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Rosa Portillo
8013 Russell Road
Alexandria, VA 22309
(571) 269-3688

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: June 23, 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
8VAC20-770 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 monitoring inspection was conducted today. There are no children present during the inspection.
3 child and 4 Caregiver/Household records were reviewed. See Violation Notice for non-compliances cited.
The license posted is not the most currently issued license. A current copy was found during the inspection.
Emergency evacuation drills, emergency supplies, first aid supplies, first aid/CPR certification, fridge/freezer temperatures and vehicle inspection are all in compliance.

If you have any questions regarding this inspection you may contact me a t (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present today from 8:00 AM - 9:10 AM.

Violations:
Standard #: 22.1-289.011-F
Description: Based on observation, the most recently issued license was not posted.
Evidence:
The license posted expired in 2021.

Plan of Correction: Posted correct license as soon as possible.

Standard #: 22.1-289.036-A
Description: Based on a review of records, one caregiver and two household members did not have documentation of a repeated nationwide fingerprint search within the allowable 5 year time frame.
Evidence:
1. Caregiver A's fingerprint results on file were dated 2/13/18. (expired)
2. Household member #1's fingerprint search results on file were dated 2/13/18. (expired)
3. Household member #2's fingerprint search results on file were dated 2/27/18. (expired)

Plan of Correction: I already had made an appointment at the tine of the visit. The appointment was for 6/27/23

Standard #: 22.1-289.036-B-4
Description: Based on a review of records, one household member's record did not contain documentation of a nationwide fingerprint search within 30 days of turning 18 years old.
Evidence:
1.HHM #3 turned 18 years old on 10/27/22. Fingerprint results were dated more than 30 days later.
2. Household member (HHM)#3's record contained documentation of a fingerprint search result dated 12/27/22. While now on file, the results were obtained more than 30 days after turning 18 years old.

Plan of Correction: This violation was corrected on 12/27/2022.

Standard #: 8VAC20-800-170-A
Description: Based on a review of records, one Household Member (HHM) record did not contain documentation of a negative Tuberculosis Screening result, within 30 days of turning 18 years of age.
Evidence:
1. HHM #3 turned 18 years old on 10/27/2022.
2. There is no TB screening result available for HHM#3.

Plan of Correction: I already scheduled an appointment for TB testing on 6/27/23.

Standard #: 8VAC20-800-180-A
Description: Based on a review of records, caregiver and household member records did not contain documentation of a subsequent TB screening result dated within 2 years for the previous screening results.
Evidence:
1. Caregiver A's TB result on file is dated 5/30/21. (expired)
2. HHM #1's TB result on file is dated 5/30/21. (expired)

Plan of Correction: Had appointments on 6/27/23.

Standard #: 8VAC20-800-210-A
Description: Based on a review of records, one caregiver record did not contain documentation of the completion of 16 hours of annual training.
Evidence:
Caregiver A's record contained documentation of 8.5 of the 16 required annual training hours for 2022.

Plan of Correction: I scheduling for more hours of classes.

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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