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Claudia Roncal
20839 Blythwood Court
Ashburn, VA 20147
(703) 282-8655

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: July 23, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
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:
Office of Background Investigations: 804-726-7884 Central Registry 804-726-7549

Comments:
An unannounced Renewal inspection was conducted this date. A total of 4 children (11pts) with Provider and 1 assistant present during the inspection. Walk thru of the home was conducted, observation of the programming area, bathroom, kitchen area and crib room was made. Children were observed sitting on the floor with staff singing to nursery rhymes and playing with toys. Observation of hand washing was made prior to lunch. Children transtioned to the lunch table. Lunch today was chicken, pasta, green beans and bananas. Staff observed encouraging the children to eat independently. A total of all 4 children's records were reviewed along with all staff and all household member records. One repeated violation regarding background checks was found along with other violations. A corrective action for each was provided. This inspection began at 10:15am and ended at 12:40pm. Thank you for your cooperation today. Please email me at: lisa.hudson@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on child record review, some records were found incomplete. Evidence: Child #3 and #4's record did not contain health insurance policy numbers for each child. Child #4's record did not include the first day of enrollment.

Plan of Correction: I will obtain this information today when the parents arrive.

Standard #: 22VAC40-111-70-A
Description: Based on child record review, some required information provided to parents was not accurate. Evidence: Child #3 and #4's record included a medication policy that indicates that the provider administers prescription medication. The provider does not administer prescription medication and is not trained to administer prescription medication.

Plan of Correction: I will update the medication policy for both these records and have the parents sign.

Standard #: 22VAC40-111-80-C
Description: Based on child record review, required documentation was not found. Evidence: The provider failed to document in Child #2 and #4's record the method of verification for each child's proof of identity.

Plan of Correction: I will obtain a copy of their birth certificates and document the method of verifying.

Standard #: 22VAC40-111-90-C
Description: Based on child record review, updated immunizations were not obtained for some children. Evidence: Child #3 and #4 are under the age of 2, the provider failed to obtain updated documentation of immunizations. Documentation of updated immunizations are required every six months.

Plan of Correction: I will request documentation of the updated immunizations today.

Standard #: 22VAC40-111-170-A
Description: Based on household record review, one TB screening was not obtained. Evidence: Household #2 turned 18 years of age, no TB screening was obtained for this household member.

Plan of Correction: TB screening will be completed this week.

Standard #: 22VAC40-111-180-A
Description: Based on staff and household record review, subsequent TB screenings were not obtained. Evidence: Staff #1 and Household #2's most recent TB screenings were dated 6/2016. Subsequent TB screenings are required every two years.

Plan of Correction: Repeat TB screenings will be obtained this week.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on household record review, background checks were not obtained as required. Evidence: Household member #2 is over the age of 18. No central registry search results have been received to date. No sworn statement has been obtained for Household member #2.

Plan of Correction: The central registry was sent out, the results were not received as yet. I will call today.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on household record review, one household member has not obtained a background check as required. Evidence: Household member #3 is over the age of 14. No central registry search results have been obtained. This remained uncorrected from the February 2018 inspection.

Plan of Correction: The central registry request was sent out, results have not been received as yet. I will call today.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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