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Ms. Sandra Sutton
16463 Hayes Lane
Woodbridge, VA 22191
(703) 730-2124

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Feb. 12, 2020

Complaint Related: Yes

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
63.2 Licensure and Registration Procedures

Comments:
An unannounced complaint investigation was conducted beginning 2/12/2020 and ending 3/6/2020. The Northern Licensing Office received the complaint on 2/11/2020 regarding care of children. Interviews were conducted and documentation was reviewed. The preponderance of evidence does not support the allegation and the complaint has been deemed not valid. Violations were found that were not related to the complaint. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Tuesday, March 24, 2020. Please email me at morgan.bryson1@dss.virginia.gov with any questions or clarifications needed.

Violations:
Standard #: 22VAC40-111-120-B
Complaint related: No
Description: Based on record review and provider interview, one assistant record did not contain all required information.

Evidence: Staff #2 (Date of Hire: 2/3/20) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: I have now obtained references for this staff member. Moving forward, I will have references on all assistants upon hiring.

Standard #: 22VAC40-111-30-A
Complaint related: No
Description: Based on interviews, the provider did not ensure compliance with the terms of the current license issued by the department.

Evidence: The provider is currently operating outside the terms of her license by providing care beyond the licensed hours of operation. The provider's current licensed hours of operation are 6:00am through 6:30pm Monday through Friday. The provider stated she usually provides care for Child #1 (Date of Enrollment: 1/27/20) on Mondays and Wednesdays from 5:30am through 7:00pm and on Tuesdays from 5:30am through 9:30pm.

Plan of Correction: I will stick with my regular hours for daycare of 6:00am through 6:30pm and I won't operate beyond those times.

Standard #: 22VAC40-111-200-A
Complaint related: No
Description: Based on record review, the provider did not complete orientation with one assistant by the end of their first week of assuming job responsibilities.

Evidence: Staff #2 (Date of Hire: 2/3/20) has not completed orientation.

Plan of Correction: I have completed orientation and as of this day I will make sure I have everything done upon hiring new staff.

Standard #: 63.2-1720.1-B-2
Complaint related: No
Description: Based on record review, one staff record did not contain the results of a fingerprint based criminal history background check prior to first day of employment.

Evidence: Staff #2 (Date of Hire: 2/3/20) did not have fingerprint based criminal history background check results on file.

Plan of Correction: The staff has submitted to fingerprint testing and eligible results were received 2/18/20. Moving forward, I will have background check results on file before new staff begin working.

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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