VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lorretta Cavalheri
43058 Baltzer Glenn Court
Chantilly, VA 20152
(703) 327-4824

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: March 10, 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 Emergencies 22VAC40-111 Nutrition

Comments:

An unannounced monitoring inspection was conducted today between the hours of 10:30 am through 1:30 pm with the provider on site. There were 12 children (32 points) with the provider and one assistant. A sample of 5 children's records and 4 caregiver/household member's records were reviewed. The children were observed playing independently, singing and dancing, and eating lunch. The children were served pizza, green beans, grapes, and milk. Handwashing and naptime were also observed. The physical space, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: Child #3 began attendance on 8/13/18. The emergency information for Child #1 was last reviewed by parents on 8/10/18.
Plan of Correction:	Provider had requested information and is awaiting signature from parent.
Standard #:	22VAC40-111-830-C
Description:	Based on record review and interview, the provider did not maintain complete documentation of shelter in place drills. Evidence: Documentation of shelter in place drills for 2019 were not available for review during inspection. Provider stated two shelter in place drills were completed in 2019 but Provider was unable to locate the documentation for the drills during inspection.
Plan of Correction:	We will document all drills.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 3 of 5 children's records did not contain all required information. Evidence: 1.The records for Child #2 and Child #3 did not contain documentation of policy number of the child's medical insurance. 2. The record for Child #4 did not contain documentation of the address of the father's place of empoyment.
Plan of Correction:	Parents were contacted during inspection.
Standard #:	22VAC40-111-80-C
Description:	Based on record review, 3 of 5 children's records did not contain complete documentation of proof of identification for each child in care. Evidence: Child #1, Child #2, and Child #3 were missing documentation of date and person verifying original proof of identification.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-180-A
Description:	Based on review of household members records, the provider did not obtain current Report of Tuberculosis Screening from one adult household member. Evidence: 1. The tuberculosis screening of household member #1 was last completed 1/18/14
Plan of Correction:	I will take them this week.
Standard #:	22VAC40-111-210-A
Description:	Based on record review, 2 of 2 caregiver's record did not contain documentation of 16 clock hours of training annually for each caregiver. Evidence: The record for Caregiver #1 contained documentation of 8.5 of 16 required training hours completed for 2019. The record for Caregiver #2 did not contain documentation of completed training hours for 2019.
Plan of Correction:	We will complete online trainings.