VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lorena Pham
43760 Churchill Glen Drive
Chantilly, VA 20152
(703) 731-4541

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: May 2, 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 8VAC20-820 THE LICENSE 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 unannounced renewal inspection was conducted on 5/2/2023 from 9:45 am-10:55 am. There were 9 children (22 points) directly supervised by 3 caregivers. The home, 3 caregiver records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed eating and napping. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kristy Atanackovic at kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-50-A
Description:	Based on observation and interview, it was determined that the provider is not maintaining a written record of children in attendance each day. Evidence: There was no attendance maintained for 5/2/23. There were 9 children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-80-A
Description:	Based on record review and interview, one of five records did not obtain proof of identity within 7 days. Evidence: Child #3 does not have signed documentation of viewing the proof of identity for the child. The start date for child #3 is 12/12/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on record review and interview, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: Household member #1 tuberculosis test expired on 4/1/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, the provider did not orient their assistants by the end of their first week of assuming job responsibilities. Evidence: 1. There was no documentation of caregiver #2 (DOH: 8/15/2016) and caregiver #3's (DOH: 4/2/2014) orientation training. 2. The provider stated that they did orient both caregivers, but threw away their orientation documents because they believed the caregivers required an updated orientation form each year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-A
Description:	Based on observation, the provider failed to unplug small electrical appliances when not in use. Evidence: The kitchen toaster and toaster oven were plugged in and were not in use.
Plan of Correction:	Not available online. Contact Inspector for more information.