VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norma Colorado
6327 Gentele Court
Alexandria, VA 22310
(703) 960-2342

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Dec. 6, 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:

A monitoring inspection was conducted on 12/06/2022 between the hours of approximately 10:30 am and 12:35 pm. There were 6 children present (17 points), ranging in ages from 8 months to 4 years, with the provider. The provider was over-points. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. No medications on site today. A total of 2 child records and 2 staff/ household member records were reviewed. 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 the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-770
Description:	Based on review of emergency supplies, a working portable battery-operated weather band radio was not available. Evidence: 1) On the date of inspection a small portable radio was available to review but it was not battery-operated.
Plan of Correction:	The provider shall ensure to have a working battery-operated weather-band radio.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not ensure to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 06/20/2022) did not contain the results of a physical examination.
Plan of Correction:	Will contact the parents of child #2 to request a physical examination report.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #2 did not contain the address and telephone number of each custodial parent's place of employment.
Plan of Correction:	The provider shall request the missing information from parents.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing with all required information before the child's firs day of attendance. Evidence: 1) The record for Child #1 (start date 08/05/2021) did not contain the signed acknowledgement of having received the policies for the administration of medications.
Plan of Correction:	The provider shall provide the parents with the required information.
Standard #:	8VAC20-800-180-A
Description:	Based on household member record review, the provider did not obtain a current Report of Tuberculosis (TB) Screening every two years from the date of the first screening. Evidence: 1) The most recent tuberculosis screening in the record for household member #1 was dated 08/15/2019.
Plan of Correction:	The provider shall ensure that HM#1 completes a Tb screening and submit to the LI.
Standard #:	8VAC20-800-210-A
Description:	Based on interview with the provider, the provider did not obtain the minimum of sixteen hours of training annually as required. Evidence: 1) On the date of inspection, the provider stated that she hadn't completed any training hours for the year 2022.
Plan of Correction:	The provider shall ensure to complete the required annual training hours.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, were not stored away in areas inaccessible to children. Evidence: 1) On the bottom shelf of the changing table, there were various containers of: diaper cream, sunscreen, baby oil, saline spray drips, eye drops, triple antibiotic, petroleum jelly, baby powder and hydrocortisone. These were unlocked. 2) In the bathroom used by children, there were two drawers and a cabinet under the sink with child locks that were broken. In the drawers and cabinet, the inspector observed Clorox wipes, Lysol wipes, and various lotions, makeup and fragrances. 3) The first aid kit and the fire extinguisher were observed stored in a low areas of the kitchen cabinet that was accessible to children and was not locked. 4) The door to the laundry room was closed but unlocked. The inspector observed that in the laundry room there were cans of paint and detergents.
Plan of Correction:	The provider shall remove the substances from within children's reach.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider did not ensure to not exceed 16 points. Evidence: 1) On the date of inspection, the provider was supervising 6 children with a total of 17 points. The provider was 1 point over
Plan of Correction:	The provider shall ensure to supervise no more than 16 points.
Standard #:	8VAC20-820-120-E-2
Description:	Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (06/07/2022) were not posted. The inspection findings posted were dated 11/12/2021.
Plan of Correction:	The provider shall ensure that all required documents are posted.