VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Liliana Torres Serpa
6470 Fourth Street
Alexandria, VA 22312
(703) 371-2293

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Aug. 29, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussion was held in regards of: medication administration, children's records, nutrition, diapering, emergency drills and supervision point system.

Comments:

An unannounced monitoring visit was conducted today between the hours of 9:15am through 11:30 am with the provider on site. There were 5 children (10 points) with the provider. A sample of 5 children's files were reviewed. The children were engaged in the following: coloring, toy play, games, washing hands and snack (apple slices and yogurt smoothie). Interactions between the children and the caregiver were positive. The physical space, evacuation drills and attendance records were reviewed. The provider's Medication Administration Training certificate has expired and the provider has said there is no medication at site. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) Child #1, #2 and #4's records did not contain signed documentation that the parents had reviewed the provider's medications policies, emergency preparedness plan, general policies and procedures and insurance declaration. 2) Child #3's record did not contain complete parent's workplace contact information.
Plan of Correction:	I will contact the parents and ask them to bring the paperwork signed.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the provider had not verified each child's identity within the first seven days of attendance. Evidence: 1) Child #1 and #2's record did not contain documentation that identity has been reviewed.
Plan of Correction:	I will contact the parents and ask for the birth certificate.
Standard #:	22VAC40-111-170-A
Description:	Based on record review and interview, the provider has not obtained a subsequent Tb screening every two years. Evidence: The most recent Tb screening on file is dated May 22, 2017. The provider stated that she didn't realize it.
Plan of Correction:	I will go tomorrow and get it done.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances were not stored inaccessible to children. Evidence: Several cleaning agents were stored in an unlocked cabinet under the sink in the children's bathroom.
Plan of Correction:	I will get everything out and move it to the laundry room.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small electrical appliances were plugged in and not being used by the caregiver. Evidence: In the kitchen upstairs, a toaster and a grill were plugged in and not in use.
Plan of Correction:	I will unplug them today.