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Marta Alejos
7506 Mendota Place
Springfield, VA 22150
(703) 298-4781

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Oct. 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted today from 10:00am-1:00pm. There were 2 children in care and one resident child (7 points) supervised by 1 direct care staff. The home, 1 staff record, 2 children?s records, 4 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaging freely, playing outside, and napping. There was a sufficient amount of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice.

If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation, the provider did not ensure that the posted menu was for the current one-week period.

Evidence: The posted menu was dated February 4-9.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 2 children's records did not contain documentation of all required information.

Evidence: Child #1's record did not contain documentation of results of the health examination for the child as required by 22 VAC 40-111-100, and documentation of the review of the child's emergency contact information as required by 22 VAC 40-111-780 B. The most recent documented review of the child's emergency contact information was dated 3/16/2018.

Plan of Correction: Parent has been contacted and will bring a copy of the child's physical today. I will have the parent sign the emergency contact information today.

Standard #: 22VAC40-111-170-A
Description: Based on record review, 1 of 4 household member records did not contain documentation of a current report of TB screening form prior to coming into contact with children.

Evidence: Household member D's record did not contain documentation of a current report of TB screening form.

Plan of Correction: I will have the household member get their TB by Monday.

Standard #: 22VAC40-111-180-A
Description: Based on record review, 1 of 4 household member records did not contain documentation of a current report of TB screening form every two years from the date of the first screening.

Evidence: Household member C's most recent TB screening was dated 3/24/2017 (expired: 3/24/2019).

Plan of Correction: I will have the household member update their TB within the week.

Standard #: 22VAC40-111-210-A
Description: Based on record review, a caregiver did not maintain a minimum of sixteen clock hours of training annually.

Evidence: Caregiver A's record contained documentation of four clock hours of training for 2018.

Plan of Correction: Moving forward, we will be sure to get 16 hours of training every year.

Standard #: 22VAC40-191-40-C-1-c
Description: Based on record review, 1 of 4 household member records did not contain documentation of a completed central registry search.

Evidence: Household member D's record did not contain documentation of central registry results.

Plan of Correction: I will have the household member complete it today and mail it.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the provider did not ensure that the findings of the most recent inspection of the facility were posted.

Evidence: The subsidy Violation Notice was posted and dated 8/31/2018. The most recent inspection was conducted on 2/6/2019.

Plan of Correction: I will post today's inspection.

Standard #: 63.2-1721.1-B-2
Description: Based on record review, 1 of 4 household member records did not contain documentation of completed fingerprint results.

Evidence: Household member D's record did not contain documentation of completed fingerprint results.

Plan of Correction: I will make the appointment today.

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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