VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: April 12, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

If an assistant leave employment you must keep their record for 2 years. You can give them a copy of their records. A new employee must have a TB screening or test by the 21st day of employment A new employee must have a CPS check before the 30th day of employment.

Comments:

An unannounced monitoring inspection was conducted on 4/12/22. The provider and the assistant were present with11 children. A total of 30 points. The children were playing outside in the front yard. After playing outside, the children went inside, watched a tv show and had snack, bananas and oranges. The children had lunch as well, beans, rice and chicken. Interaction between caregiver and children observed. Lots of space and toys for children to play with. A violation notice was given to the provider along with the inspection summary. Please call me at 703-203-8659 if you have any questions regarding this inspection or email me at pernille.brandt@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	The provider failed to have the assistant submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02. Evidence: A new assistant started on 3/20/22, the assistant does not have any fingerprint background check on file. The provider had an assistant from January to March and does not have any fingerprint results from that staff.
Plan of Correction:	I will ask my husband to do this.
Standard #:	8VAC20-770-60-B
Description:	Based on the review of the staff records, the provider failed to have sworn disclosure statements for the current assistant and a previous assistant. Evidence: The current assistant started on 3/20/22 and the provider do not have the sworn disclosure statement on file. A separate assistant worked from January to March and the provider do not have a sworn disclosure statement on file for that assistant.
Plan of Correction:	I will ask my husband to do this
Standard #:	8VAC20-800-730-D
Description:	The provider failed to keep household medication in a locked place. Evidence: The provider has a kitchen cupboard with open shelves, the shelves had about 40 bottles of medication belonging to the family of the provider. The children eat in the kitchen and were observed walking around in the kitchen during the inspection. None of the medications are locked up.
Plan of Correction:	I will remove the medications to a locked area.
Standard #:	8VAC20-800-830-A
Description:	The provider failed to conduct monthly emergency evacuation drills. Evidence: Based on the review of the emergency evacuation drills, and interview with the provider, the provider failed to conduct emergency drills for January, February and March 2022.
Plan of Correction:	I have been very busy with the children, they are my priority. I will make sure I do monthly drills.
Standard #:	8VAC20-800-120-A
Description:	Based on the review of staff records the provider failed to get information for the assistant. Evidence: The assistant does not have any paperwork, no references, no orientation and no emergency contacts, verification of age and job title.
Plan of Correction:	I will ask my husband to do this
Standard #:	8VAC20-800-50-A
Description:	The provider failed to keep a written record of attendance. Evidence: The provider told the inspector that she has not been taking attendance for a while.
Plan of Correction:	I will start taking attendance again
Standard #:	8VAC20-800-60-A
Description:	Based on the review of the providers paperwork, the provider failed to have records for some of the children. Evidence: Based on the review of 5 records, child 1 is missing information for parents, information regarding medication administration, physicians information, emergency treatment authorization, a physical and the child's records for with parents information and emergency contacts, The child started in October 2021. Child 5 doe not have any paperwork and started on February 15th 2022.
Plan of Correction:	I will ask the parents for the information for the information, one of the children is a sister to one of my other children.
Standard #:	8VAC20-800-130
Description:	Based on the information at the inspection, the assistant is not able to speak read and write English . Evidence: The assistant was not able to speak with the inspector and failed to follow guidance when the inspector told her that she needed to wash hands after diaper changing as well as being told that the children needed to wash hands after diaper changing.
Plan of Correction:	She is taking English classes
Standard #:	8VAC20-800-180-A
Description:	Based on the review of the provider records, the provider and a household member (#2) needs subsequent TB screenings Evidence: The TB test for the two were done on 7/24/19 and 10/18/19 and is over 2 years old.
Plan of Correction:	We will get it done
Standard #:	8VAC20-800-280
Description:	Based on the review of the physical plant, the provider did not keep cleaners inaccessible to children. Evidence: Cleaners accessible on the kitchen island.
Plan of Correction:	I will move
Standard #:	8VAC20-800-680-A
Description:	The caregiver failed to wash hands after diaper changing. Evidence: The assistant failed to wash her hands after changing a diaper, the assistant did wear rubber gloves during the diaper change.
Plan of Correction:	she had gloves on, I will tell her to wash hands with soap and water.
Standard #:	8VAC20-800-680-B
Description:	The caregiver failed to wash the children's hands Evidence: Based on the observation during the inspection the children came in from outside and the younger children and infants failed to wash hands, the younger children also did not wash hands before eating and after diaper changing.
Plan of Correction:	She used alcohol to clean the children's hands. I will tell her to make sure she uses soap and water.
Standard #:	8VAC20-800-690-D
Description:	Based on the physical inspection the provider failed to have a non absorbent surface that can be sanitized. Evidence: The provider has a diaper changing pad that is covered with a cloth cover, the diaper changing pad is torn. The cloth and pad is absorbent.
Plan of Correction:	I have another changing pad in storage that I will use.
Standard #:	8VAC20-800-690-E
Description:	Based on the review of the physical plant, a hands free diaper pail is not used for disposable diapers. Evidence: During the inspection, the assistant was observed changing a diaper, no step on trash can or other trashcan was available. The assistant tied the diaper up in a bag and at first but it on a shelf below the diaper changing pad, after being asked she took it outside and put it in the trashcan.
Plan of Correction:	I have a step on trash can and I just do not use it because the kids could touch it if it was in the room. I will put it out.