VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elisa Zewide
7900 Gunston Woods Place
Lorton, VA 22079
(703) 678-5044

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: April 20, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Technical Assistance:

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs.

Comments:

A renewal inspection was initiated and concluded on April 20th, 2021. The provider was contacted by telephone to initiate the inspection. There were 3 children present and 1 caregiver. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children's records, 1 caregiver record and 4 household member records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice. If you have any questions, please contact me at tanya.johnson1@dss.virginia.gov or call 571.423.6392.

Violations:

Standard #:	22VAC40-191-40-D-4-a
Description:	Based on a review of household member records, the provider failed to obtain a sworn statement or a criminal history record check within 30 days of a person becoming 18 years old. Evidence: Household member #4 does not have documentation of a sworn statement or a criminal record check for a person in the home turning 18 years old.
Plan of Correction:	Household member #3 signed a Sworn Statement today, April 20th, 2021 I will obtain a criminal record check for HHM #4 - sending form off today.
Standard #:	63.2-1720.1-A
Description:	Based on a review of caregiver and/or household member records, the center failed to obtain repeat background checks every five years. Evidence: Caregiver #1 - sworn statement was dated 8/14/2015 and central registry dated 10/06/2015. Household member #1 - sworn statement was dated12/07/2015 and central registry was dated 10/06/15. HHM #2 - sworn statement was dated 12/17/2015 and central registry was dated 10/06/2015. HHM #3 - central registry was dated 10/06/2015.
Plan of Correction:	Forms will be sent out today, 04/20/2021 . I will contact Licensing Inspector when I get forms back,