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Lorretta Cavalheri
43058 Baltzer Glenn Court
Chantilly, VA 20152
(703) 327-4824

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Sept. 11, 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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Licensing inspector discussed with provider training opportunities, Medication Administration Training, hand-washing, and stationary equipment.

Comments:
An unannounced renewal inspection was conducted today between the hours of 10:25 am through 1:45 pm with the provider on site. There were 10 children (29 points) with 2 caregivers. A sample of 4 children's files, 2 caregiver files, and 4 household member's files were reviewed. The menu, attendance records, evacuation drills, the emergency plan, and first aid kit were also reviewed. The children were engaged in the following: toy play, movie time, diapering, hand washing, lunch, naptime and other organized activities. Interactions between the children and staff were positive. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on observation and caregiver interview, the emergency plan was not reviewed annually.

Evidence:
1. The last documented review of the emergency plan was dated 4/13/2015.
2. Caregiver reported that the plan had not been reviewed annually.

Plan of Correction: I will update it today.

Standard #: 22VAC40-111-170-A
Description: Based on review of household members records, the provider did not obtain Report of Tuberculosis Screening from all adult household members.

Evidence:
1. 1 of 4 household member records did not contain an initial tuberculosis screening.
2. The record for household member 1 did not contain an initial tuberculosis screening.

Plan of Correction: I will get it from her.

Standard #: 22VAC40-111-180-A
Description: Based on review of household members records, the provider did not obtain current Report of Tuberculosis Screening from all adult household members.

Evidence:
1.1 of 4 household member records did not contain a current tuberculosis screening.
2. The tuberculosis screening of household member 2 was last completed January 18th 2014.

Plan of Correction: I will make an appointment.

Standard #: 22VAC40-111-320-A
Description: Based on observation, caregiver did not ensure all small electrical appliances not in use were unplugged.

Evidence:
The following small appliances were observed plugged in while not in use:
Toaster oven, toaster, can opener, coffee maker

Plan of Correction: Corrected during inspection.

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.

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