VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: April 5, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 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 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training

Comments:

An unannounced monitoring inspection was conducted on 4/5/23. The provider was present with 11 children and two assistants. A total of 28 points.The children are in two groupings, infants to 2 years of age in one group with two assistants and the provider has the preschool and school age children in another grouping. Lots of activities going on, the children were observed playing outside in the back yard. Building with blocks, watching a show on TV. the younger children were observed playing with the assistants and eating lunch. Today's lunch was pasta Verde and cucumbers. The children had pancakes for morning snack. Lots of supplies for the children to explore and lots of interaction between the caregivers and children. A violation notice was given to the provider with the inspection summary. Please call me at 703-203-8659 or email me at pernille.brandt@doe.virginia.gov if you have any questions regarding this inspection.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on the review of staff files, the provider failed to get criminal records checks conducted before the first day of employment. Evidence: The provider has two new assistants, one started on 4/3/23 and the other assistant has been with the provider for a month, according to the provider. Both are missing the fingerprints check that must be done before the first day.
Plan of Correction:	I have the criminal records for Andrea Samper. The second assistant Maria has an appointment for fingerprints on Friday April 21.
Standard #:	8VAC20-770-60-B
Description:	Based on the review of staff records, the provider failed to get a completed sworn disclosure statement for an assistant. Evidence: The assistant filled out the sworn disclosure statement but did not sign the form.
Plan of Correction:	The assistant Maria signed the document and the other assistant will sign on Friday, April 21,
Standard #:	8VAC20-770-60-C-2
Description:	Based on the review of staff records, the provider failed to get the central registry check for one staff. Evidence: The provider has n assistant that has been at the home for month, no record of the central registry check having been completed in the last month.
Plan of Correction:	I need more information about this please.
Standard #:	8VAC20-800-730-D
Description:	Based on the inspection of the physical plant, the provider failed to have her own and household members medication in a locked place. Evidence: The provider stores household medication on a shelf in the kitchen, the children have a play space with table and chairs at the other end of the kitchen. The medications are stored approximately 3.5 feet above the ground.
Plan of Correction:	I purchased a medicine lockable storage box on Amazon it will arrive on April 19th.
Standard #:	8VAC20-800-830-A
Description:	Based on the providers records and interview with the provider, the provider failed to conduct monthly emergency evacuation drills. Evidence: No emergency drills were conducted for Dec, Jan, Feb and March.
Plan of Correction:	I completed the emergency drill for April 2023
Standard #:	8VAC20-800-920
Description:	Based on the inspection of the physical plant, the provider failed to post the menu. Evidence: No menu was posted in the daycare area.
Plan of Correction:	The menu is posted on the child care board.
Standard #:	8VAC20-800-50-A
Description:	Based on the review of the providers record keeping, attendance records could not be located. Evidence: The provider did not have attendance records for the children in care. An attendance sheet with Thursday filled in and August written on the top was located.
Plan of Correction:	The attendance record is on the board and filled out daily by the provider.
Standard #:	8VAC20-800-130
Description:	Based on the inspection, the assistants can not communicate with the inspector about procedures and the standards. Evidence: Based on interview with the provider and attempted conversation with the two assistants, the assistants can not communicate or understand English.
Plan of Correction:	Assistant Andrea is enrolled in English classes. The second assistant Maria will enroll this summer.
Standard #:	8VAC20-800-680-B
Description:	Based on observation during the inspection, a caregiver failed to wash an infants hands after diapering. Evidence: After the assistant changed the child's diaper the child was placed on the floor to play. The inspector reminded the assistant that both the assistant and the child needed to wash hand after the diaper change. The provider came to the room and translated for the assistant.
Plan of Correction:	The assistants are washing the infants hands after diapering.
Standard #:	8VAC20-800-690-E
Description:	Based on observation during the inspection, the provider did not have a step on trash can available and when one was made available it was not used. Evidence: The providers step on trashcan for diapering was in storage and was found by the provider during the inspection and placed in the child care area. The assistant changed a diaper and did not place it in the trashcan, but on the shelf next to the diaper changing table. The shelf is used for diaper storage. The diaper was wrapped in a plastic bag.
Plan of Correction:	The assistant is using the trashcan for diapering