VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Etelbina Marroquin
6720 Edsall Road
Springfield, VA 22151
(209) 404-7157

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Nov. 14, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An initial inspection was conducted on November 14, 2022. The physical plant, carbon monoxide detectors, caregiver records, household member records, cribs, cots and the first aid kit were reviewed. Areas of non-compliance were cited on the Violation Notice. If you have any questions, please contact your licensing inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on a review of household member records, the family day home failed to obtain documentation of a criminal history background check for all household members over the age of 18. Evidence: Household member #1's record did not contain documentation of a criminal records background check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.058
Description:	Based on observation the provider failed to ensure that a child day program that serves pre-school children shall be equipped with at least one carbon monoxide detector. Evidence: The family day home did not have a carbon monoxide detector.
Plan of Correction:	Carbon monoxide detector was placed in center while inspector was on site.
Standard #:	8VAC20-770-40-C-1-c
Description:	Based on review of records, the provider failed to obtain a sworn statement or affirmation from any other adult living in the family day home upon application for licensure. Evidence: Household member #1's record did not contain documentation of a sworn statement or a central registry background check at the time of application.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-A
Description:	Based on a review of records, the family day home failed to have a written emergency preparedness and response plan. Evidence: The provider did not have documentation of a written emergency preparedness plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside shall be maintained in a clean, safe and operable condition. Evidence: The cribs had the "hazardous - keep out of reach of children" plastic covering the mattress.
Plan of Correction:	Plastic was removed from cribs while inspector was on site.
Standard #:	8VAC20-800-340-C
Description:	Based on observation, the family day home did not ensure that the bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap and paper towels. Evidence: There were no paper towels in the bathroom used by the children.
Plan of Correction:	Not available online. Contact Inspector for more information.