VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rocio Carrillo
1105 Shannon Place
Herndon, VA 20170
(571) 244-9345

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Sept. 23, 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 22VAC40-111 Transportation 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs 22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes 22VAC40-665 General qualifications 22VAC40-665 Building or home maintenance. 22VAC40-665 Supervision and ratio requirements 22VAC40-665 Programs 22VAC40-665 Special Care Provisions & Emergencies 22VAC40-665 Special Services

Technical Assistance:

Discussed background checks and the timelines for completing them again.

Comments:

An unannounced renewal inspection was completed today. The physical plant, 1 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected between 11:50-1:00pm. There were 5 children, totaling 15 points, under the supervision of the Provider. During the inspection, the children were observed reading books, listening to music, enjoying free play and resting during naptime. For lunch, the children were served chicken soup with rice, cucumber, oranges and milk. The Provider is not certified in MAT (medication administration training) at this time. There are no children with any medication needs. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on file review, 3 out of 5 children's records do not have all required information. Evidence 1. Children #1-3 do not have the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 2. Child #3 does not have the name, address and telephone number of each custodial parent's place of employment.
Plan of Correction:	The Provider will ask the parents for this.
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 2 out of 5 children's records reviewed does not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #3 is 21 months old. The most recent immunization record was updated when the child was 14 months old. 2. Child #4 is 30 months old. The most recent immunization record was updated when the child was 16 months old.
Plan of Correction:	The Provider will ask the parents for the most recent shot record.
Standard #:	22VAC40-111-280
Description:	Based on observations, the Provider failed to keep all cleaning agents and disinfectants stored away from areas accessible to the children in care. Evidence 1. In the bathroom, there was a container of disinfectant wipes on the sink and on the back of the toilet.
Plan of Correction:	These will be moved.