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Berta Reyes
4305 Willoughby Court
Chantilly, VA 20151
(571) 299-4903

Current Inspector: Kimberly Weaver (571) 596-3662

Inspection Date: July 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 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.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program.

A monitoring inspection was initiated on and concluded on 7/26/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 3 children present, ranging in ages from 3 years old to 7 years old, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 4 caregiver/household records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-170-A
Description: Based on interview, the provider did not obtain a tuberculosis (TB) test or screening for each adult household member.
Evidence:
1. Adult Household member #3 became an adult on 6/11/2021 and the provider did not have the TB test or screening.

Plan of Correction: I will schedule an appointment today.

Standard #: 22VAC40-111-180-A
Description: Based on interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years.
Evidence:
1. The provider stated Household #2 had not received an updated TB test or screening. Last date of test or screening was on 8/17/2018.

Plan of Correction: I will schedule an appointment today.

Standard #: 22VAC40-111-210-A
Description: Based on review of training, the caregiver did not obtain a minimum of sixteen clock hours of training annually.
Evidence:
1. The provider had a total of 9 hours of training in 2020.

Plan of Correction: I will complete the 7 hours of training and make sure I complete 16 hours each year.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on interview, the provider did not obtain the sworn statement within 30 days of an adult residing in their home.
Evidence:
1. Household #3 became an adult in June 2021 and the provider did not obtain the sworn statement within 30 days.

Plan of Correction: I will ask her to do it.

Standard #: 63.2-1721.1-B-4
Description: Based on interview, the provider did not obtain the fingerprint results once a household member became an adult.
Evidence:
1.Household #3 became an adult in June 2021 and the provider did not obtain the fingerprint results.

Plan of Correction: I will ask her to do it.

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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