VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mary Ugarte
187 Alpine Drive
Leesburg, VA 20175
(703) 581-0248

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: July 30, 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 22VAC40-80 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

Technical Assistance:

This monitoring inspection was part of a joint inspection conducted with a review of applicable subsidy regulations. Please see the inspection reports for the subsidy inspection for more information.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program. A monitoring inspection was initiated and concluded on 07/30/2021. The Provider was contacted by telephone and a virtual inspection was conducted. There were 6 children present (16 points), ranging from 3 months to 3 years in age, with 3 caregivers 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 8 children records, 2 household member records, and 3 caregiver records were reviewed. Information gathered during the inspection determined that there was a non-compliance with an applicable standard. This violation was documented on a Violation Notice issued to the program. If you should have any further questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-111-180-A
Description:	Based on review, 1 of 2 household member files indicated that the Provider did not obtain for an adult household member a current Report of Tuberculosis (TB) Screening form within the past two years. Evidence - 1. On the date of inspection (07/30/2021), the most current TB documentation on file for Household Member #2 was dated as 11/19/2018. 2. This observation was confirmed by the Provider on the date of inspection.
Plan of Correction:	Household Member #2 shall obtain updated TB documentation and place it on file at the FDH.