VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patrycja Kuklinski
21432 Chickacoan Trail Dr
Ashburn, VA 20148
(571) 426-0270

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Feb. 26, 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.

Technical Assistance:

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. Model forms for emergency procedures, staff orientation training and staff information were sent via email to the provider. Discussed annual review requirements which will be due within the next 6 months.

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. A renewal inspection was conducted via Facetime with the provider. There were no children in care today. Observation of the physical plant was made virtually. One child currently enrolled at time. One child record and one staff record were reviewed today. No changes to household members from the last inspection. Provider demonstrates a good knowledge of the standards during the six month Conditional period. Thank you for your cooperation during this inspection process. Please email me with questions at: lisa.hudson@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-120-B
Description:	Based on staff record review, one staff record did not contain all required information. Evidence: Staff #2's record did not contain an emergency contact and date of employment.
Plan of Correction:	This information will be obtained and kept in the staff record.
Standard #:	22VAC40-111-230-A
Description:	Based on staff record review, written documentation of training for one staff was not maintained. Evidence: Written documentation of orientation training for Staff #2 was not maintained.
Plan of Correction:	Staff will sign the orientation training document and it will be maintained in their record.