VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jhoana Cuellar
6104 Dinwiddie Street
Springfield, VA 22150
(571) 243-5278

Current Inspector: Derek Acosta (703) 554-4995

Inspection Date: Nov. 12, 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. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An unannounced renewal inspection was conducted today from 12:00pm-2:00pm. There were 8 children in care, plus the Provider's son, for a total of 27 points. There were 2 caregivers supervising the children. A sample size of 4 children's records, 4 staff/household member records, evacuation drills, and the daycare space were reviewed. The children were observed taking a nap during their designated rest period. If you have any questions, please contact me at shahana.green@dss.virginia.gov .

Violations:

Standard #:	22VAC40-111-960-E
Description:	Based on observation and staff interview, infant bottles were not labeled with the child's full name and the date, if more than one infant is in care. Evidence: 1. Two bottles for two different infants were not labeled with each infant's full name and the date. 2. The Provider stated that they did not label the bottles with each infant's full name and date.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of children's records, 1 out of 4 children's records did not include documentation of a physical examination by a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #3 (start date: 12/17/2018) did not have documentation of a physical examination on file.
Plan of Correction:	I will ask the parents to bring in the physical.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of staff records and staff interview, an employee was employed without a completed sworn statement. Evidence: 1. Staff #3 (doh: 11/12/2019) did not have documentation of a sworn statement on file. 2. The Provider stated that the employee has not filled out a sworn statement.
Plan of Correction:	I will have the employee fill it out today.
Standard #:	63.2-1720.1-B-2
Description:	Based on a review of staff records and staff interview, 1 out of 3 staff members did not submit to fingerprinting. Evidence: 1. Staff #3 (doh: 11/12/2019) did not have documentation of fingerprint results on file. 2. The Provider stated that there were no fingerprints results received for staff #3.
Plan of Correction:	The staff member went on Saturday to get Fingerprints and I am waiting for the results.