VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carolini Tweddle
5317 Montgomery St
Springfield, VA 22151
(703) 454-4200

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Oct. 30, 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 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

Technical Assistance:

Discussed with provider: *Background search requirements for staff *Updating policies and procedures with any changes *MAT medication form authorizations *Renewal application letter will come by email in the next few weeks. Submit the application online through the portal.

Comments:

An unannounced monitoring inspection was conducted today. There were 6 children (23 points) with 2 caregivers present. Provider stated she was not a Subsidy provider, therefore no Subsidy inspection was conducted today. Children were resting quietly, and playing outdoors during the inspection. Emergency evacuation drills, shelter-in-place drills, first aid supplies, emergency supplies, fridge/freezer temperatures, cot spacing and top and bottom covers were all in compliance today. Violations were reviewed with the provider. See Violation Notice for non-compliances cited today. Please note the while MAT certification training may recommend that emergency medications not be stored locked, the standards require it. If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov. LI was present today from 1:20 PM - 2:35PM. Please submit your plan of correction within 5 business days in order for it to be included on the website

Violations:

Standard #:	22.1-289.035-B-2
Description:	Repeat Violation Based on a review of records, one staff member did not have documentation of a completed nationwide fingerprint search, prior to employment. Evidence: Staff A did not have any fingerprint results on file (Date of Hire: (DOH) 10/23/23).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of records, one staff record did not have a completed Sworn Disclosure Statement (SDS) on file, prior to employment. Evidence: Staff A's record did not contain documentation of a completed SDS. (DOH: 10/23/23).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-700-A
Description:	Based on a review of medication authorizations, authorizations available are incomplete. Evidence: *3 of 3 medications did not have an effective date for the authorization completed. (Auvi-Q, Benadryl, Epi-pen). (Children #3, 4) *1 of 3 authorizations did not list the provider as having authority to administer the medication. (Epi-pen) (Child 3) *1 of 3 did not have a doctor's signature for a long term, as needed medication. (Benadryl) (Child 4)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-710
Description:	Based on a review of children's medications, all required information was not provided for the medication. Evidence: *One medication was not in the original box with the prescription label attached (Auvi-Q). (Child #4)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-730-D
Description:	Based on observation, medications were not kept in a locked place using a safe locking method to prevent access by children. Evidence: At LI arrival, (approximately 1:20PM), medications were observed in plastic bags, tacked on the wall above the washing machine.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	Repeat Violation Based on a review of the emergency preparedness plan, the plan was not updated as needed. Evidence: The emergency plan needed to be updated to reflect a current relocation destination, once the old destination was no longer available.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-C
Description:	Based on a review of documentation, a staff member was not trained in the emergency preparedness plan within the first week of assuming job responsibilities. Evidence: Staff A's record doe not contain documentation of training in the emergency preparedness plan. (DOH: 10/23/23).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of records, one staff record did not contain all required information. Evidence: Staff A's record was incomplete. Missing information includes: *Documentation of two references prior to employment. *Emergency contact information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on a review of records, one child record was incomplete. Evidence: 3 child records were reviewed. *1 of 3 did not contain information for a second emergency contact. (Child 3) *1 of 3 did not contain updated allergy information. (Child 4)
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Based on a review of records, child records did not contain updated policy information. Evidence: 3 of 3 child records reviewed contained a decision to administer medication policy stating medications would not be administered. There are medications present that the provider would administer if needed. The provider obtained Medication Administration Training (MAT)certification and must update the policy with parents.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	Based on a review of records, one staff record did not contain documentation of orientation training by the end of the first week of assuming job responsibilities. Evidence: Staff A's record did not contain documentation of orientation training. (DOH:10/23/23)
Plan of Correction:	Not available online. Contact Inspector for more information.