VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marilis Guiterrez-Chacon
3711 Trigger Court
Alexandria, VA 22310
(240) 713-1525

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Jan. 30, 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

Technical Assistance:

Guidance provided regarding the Emergency Preparedness Plan and suggestions when reviewing the plan annually.

Comments:

An unannounced Renewal inspection was completed today. A total of 7 children (1 belonging to the Provider) for a total of 17 points with 2 staff were present during the inspection. At the beginning of the inspection, the older children were on the screened in porch completing an art project with the assistant. The provider was inside supervising the younger children. One child was observed napping in a crib and within sight and sound of the Provider. A walk thru of the entire home was completed. The home was found neat and organized. The outside play yard was observed and was equipped with age and stage appropriate equipment for the children currently in care. The children transitioned outside to play with 1 staff while the Provider remained inside with the younger children. Diapering and handwashing procedures were observed during the inspection. One food allergy identified but no medication needs at this time. A total of 3 children's records, all staff and household records were reviewed. No changes in household members or staff since the last inspection. The two violations found at the July inspection were reviewed and corrective actions were verified. This inspection began at approximately 10am and ended at 12:30pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, an annual review of emergency contacts was not completed for 2 records. Evidence: Child #1's last review of emergency contacts was dated in 09/2021. Child #3's last review of emergency contacts was dated 10/2020.
Plan of Correction:	I will have parents review the emergency contacts and sign and date.
Standard #:	8VAC20-800-830-A
Description:	Based on review of documentation, emergency evacuation practice drills have not been completed. Evidence: The provider did not complete any emergency evacuation practice drills in 2022.
Plan of Correction:	A fire drill and a shelter in place drill will be completed as soon as possible.
Standard #:	8VAC20-800-830-B
Description:	Based on review of documentation, shelter-in-place procedures were not practiced at a minimum of twice a year. Evidence: The provider did not complete a shelter-in-place practice drill in 2022.
Plan of Correction:	A fire drill and a shelter in place drill will be completed as soon as possible.
Standard #:	8VAC20-800-90-C
Description:	Based on child record review, additional immunizations were not obtained for children under the age of 2 years. Evidence: Child #1's most recent documentation of immunizations was dated 03/02/2022. Child #2's most recent documentation of immunizations was dated in June 2022.
Plan of Correction:	I will request the updated immunizations for these two children and will remind parents of children under age 2 to give me a copy of the immunizations whenever they see their doctor.