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Fabiola Salinas
8471 Summer Breeze Lane
Springfield, VA 22153
(571) 223-6721

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

Inspection Date: Dec. 17, 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.
22VAC40-80 THE LICENSING PROCESS.
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
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today from approximately 2pm-5:30pm. There were 10 children (25 points) directly supervised by 2 caregivers. A sample of 5 children?s records, 2 caregiver's records and 2 household members records were reviewed. The children were observed napping, eating snack and engaged with caregivers. One new caregiver has been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on record review and interview with provider, prescription medication was given to a child without the parents written authorization. Evidence: The provider stated that she gave Child B medication for 14 days which ended last week. There was not written authorization for prescription medication administration from the parent in the file of the child.

Plan of Correction: I can tell the mother to give me a form this week.

Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review the file of each child annually. Evidence: Child D's file was last reviewed 05/30/2017.

Plan of Correction: Parents will updat files today.

Standard #: 22VAC40-111-800-B
Description: Based on observation, the provider did not review the emergency plan at least annually. Evidence: The emergency plan was last updated 06/05/2017.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-830-A
Description: Based on record review, emergency procedures were not practiced monthly. Evidence: The emergency procedures were not practiced for the month of November/2018

Plan of Correction: I will do it twice this month.

Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter-in-place procedures were not practiced a minimum of twice a year. Evidence: There were no shelter-in-place procedures practiced in 2017.

Plan of Correction: I will do two this month.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not have documentation of a physical examination for each child in are. Evidence: Child C, did not have a physical record on file. Date of enrollment 06/04/2018.

Plan of Correction: I will print out the physical once the mother sends it to me.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the caregiver's record was incomplete. Evidence: Caregiver A was missing the following required information: 1) Job Title 2) Age Verification 3) Emergency Contact

Plan of Correction: I will update forms today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: 4 of 5 children's records reviewed were missing required information. 1) Child A was missing addresses of 2 emergency contacts, provisions of emergency preparedness, and medication administration contract. 2) Child B was missing medication administration contract and provisions of emergency preparedness. 3) Child C was missing start date, medication administration contract, and emergency preparedness form. 4) Child D was missing parents employer and work number and 2 emergency contacts.

Plan of Correction: I will try to do it this week.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not ensure that all household members and caregivers had current tuberculosis screenings. Evidence: 1) The provider did not have a current tuberculosis screening on file. The last tuberculosis screening occurred 06/29/2016. 2) Household Member A did not have a current tuberculosis screening. The last tuberculosis screening occurred 06/20/2016. 3) Household Member B did not have a current tuberculosis screening. The last tuberculosis screening occurred 06/23/2016.

Plan of Correction: We try to complete them all this week.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient the assistant provider by the end of their first week of assuming job responsibilities. Evidence: Assistant A did not have documentation of orientation on file. She was hired 09/2018.

Plan of Correction: I will document her orientation this week.

Standard #: 22VAC40-111-530-A
Description: Based on observation, an infant napping in a crib had a top cover blanket. Evidence: Child A was sleeping in the crib furthest from the bathroom with a plush top cover blanket on him.

Plan of Correction: We will take out the top cover.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, each caregiver did not have fingerprinting results on file. Evidence: Caregiver A, hired 09/2018, did not have complete fingerprinting results on file.

Plan of Correction: I have made her an appointment. She will get them done 12/21/2018.

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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