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Hilda Bustamante
1531 Coat Ridge Rd.
Herndon, VA 20170
(703) 409-8222

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: June 7, 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
8VAC20-800 Nutrition
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider gate requirements.

Comments:
An unannounced monitoring inspection was conducted today from 11:30am-12:30pm. There were 12 children (32 points) directly supervised by 3 staff. The home, 3 staff records, 3 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing in the backyard. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. 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 you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:
Standard #: 22.1-289.036-A
Description: Based on record review, the provider did not obtain repeat background checks every five years.

Evidence:
The records of Staff #1 and HH #2 contain central registry checks that were completed on 2/13/2017.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.058
Description: Based on observation and interviews, the home was not equipped with a least one carbon monoxide detector.

Evidence:
The Provider did not have a working carbon monoxide detector in the Family Day Home.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days of their first day of attendance.

Evidence:
1. The records of Child #2 and Child #3 do not contain documentation of their physical examination.
2. Child #2's first day of attendance was documented as 7/19/2021.
3. Child #3's first day of attendance was documented as 8/12/2019

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-90-C
Description: Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence:
1. Child #2's record contains an immunization record that was last updated on 8/3/2021.
2. Child #3's record contains an immunization record that was last updated on 12/10/2020

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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