan of Correction: The vendor stated that she will complete these requirements after the inspector send the appropriate forms.

Standard #: 8VAC20-790-230-B
Description: Based on records reviewed, it was determined that 2 of 2 children's records did not include immunizations every 6 months until the age of 2 years old.

Evidence:

1) Child #1 - Immunizations were dated November 2020, when the child was 7 months old.

2) Child #2 - Immunizations were dated October 2018, when the child was 15 months old.

Plan of Correction: The vendor said she will ask the parents for updated immunization records and explain to them what is required.

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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