VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Claudia Tramontana
6614 Winstead Manor Court
Lorton, VA 22079
(703) 407-8199

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Jan. 21, 2022

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 22VAC40-111 Transportation 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:

1. Discussed ongoing health and safety practices as related to the health pandemic. 2. Inspector provided a checklist of documents and information required in an substitute/assistant employee record. 3. Central Registry Checks (CPS-child abuse and neglect search) are to be completed within the first 30-days of employment.

Comments:

This inspection was conducted by staff using an alternative remote protocol, including phone interview, records review, and a virtual observations. An on-site inspection was not conducted at this time. An unannounced monitoring inspection was conducted at 11:24am. The provider was contacted by phone to initiate the inspection. There were 8 children present = 21 points with the provider and substitute assistant caregiver. Ratios and supervision were in compliance at the time of inspection. Children were observed eating lunch, which each child packs daily. The home was very well supplied with toys, books, and equipment for the children, and appeared clean and organized today. Information gathered during the inspection determined there were areas of non-compliance with applicable standards or laws reviewed. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov Note: Current regulation and Code numbers are handwritten on the original inspection report issued to the provider.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on information received, it was determined that a substitute assistant caregiver did not have completed background checks prior to working with the children. Evidence: The substitute assistant does not have a completed criminal history check.
Plan of Correction:	The fingerprinting will be completed. Moving forward, it will be completed prior to working.
Standard #:	8VAC20-770-60-B
Description:	Based on information received, it was determined that a substitute assistant caregiver did not have completed background checks prior to working with the children. Evidence: The substitute assistant does not have a completed Sworn Disclosure Statement.
Plan of Correction:	The Sworn Disclosure Statement will be completed. Moving forward, it will be completed prior to working.
Standard #:	8VAC20-800-120-B
Description:	Based on information received, the record for a substitute assistant caregiver (working on the date of inspection) did not include required information. Evidence: Substitute Assistant - There was no documentation of: date of employment, emergency contact, 2 written reference checks, and background checks.
Plan of Correction:	The inspector will provide a checklist of requirements to help with ensuring future compliance.
Standard #:	8VAC20-800-90-C
Description:	Based on records reviewed, it was determined that 1 of 2 children's records did not include documentation of immunizations every 6 months until the age of 2 years old. Evidence: Child #5 - The immunizations on-file were dated June 2021 by the physician, when the child was 3 months old.
Plan of Correction:	The provider will request updated immunizations from the parents. Moving forward, immunizations will be required every 6 months until the age of 2 years old.
Standard #:	8VAC20-800-180-A
Description:	Based on records reviewed, it was determined that 4 of 4 adult records did not include documentaiton of TB screenings every 2 years. Evidence: 1. Provider - The date of the last TB screening was 7/30/19. 2. Assistant #1 - The date of the last TB screening was 7/29/19. 3. Adult #1 - The date of the last TB screening was 8/21/19. 4. Adult #2 - The date of the last TB screening was 8/21/19.
Plan of Correction:	TB screenings will be updated. Moving forward, they will be completed every 2 years.