VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Andrea Retamoso
204 Whispering Wind Court SE
Vienna, VA 22180
(703) 319-7019

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Aug. 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 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 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussed provider the upcoming ending of the leniency grace period created during the COVID state of emergency for renewing CPR and First Aid certifications.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review. A monitoring inspection was conducted on 8/20/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 10 children present with 4 staff 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 staff and household member 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. Contact kara.vaughan@doe.virginia.gov with questions regarding this inspection.

Violations:

Standard #:	22VAC40-111-120-B
Description:	Based on record review, two of three caregiver records reviewed did not contain all required information. Evidence: 1. Adult 3's record did not contain: references, contact information for an emergency contact person, or all required background checks. 2. Adult 4's record did not contain: references, or contact information for an emergency contact person
Plan of Correction:	All documentation will be updated for background checks.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence Adult 2's most recent Tuberculosis screening was completed on 4/18/2018.
Plan of Correction:	TB screenings will be updated.
Standard #:	22VAC40-111-200-A
Description:	Based on record review, the provider did not orient assistant caregivers by the end of their first week of assuming job responsibilities. Evidence: Adult 2's record did not contain documentation of having received and orientation.
Plan of Correction:	All documentation will be updated and employees oriented.
Standard #:	63.2-1720.1-A
Description:	Based on record review, the family day hired an employee prior to the employee providing a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. Evidence: The record for Adult 3 does not contain a Sworn Statement or Affirmation.
Plan of Correction:	All documentation will be updated accordingly for all (3) adults.