VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Julieta Calizaya
611 N. George Mason Drive
Arlington, VA 22203
(703) 298-4017

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Nov. 18, 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 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

Comments:

A monitoring inspection was initiated and concluded on November 18, 2021. There were three children(10pts) present, ranging in ages from 7 months to 18 months, with two 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 three child records and four staff 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. If there are any questions, please contact karen.dickens@doe.virginia.gov.

Violations:

Standard #:	22VAC40-111-70-A
Description:	Based on record review, three of three records reviewed did not have written acknowledgement of receipt of all required policies and procedures. Evidence: 1. Child #1, Child #2, and Child #3's record did not have documentation of the Provisions of the Emergency Plan and the Liability Insurance Declaration in the record.
Plan of Correction:	The provider will print copies of each document and have the parents to sign the forms and document the record.