VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ryan Huaman
6660 Jefferson Avenue
Falls church, VA 22042
(703) 639-7367

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Dec. 17, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Please submit an addendum to application to change age range request.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. An Initial inspection was initiated on December 17, 2020 and concluded on December 18, 2020. The Provider was contacted by telephone the week before to discuss timing and procedures required to conduct the inspection. The Provider was instructed to submit certain documents prior to the inspection and the virtual inspection was scheduled. There were no children present at the time of the inspection as the program was not operating. The Inspector emailed the Provider a list of items required to complete the inspection and there is a document needed before the application can be submitted for issuance. The Inspector discussed what is required for children?s records and staff records. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility or the program. Please call with questions 703-479-4679

Violations:

Standard #:	22VAC40-111-760-A-1
Description:	Based on interview and observation, it was determined the Provider did not have two items in the home or first aid kit. Evidence: 1. The first aid kit only had 1 of 2 required triangular bandages. 2. The Provider did not have a working digital thermometer.
Plan of Correction:	I will have them before I open.
Standard #:	63.2-1721.1-A
Description:	Based on record review and interview it was determined the Provider had not obtained one of the background checks required for an adult living in the home. Evidence: 1. Provider stated before the inspection that a household member did not obtain the completed Central Registry Search. 2. The Provider stated it was sent but not returned.
Plan of Correction:	The completed Central registry Search will be sent to Inspector once received. In the future, I will ensure anyone who needs one will have the paperwork completed in the required time period.