VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Guadalupe Burgoa
823 N. Van Dorn Street
Alexandria, VA 22304
(703) 751-8714

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: March 22, 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 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed the need for children who can hold their own bottles remain sitting while bottle feeding. Clarified the location of blind cords and what is determined accessible to children. Operable carbon monoxide onsite.

Comments:

A Renewal Inspection was conducted today. There were a total of 5 children(13pts) with the Provider were present when the Inspector arrived. The children were observed sitting in a circle on the floor with the provider engaged in an activity that involved large lego blocks. Observation of the family day home was made. The children were observed interacting with the provider, laughing and playing. The provider assisted the children with washing hands and transitioning to lunch. Lunch was vegetable soup, sliced banana and milk to drink. One infant observed being bottle fed by the provider and placed on their back to sleep. No medication needs identified at this time, one food allergy determined and no topical ointments onsite. All 5 children's records were reviewed, Provider and all household records were also reviewed. Some violations found today. Thank you for your cooperation today. Please email me at:lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, 4 of the 5 records were incomplete. Evidence: The record for Child #1,3,4 and 5 did not contain parent's written authorization for emergency medical care.
Plan of Correction:	I will have each parent sign this authorization.
Standard #:	8VAC20-800-90-A
Description:	Based on review of child records, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child #5 began care on 09/22/2022. Immunization documentation and a statement that this child was adequately immunized has not been obtained.
Plan of Correction:	I will call the agency who referred this child and request the immunizations.