VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Emebet Teferi
4600 Picot Road
Alexandria, VA 22310
(703) 896-2625

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: May 3, 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:

The provider must send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification dated May 3, 2023. Once the background check is received by the center, the results must be forwarded to the licensing inspector.

Comments:

An unannounced renewal inspection was conducted on May3, 2023. There were 4 children present (13 points) with 2 caregivers. The home, children's records, caregivers records, household member records, attendance logs, evacuation logs, cribs and emergency preparedness procedures were reviewed. The children were observed finishing lunch and playing with floor toys. There were no medications on site. Areas of non-compliance were cited on the violation notice. If you have any questions, please contact your licensing inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on a review of caregiver records, the provider failed to obtain a current criminal history background report. Evidence: Caregiver #1's records do not contain documentation of a current criminal history background report. Criminal History background report expired03/09/2023
Plan of Correction:	I will complete paper work and submit for Central Registry background check.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on a review of caregiver records, the provider failed to obtain a current central registry background report. Evidence: Caregiver #1's record does not contain documentation of a current central registry background report. Central Registry report expired 04/09/2023.
Plan of Correction:	I will complete central registry paperwork.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of caregiver records, the provider failed to obtain a current central registry background report. Evidence: Caregiver #2's record does not contain documentation of a current central registry background report. Central Registry background report expired 03/05/2023.
Plan of Correction:	I will have caregiver complete paper work and I will submit request for central registry background check.
Standard #:	8VAC20-800-100-A
Description:	Based on a review of children's records, the provider failed to obtain documentation of a physical examination by or under the directions of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #4's record did not contain documentation of a physical by the 30th day of attendance. First day of attendance was 02/07/2023.
Plan of Correction:	I will get physical from parent and add to file.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of caregiver records, the provider failed to obtain documentation of the education and training as required by 8VAc20-800-230 - First Aid and CPR certification. Evidence: Caregiver #2's records do not contain documentation of current First Aid and CPR certification.
Plan of Correction:	I will ensure that caregiver's First Aid and CPR documentation is placed in file.
Standard #:	8VAC20-800-60-B
Description:	Based on a review of children's records, the provider failed to obtain all require documents for each child's record. Evidence: -Child #3 and #4's records do not contain documentation of the phone number of each custodial parent's place of employment. -Child #4's record does not contain documentation of the addresses of two designated persons to contact in case of an emergency, if the parent's can not be contacted.
Plan of Correction:	I will get information from parents and put in files.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of household member's records, the provider failed to obtain fore each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: Household Member #1's record does not have documentation of a current Report of Tuberculosis screening form. Last screening 02/21/2019.
Plan of Correction:	I will have household member submit TB screening.