VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rossmary Acosta Escate
8507 Woodbine Lane
Annandale, VA 22003
(703) 678-3602

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: Sept. 25, 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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted today between 12:30 pm and 3:00 pm. There were 3 children (8 points) with 1 caregiver. The children were observed napping, waking up from nap and playing with musical toys. The entire physical plant, caregiver's records, children's records, household member records, menu's, emergency supplies, emergency plans, evacuation logs and attendance logs were inspected. Areas of non compliance were cited on the Violation Notice. If you have any questions, please contact me at Tanya.Johnson1@dss.virginia.gov or at 571.423.6392.

Violations:

Standard #:	22VAC40-111-760-A-1
Description:	Based on inspection of the first aid kit, the provider failed to ensure that the first aid kit was complete. Evidence: The first aid kits was missing, gauze pads, disposable gloves, an ice pack and a First Aid Instruction Manual.
Plan of Correction:	I will get these items and place in first aid kit.
Standard #:	22VAC40-111-830-B
Description:	Based on a review of evacuation log, the provider failed to ensure that shelter in place procedures will be practiced a minimum of twice per year. Evidence: The provider did not have documentation of shelter in place procedures practiced at least twice per year.
Plan of Correction:	I will remember to do shelter in place drills two times per year.
Standard #:	22VAC40-111-60-A
Description:	Based on a review of children's records, the provider failed to ensure that records are maintained and up to date for all enrolled children. Evidence: 1) Child #2's record does not have documentation of father's place of employment, employment address or a employment telephone number. 2) Child #2's record does not have documentation of names, addresses and phone numbers for either emergency contact. 3) Child #1's record does not have the Information for Parent's form, the Parent Agreement form, the Liability Insurance form or the Medication Policy form. 4) Child #3's record does not include documentation of an annual update. (First date of attendance - 3/1/18), a Parent Agreement form or a copy the Emergency Plan.
Plan of Correction:	I will get forms from parents.
Standard #:	22VAC40-111-150-D-1
Description:	Based on a review of caregiver's records, the provider failed to ensure that caregivers on site have current certification in cardiopulmonary resuscitation (CPR) issued within the past two years. Evidence: Caregiver #1 did not have current certification in CPR. (expired 5/13/2019)
Plan of Correction:	I have completed CPR, but need to locate documentation.
Standard #:	22VAC40-111-150-D-2
Description:	Based on a review of caregiver records, the provider failed to ensure that caregivers on site have current certification in first aid. Evidence: Caregiver #1 did not have current certification in first aid. (expired 5/13/19
Plan of Correction:	I have completed FA, but will have to locate documentation.
Standard #:	22VAC40-111-180-A
Description:	Based on review of caregiver records, the provider failed to obtain a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Caregiver #1 did not have documentation of a current Tuberculosis Screening form. (TB expired 7/12/19)
Plan of Correction:	I will get a new TB screening as soon as possible.
Standard #:	22VAC40-111-240-A
Description:	Based on inspection, the provider failed to ensure that areas and furnishings of the family day home,inside and outside shall be maintained in a clean, safe and operable condition. Evidence: 1) There is no barrier between the outside air conditioning unit and the play area, children could get hurt by placing finger near the fan of the unit. 2) The is heavy equipment in the back yard; ladders, a generator and a jack, that is accessible to children playing in the backyard. 3) The old kitchen play set is worn and has sharp areas that could injure a child.
Plan of Correction:	I will put a gate around air conditioner unit. I will remove the heavy equipment from back yard. I will get rid of kitchen set.
Standard #:	22VAC40-665-240-C-2
Description:	Based on observation, the provider failed to ensure that electrical outlets shall have protective covers. Evidence: One outlet in the entry hallway and one outlet in the children's bathroom did not have protective covers.
Plan of Correction:	I will replace them.
Standard #:	22VAC40-80-120-E-1
Description:	Based on observation, the provider failed to ensure that most recent inspection notice was not prominently displayed next to the license that states that a description of specific violation of licensing standards to be corrected and the deadline for completion of such corrections. Evidence: The provider did not have the most recent inspection posted.
Plan of Correction:	I will post Inspection notices.