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Claudia Tramontana
6614 Winstead Manor Court
Lorton, VA 22079
(703) 407-8199

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Jan. 24, 2023

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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:
1. Enrollment forms should be completed fully. This includes the provider completing required information and the parents providing requested information and signing documents.
2. Children?s emergency information should be reviewed and signed by parents annually.
3. Recommended all adult household members records be reviewed for completion of background checks and TB tests.
4. The inspector will send: an emergency allergy plan template, information about MAT training, a sworn disclosure template, and a link to the current background check processes.

Comments:
An unannounced monitoring inspection was conducted at 1:30pm. Observed 8 children = 21 points with the Provider + Assistant #1. Ratios and supervision were in compliance. Children were napping during the inspection. Each child brings their own food daily. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. The backyard play space was well maintained, fenced, and offered a variety of play options. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations:
Standard #: 22.1-289.036-A
Description: Based on records reviewed, it was determined that caregivers did not obtain background checks within 5 years of the previous completed checks.

Evidence:

1. Provider-The previous sworn disclosure statement was completed 8/1/17; the previous criminal record check was completed 9/1/17; and the previous child abuse + neglect search was completed 9/14/17. To-date these checks have not been updated.
2. Assistant #1-The previous criminal record check was completed 9/15/17; and the previous child abuse + neglect search was completed 9/14/17. To-date these checks have not been updated.

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

Standard #: 8VAC20-800-100-A
Description: Based on records reviewed, it was determined that 2 of 4 children?s records did not include a physical exam within the first 30-days of attendance.

1. Child #1-Child began attending in June 2021 and to-date no physical exam on-file.
2. Child #12-Child began attending in September 2022 and to-date no physical exam on-file.

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

Standard #: 8VAC20-800-60-B
Description: Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information.

Evidence:

1. Child #11-There was no documentation of parents home + work information, emergency contacts, medical insurance, emergency medical authorization, medicine policy, emergency plan, and notice of liability insurance.
2. Child #12-The parents wrote that the child has an allergy and requires an emergency medication, but the provider reported that she had no medication for the child, nor is there a written emergency action plan on-file should an allergic reaction occur.

Plan of Correction: The child?s record will be completed. In the future, it will be done at the time of enrollment.

The provider will discuss with parents and obtain the required written documentation. If medication is required, the provider will obtain MAT certification prior to receiving the medication. The inspector will send an allergy action plan template.

Standard #: 8VAC20-800-70-A
Description: Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information. Evidence: Child #1-There was no signed documents that the parents have received the policies listed on the Information for Parents form. An unsigned blank copy of the form was in the child?s record.

Plan of Correction: The provider said she would complete the form and have the parents sign it.

Standard #: 8VAC20-800-80-A
Description: Based on records reviewed, it was determined that 1 of 4 children?s records did not include required information. Evidence: Child #12-There was no documentation that the child?s proof of identity was verified.

Plan of Correction: The provider said she would verify and document in the record.

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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