VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mozhdeh Monjezi
1658 Old Brook Road
Charlottesville, VA 22901
(434) 409-6465

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: July 20, 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 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

8VAC20-800-780-B

Comments:

An unannounced monitoring inspection was conducted on 07/20/2023 from 11:00 a.m. to 12:15 p.m. There were 12 children present, ranging in ages from nine months to three years old with three staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and three staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on interview and review of records, the provider failed to ensure that criminal history background checks are repeated every five years. Evidence: 1. Staff #1?s last criminal history background check was dated 04/24/2018. 2. Staff #2?s last criminal history background check was dated 04/27/2018. 3. The provider confirmed that the criminal history background checks for Staff #1 and Staff #2 had not been repeated every five years.
Plan of Correction:	Criminal background check for Staff #1 done on 7/25/2023 and got the result back on 7/26/2023. Criminal background check done for Staff #2 on 08-08/2023 and waiting for result .
Standard #:	22.1-289.035-B-2
Description:	Based on interview and review of records, the provider failed to ensure that criminal history background check results were received before the first day of employment. Evidence: 1. Staff #3?s start date was 05/01/2023. Staff #3 did not have a criminal history background check on file. 2. The provider confirmed that the criminal history background check had not been conducted.
Plan of Correction:	Criminal background check done for Staff #3 on 08/08/2023 and got the result on 08/10/2023
Standard #:	22.1-289.036-A
Description:	Based on interview and review of records, the provider failed to ensure that criminal history background checks are repeated every five years for household members. Evidence: 1. Household Member #1?s last criminal history background check was dated 04/26/2018. 3. The provider confirmed that the criminal history background check for Household Member #1 had not been repeated every five years.
Plan of Correction:	Criminal background check done for Household Member #1 on 08/11/2023 and waiting for the result
Standard #:	8VAC20-770-60-C-2
Description:	Based on interview and review of records, the provider failed to ensure that central registry background check results were received before the 30th day of employment. Evidence: 1. Staff #3?s start date was 05/01/2023. Staff #3 did not have a central registry background check on file. 2. The provider confirmed that the central registry background check result had not been received.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-170-A
Description:	Based on review of records, the provider failed to obtain from each caregiver at the time of hire documentation of a tuberculosis (TB) screening. Evidence: 1. Staff #3?s start date was 05/01/2023. 2. The TB screening on file for Staff #3 was dated 05/06/2023.
Plan of Correction:	Made mistake on the starting date for Staff #3 based on the orientation date so, the TB test was done before she started at Gentle care .
Standard #:	8VAC20-800-350-E
Description:	Based on measurement, the provider failed to ensure that hot water at taps available to children are maintained withing range of 105 degrees and 120 degrees. Evidence: 1. The water in the sink of the children?s restroom was measure at 124.5 degrees.
Plan of Correction:	The water temperature was turned down the same day of the inspection.