VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ghidiani Sanchez
12553 Cross Country Lane
Reston, VA 20191
(540) 422-5100

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: July 10, 2019

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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

Today an unannounced Renewal inspection took place between 9:05am and 12:15pm. There were 10 children present with the provider and 1 assistant for a total of 26 points within the supervision guidelines. The children were observed being dropped off by their parents, being read to, playing freely and eating a morning snack. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-830-B
Description:	Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There is only one shelter-in-place drill documented (1/10/2018) for 2018.
Plan of Correction:	We did another one but it didn't get written down.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical exam prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1 (date of enrollment: 2/25/2019) file does not contain a physical exam; previously cited on 3/22/2019. Child #5 (date of enrollment: 9/23/2016) file does not contain a physical exam.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, caregiver's records did not contain all the required information. Evidence: Caregiver #2's file did not contain documentation of an emergency contact.
Plan of Correction:	She filled it out but I don't know where the document is right now.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: Child #1's file did not contain the families medical insurance policy number. Child #3 and Child #4 and Child #6's files do not contain documentation of an annual review. Child #5's file does not contain a full street address for their second emergency contact or documentation of an annual review.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain updated immunizations once every six months for children under the age of two years. Evidence: Child #4 (17 months old) most recent immunizations are dated from when the child was 2 months old.
Plan of Correction:	I will ask the parents for the missing information.
Standard #:	22VAC40-111-170-A
Description:	Based on record review, the provider has not obtained a current tuberculosis (TB) screening for each household member. Evidence: There are not TB screening results on record for household member #3. There is documentation that a screening was initiated on 6/25/19, however the results have not been obtained; previously cited on 3/22/2019.
Plan of Correction:	I will ask to see if the results have come in. I'll call the health center if they haven't been sent out yet.
Standard #:	22VAC40-111-600-B
Description:	Based on observation, an infant spent more than 30 minutes of consecutive time during waking house confined in a chair. The intervening time period between confinements was not at least one hour. Evidence: At the start of the inspection (9:05am), Child #4 was observed in an play chair. After approximately 20 minutes the child was moved to another chair on the other side of the play area. The child remained in the second chair until approximately 10:40am.
Plan of Correction:	He doesn't like being on the floor. He cries a lot and we try. We will have to find another for him.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, the provider did not obtain a sworn disclosure statement for each employee. Evidence: Caregiver #2's file did not contain a sworn disclosure statement. This caregiver was observed working with the children during today's inspection.
Plan of Correction:	She did it but I don't know where the document is right now.