VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Beth Williams
6659 Clarkes Meadow Drive
Bealeton, VA 22712
(703) 474-1723

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Feb. 11, 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 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 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Technical Assistance:

Provided consultation on: 900 B - children shall not be allowed to eat or drink while walking, running, playing, lying down or riding in vehicles. 110 B - form and content of immunization and physical examination reports: each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a licensed physician, the physician's designee, or an official of the health department

Comments:

An unannounced renewal inspection was conducted from 9:30 am - 12:30 pm with the provider and her assistant. There were nine children in care, ranging from nine months to four years of age, for a total of 22 points. The children were observed engaged in a variety of activities including coloring, dress up, free play, play doh, washing hands and eating lunch. Lunch served today: cheese/pepperoni pizza, peas, pineapple and milk. Three younger children were observed napping. Four children's records and two caregiver records were reviewed. The first aid kit was reviewed and in compliance. The emergency drill log was reviewed and in compliance. Two medications and authorization forms were reviewed and in compliance. The provider has current Medication Administration Training (MAT) certification as well as CPR and First Aid. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-120-B
Description:	Based on review of two caregiver records, it was determined that not all records contained all required information. Evidence: the record for caregiver #2 did not contain verification of age or 2 letters of recommendation.
Plan of Correction:	Will obtain the missing information.
Standard #:	22VAC40-111-60-A
Description:	Based on review of four children's records, it was determined that not all records contained all required information. Evidence: the record for child #3 (date of first attendance: 12/1/17) did not have the addresses for two emergency contacts.
Plan of Correction:	Will ask the parents for the missing information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of two caregiver records, it was determined that not all caregivers had an original central registry report within 30 days of employment. Evidence: the record for caregiver #2 (date of hire: 11/26/19) did not have a central registry finding report.
Plan of Correction:	Will submit paperwork for a Central Registry check, and ensure caregiver does not return to work until the findings have been received.
Standard #:	63.2-1720.1-B-2
Description:	Based on review of two provider/caregiver files, and an interview with the provider, it was determined that not all caregivers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check. Evidence: the record for the caregiver #2 did not have an OBI fingerprinting determination letter.
Plan of Correction:	Will schedule caregiver for fingerprinting and ensure caregiver does not return to work until the findings have been received.