VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ana Salcedo Gago
117 N. Kennedy Road
Sterling, VA 20164
(571) 242-3867

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Oct. 13, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussion of the changes in household and enrollment. The Provider was emailed blank copies of A Search of the Central Registry form, and a Sworn Statement or Affirmation for Child Day Programs. If needed, please contact OBI for your facility identification number, and fieldprint codes.

Comments:

A monitoring inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program. This inspection was initiated and concluded on 10/13/2021. The Provider was contacted and a virtual inspection was conducted. There were 5 children present (14 points), ranging from infant to preschool-age, with 1 caregiver supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies. A total of 6 children records, 1 staff record, and 2 household records were reviewed. Information gathered during the inspection determined that there were (2) non-compliances with an applicable standard, and code. These violations were documented on the Violation Notice issued to the program. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-191-40-D-4-a
Description:	Based on interview, 1 of 2 household members files indicated that the Provider did not obtain a signed Sworn Disclosure Statement (SDS) or a search of the central registry (CPS) for a new household member. Evidence - 1. The Provider stated that Household Member #2 joined the household after 03/07/2020 and has "117 N. Kennedy Road" listed as his permanent address. 2. A current SDS and a CPS check for Household Member #2 were not available for review.
Plan of Correction:	A SDS shall be completed by Household Member #2 and shared with the Licensing Inspector (LI). A request of a search of the central registry (CPS check) shall be submitted. Once this finding is obtained, it shall also be shared with the LI. Both will be placed on file.
Standard #:	63.2-1721.1-B-2
Description:	Based on interview, 1 of 2 household members files indicated that the Provider did not obtain a criminal record check for a new household member. Evidence - 1. The Provider stated that Household Member #2 joined the household after 03/07/2020 and has "117 N. Kennedy Road" listed as his permanent address. 2. A current criminal record check (fingerprint check from OBI) for Household Member #2 was not available for review.
Plan of Correction:	A fingerprint check shall be scheduled through Fieldprint of Virginia. Once the finding is obtained, it shall be shared with the LI and be placed on file.