VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Amy Russell
43192 Edgartown Street
South riding, VA 20152
(703) 957-3094

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Oct. 2, 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

Technical Assistance:

Discussed the MAT Diabetes training that the provider should take as a supplement to her MAT training

Comments:

An unannounced monitoring inspection was conducted on 10/2/2023 from 11:00 am to 12:10 pm. The provider had 12 children in care with 2 caregivers. A total of 22 points. the children attend the providers home for half day preschool. Observed snack time and playing outside. Reviewed 4 staff and household records as well as 5 children's records. The provider has lots of materials for the children to explore and lots of space. Interaction between caregivers and children observed during the inspection. Please call me at 703-203-8659 or email me at pernille.brandt@doe.virginia.gov if you have any questions regarding this inspection. Y

Violations:

Standard #:	8VAC20-800-700-A
Description:	Based on the review of medications the provider failed to have updated authorizations for one medication. Evidence: The provider gives a child Glucagon and the authorization for that expired end of SY 2023.
Plan of Correction:	I have asked the parent for a new authorization
Standard #:	8VAC20-800-700-C
Description:	Based on the review of the medications at the center and the interview with provider, the provider failed to discard an Auvi-Q device after the authorization and the medication expired. Evidence: The medication authorization expired at the end of last school year and the medication expired in August. The provider did not discard medication.
Plan of Correction:	The parent is bring a new device and authorization, I felt that holding on to the old one until I got the new one would be the safest thing to do.
Standard #:	8VAC20-800-710
Description:	Based on the review of medications on site. The provider failed to have the original box with the prescription able at the home. Evidence: An Auvi-Q is in a bag without the original box and prescription label. .
Plan of Correction:	I will make sure I get the box with the prescription label
Standard #:	8VAC20-800-830-C
Description:	Based on the review of the emergency drill record the provider failed to record drills monthly. Evidence: The drills for April and May 2023 were done according to the provider, but not recorded.
Plan of Correction:	I will make sure I remember to write down my emergency drills.