VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Natalia Gonzalez
14905 Greymont Drive
Centreville, VA 20120
(571) 278-6360

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Jan. 13, 2021

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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Technical Assistance:

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. As discussed, please forward your annual fee along with the corrected areas on the renewal application.

Comments:

A Renewal inspection was initiated and concluded on 1/13/21. The provider was contacted by telephone to initiate the inspection. There were 7 children present( 14 pts) and 1 staff. Provider was not on site. The inspector Facetimed the assistant and observed the programming area. All but one child was napping. The Inspector reviewed 2 children?s records, 2 household and 2 staff records virtually to ensure documentation was complete. 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. 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

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on child record review, one child record did not contain all required information. Evidence: Child #2's record did not contain a start date of care, signed information to parents and documented proof of identity.
Plan of Correction:	We will make sure all information is obtained as required.
Standard #:	22VAC40-111-80-A
Description:	Based on review of child records, a verification that a child's proof of identity was not found. Evidence: The provider did not obtain within seven business days of Child #2's start date verification of their identity.
Plan of Correction:	We will obtain this verification by the end of this week.
Standard #:	22VAC40-111-80-C
Description:	Based on documentation found in one child file, the provider did not document all required information. Evidence: The proof of identity found in Child #1's file did not include documentation of who reviewed the proof of identity and the date of which it was reviewed.
Plan of Correction:	We will make sure we document who reviewed and when.
Standard #:	22VAC40-111-180-A
Description:	Based on review of household records, one subsequent TB screening was not obtained. Evidence: Household member #1's last documented TB screening was dated 01/2015. This has been a repetitive violation with the same household member.
Plan of Correction:	The household member will obtain a TB screening and will forward to the Licensing Inspector for review by 02/01/21
Standard #:	22VAC40-111-510-C
Description:	Based on observation of the nap area, occupied cots were not maintained as required. Evidence: Three occupied cots were not spaced 12 inches apart from each other.
Plan of Correction:	We will space the cots apart by 12 inches when children are napping.
Standard #:	63.2-1720.1-A
Description:	Based on staff record review, one background check was not obtained every five years as required. Evidence: Staff #1's Central Registry search results on file are dated 5/2015. A repeat search request has not been conducted.
Plan of Correction:	This background check will be conducted as soon as possible and the results will be forwarded to the Licensing Inspector for review within 10 days.