VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farida Naderpoor
41041 Maplehurst Drive
Aldie, VA 20105
(571) 373-1919

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Jan. 30, 2020

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 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 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

Technical Assistance:

Technical assistance today included required paperwork, training opportunities, medication standards.

Comments:

An unannounced renewal inspection took place today from 10:30 am - 1 pm. There were 8 children at the beginning of the inspection for 23 points with the provider and assistant. I observed children playing with manipulative toys, listening to stories, eating lunch (with children complimenting the cook!) and preparing for nap. Older children were practicing subtraction and other concepts. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-700-A
Description:	Based on a review of medications today, one prescription medication did not have the prescription label as required
Plan of Correction:	I will ask the parent to bring it in.
Standard #:	22VAC40-111-710
Description:	Based on observation during today's inspection, not all conditions for administering medication were met. Evidence: There was no written authorization for the medication for Child # 6 from the parent. The medication did not have a prescription label as required.
Plan of Correction:	I printed the authorization and will give it to the parents today to complete and sign, and to get the doctor's signature for a long term medication.
Standard #:	22VAC40-111-730-D
Description:	Based on observation during today's inspection, a child's medication was not kept in a locked box as required. Evidence: An emergency allergy medication was stored on a high shelf, but not in a locked place.
Plan of Correction:	I will get a lock box for the medication.
Standard #:	22VAC40-111-920
Description:	Based on observation during today's inspection, there was no menu available for review.
Plan of Correction:	We will post the menu.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of records today, none of the children present today had documentation of physical exams as required.
Plan of Correction:	I will print off the physical form and give it to parents as soon as possible.
Standard #:	22VAC40-111-120-B
Description:	Based on a review of staff records, Staff # 2 did not have all required records. Evidence: There was no written documentation of two references for Staff # 2, who began 7/19.
Plan of Correction:	I will make the calls and write down the information today.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of children's records today, not all required documentation was available. Evidence: Child # 4, 5, 6, 7 and 8 did not have the policy numbers for their health insurance as required. Child # 6 had only one emergency contact documented; 1, 3, and 4 did not have addresses of all emergency contacts. There were no signed permissions to go for nature walks/off premises for the children, and not all children's medication policies were consistent in terms of what the provider will administer.
Plan of Correction:	We will get the information from the parents.
Standard #:	22VAC40-111-200-C
Description:	Based on a review of staff records today, there was no documentation of an orientation for the assistant staffmember. Evidence: There was no written documentation of a training orientation as required for Staff # 2, who began 7/19.
Plan of Correction:	She was trained but we will write the information on the form.
Standard #:	22VAC40-111-210-A
Description:	Based on a review of staff training and staff confirmation, there was no documentation of 16 hours of annual training as required. ,
Plan of Correction:	I took MAT training but we will take additional classes on-line.
Standard #:	22VAC40-191-70-A
Description:	Based on a review of records, there was no Search of the Central Registry results for a household member as required. Evidence: Household Member # 3 turned 14 years old in July, but there was documentation of a Search of the Central Registry.
Plan of Correction:	We will get that out as soon as possible.