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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:

Complaint Related: No

Violations:
Standard #: 8VAC20-800-800-B
Description: Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed.

Evidence: The emergency plan was last reviewed on 6/20/2020.

Plan of Correction: Check it out and sign it.

Standard #: 8VAC20-800-180-A
Description: Based on record review and interview, the provider did not obtain for each caregiver a current report of tuberculosis screening, every two years from the date of the first screening.

Evidence: Caregiver #3 tuberculosis screening expired on 8/24/2022.

Plan of Correction: Separate appointment for 10/4/2022

Standard #: 8VAC20-800-320-A
Description: Based on observation, not all small electrical appliances were unplugged while not in use.

Evidence: A toaster machine was plugged in and unattended in the kitchen area.

Plan of Correction: Unplugged whenever not in use.

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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