VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Magda Torrico
6015 Langston
Arlington, VA 22205
(703) 538-6121

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Jan. 26, 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 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 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Technical Assistance:

Discussed the medication policy and the need to update it until MAT training is renewed.

Comments:

An unannounced renewal inspection was conducted today with the provider on site. There were 11 children with the provider and two assistants. A sample of 2 children's files and 4 caregiver/household member's files were reviewed. The children were engaged in the following: toy play and singing songs in Spanish and other organized activities. Interactions between the children and staff were positive. The physical space, emergency supplies, evacuation drills, attendance records and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	22.1-289.058
Description:	Based on interview, the provider serves preschool-age children and the home is not equipped with at least one carbon monoxide detector. Evidence: 1. The provider stated she did not have a carbon monoxide detector.
Plan of Correction:	I have installed new detectors on all floors.
Standard #:	8VAC20-800-750-A
Description:	Based on observation and document review, the provider did not have written parent authorization at least annually for topical skin products such as diaper ointment. Evidence: 1. Child #3 had a diaper cream and a parent authorization form for the cream dated 3/24/2020.
Plan of Correction:	I have updated the parent authorization of the topical skin products.
Standard #:	8VAC20-800-70-B
Description:	Based on review, the provider did not obtain the parent's written acknowledgement of the provisions of the emergency preparedness and response plan for one child. Evidence: 1. Child #1 (start date 1/18/2021) did not have the parent's written acknowledgement of the provisions of the emergency preparedness and response plan in the file.
Plan of Correction:	I have updated the parental signature of the provisions of the emergency preparedness and response plan.
Standard #:	8VAC20-800-180-A
Description:	Based on interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver every two years. Evidence: 1. Caregiver #1 (TB test 12/18/2019), Caregiver #2 (TB test 1/03/2020), Caregiver #3 (TB test 12/18/2019) and Caregiver #4 (TB test 12/18/2019) all had expired TB tests or screenings.
Plan of Correction:	Today I have a interview with the county nurse where she's going to give me a letter.