VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marilis Guiterrez-Chacon
3711 Trigger Court
Alexandria, VA 22310
(240) 713-1525

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Sept. 9, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 63.2 Licensure and Registration Procedures

Technical Assistance:

As discussed, the pack and play is used only for playing and not for sleeping. Discussed sight and sound supervision of children. Provided the out of state search address. As discussed, the children will only have access to front fenced area for outdoor play. Issuance of the license will be pending until receipt of Out of State Central Registry background results are obtained.

Comments:

An announced Initial Inspection was conducted this date. A total of 4 children (11pts) present with Provider. Inspection of the entire home was made to include the outdoor play area. When the Inspector arrived, the children were playing in the back programming room with the provider. Ample amounts of toys on site age appropriate for the children in care. The children transitioned to morning snack time. Snack this morning was milk and fresh cantaloupe. The children washed hands and transitioned to outside play. When they returned, hand washing procedures observed and the children sat down for lunch. Crib room, cribs, toys and equipment were inspected. One crib on site used for licensed care. Manufacturer's date was verified as April 2015 and determined compliant. All children, staff and household records were reviewed. The provider's emergency preparedness plan, first aid kit, attendance records and certifications were inspected. This inspection began at approximately 10am and ended at 1:15pm. Thank you for your cooperation today. Please email me at: lisa.hudson@dss.virginia.gov with any questions.

Violations:

Standard #:	22VAC40-111-730-D
Description:	Based on observation of the diapering area, medications were found unlocked and accessible to children. Evidence: Two prescribed topical ointments were found in a cubby below the diapering area. The medications were unlocked and accessible to children in care.
Plan of Correction:	The medications belonged to my son. I have removed them.
Standard #:	22VAC40-111-750-B
Description:	Based on observation of the physical plant, topical skin products were found within reach of the children. Evidence: 4 sunblock products were found on the table located in the front programming area and accessible to children.
Plan of Correction:	I will move these and place them on a top shelf.
Standard #:	22VAC40-111-760-A
Description:	Based on review of the provider's first aid kit, some items were not found. Evidence: The first aid kit on site did not contain adhesive tape, scissors and tweezers.
Plan of Correction:	I will purchase these missing items and place them in the kit.
Standard #:	22VAC40-111-790
Description:	Based on observation of the physical plant, telephone numbers were not posted. Evidence: Posted phone numbers for 911 or local dial number for police, fire, and emergency medical responders;were not found.
Plan of Correction:	I will write all these numbers on my evacuation map that is posted.
Standard #:	22VAC40-111-870-G
Description:	Based on observation, the table used for eating was not cleaned after use. Evidence: The table used for morning snack was not cleaned after the children finished eating.
Plan of Correction:	Provider cleaned the table prior to lunch. From now on, the table will be cleaned as soon as the children are finished eating.
Standard #:	22VAC40-111-920
Description:	Based on observation of the physical plant, required information was not found. Evidence: A menu for the current week was not maintained.
Plan of Correction:	I will post a menu by the attendance sheets.
Standard #:	22VAC40-111-100-A
Description:	Based on review of children's records, documentation of physical exams were not obtained. Evidence: The files for all four children in care do not have documentation of a physical examination. This must be obtained within 30 days of beginning care.
Plan of Correction:	I will obtain physical exams from all four parents.
Standard #:	22VAC40-111-60-B
Description:	Based on review of children's records, two records were incomplete. Evidence: Child #1's record did not contain the work address for one parent and did not contain the insurance policy number for this child. Child #2's record did not contain a medication policy signed by the parent.
Plan of Correction:	I will obtain this information from the parent today.
Standard #:	22VAC40-111-90-C
Description:	Based on review of child record review, updated immunizations were not obtained. Evidence: Child #4 is under the age of 2 years. The last documented immunizations are dated 6/11/18.
Plan of Correction:	I will request this documentation today.
Standard #:	22VAC40-111-320-B
Description:	Based on observation of the provider's home, some electrical outlets did not have protective covers. Evidence: The power strip and the multi-plug located near the tv did not have protective covers on them. The outlet located in the bathroom did not have protective covers on them.
Plan of Correction:	I will place outlet covers in all these areas and maintain them.
Standard #:	22VAC40-111-450-A
Description:	Based on observation of the programming area, a glass door was not clearly marked. Evidence: The left side of the glass french doors was not clearly marked with decorative objects at the eye level of the children in care.
Plan of Correction:	I will place decals on the left side of the door as I have on the right.
Standard #:	22VAC40-111-690-E
Description:	Based on observation of the crib room, the storage system for soiled diapers does not prevent a caregiver's hand from touching it. Evidence: The receptacle used for disposing soiled diapers requires the staff to touch the lid to dispose of the diaper.
Plan of Correction:	I will purchase a step on pale and replace this.
Standard #:	63.2-1720.1-B-3
Description:	Based on review of staff and household records, out of state background checks were not obtained. Evidence: Staff #1 has lived out of state during the past five years. An out of state central registry was not obtained.
Plan of Correction:	I will request this background check.I will forward a copy of the results to the licensing inspector.
Standard #:	63.2-1721.1-B-3
Description:	t ed on review of household records, an out of state central registry was not obtained. Evidence: Household #1 has lived out of the state of Virginia during the past five years. An out of state central registry search was not completed.
Plan of Correction:	I will request this background check. I will forward the results to the licensing inspector.