Maria Reyes
1378 Butter Churn Drive
Herndon, VA 20170
(571) 306-9512
Current Inspector: Stacy Doyle (571) 835-0386
Inspection Date: Dec. 11, 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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
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 from 11:00am-11:50am with the provider on site. There were 2 resident children present only with 1 caregiver. A sample of 1 children's files and 4 caregiver/household files were reviewed. The physical space and the Emergency Preparedness Plan were reviewed. There were no medications on site.
Areas of non-compliance are identified in the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only.
Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website.
Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.
- Violations:
-
Standard #: 8VAC20-770-40-D-4 Description: Based on review of two household member's records and interview, the provider did not obtain the central registry report within 30 days of two household members residing in the home.
Evidence:
1. Household Member #1 (moved in 10/03/2023) and Household Member #2 (moved in 6/16/2023) did not have the central registry results with the provider. The provider stated she sent the payment on 12/08/2023 on the portal.Plan of Correction: I will send you the results when I receive them.
Standard #: 8VAC20-800-780-B Description: Base on review of children's records, the provider did not have documentation that the parent reviewed the emergency contact information and signed the acknowledgement of the review.
Evidence:
1. Child #1's file had the parent's last review of the emergency contact information signed on 9/24/2022.Plan of Correction: I will have them review and sign in two weeks when they return.
Standard #: 8VAC20-800-830-D Description: Based on interview, the provider did not have records of emergency evacuation and shelter-in-place drills for one year.
Evidence:
1. The provider could not find her drill record, but stated she had completed them.Plan of Correction: I will make sure I do them when the child returns and keep the records for 12 months.
Standard #: 8VAC20-800-200-A Description: Repeat Violation
Based on interview, the provide did not orient the assistant by the end of their first week of
assuming job responsibilities.
Evidence:
1. The provider stated the assistant started employment in March 2022, but did not have
record of orienting the assistant. The Assistant is no longer assisting since 9/18/2023.Plan of Correction: I will make sure I get orientation training completed for new assistants.
Standard #: 8VAC20-800-210-A Description: Based on review, the assistant did not obtain a a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1. The assistant had 0 hours for 3/2022 to 3/2023 and had 13 hours of training for 2023.Plan of Correction: We will do it today.
Standard #: 8VAC20-800-280 Description: Based on observation, potentially hazardous substances such as cleaning agents, disinfec- tantsand fertilizer spray were stored in an area that was not inaccessible to children.
Evidence:
1. A bottle of drano and Clorox were under the bathroom sink and was accessible to children.
2. A closet near the bathroom had Clorox, floor cleaners and Tide detergent and were accessible to children.
3. A cleaning spray was on top of the kitchen counter and was accessible to children.
4. A Febreze spray was on top of the upstairs dresser and was accessible to children.Plan of Correction: I will lock them or keep them out of reach.
Standard #: 8VAC20-800-500-C Description: Repeat Violation
Based on observation, the provider's stationary outdoor playground equipment did not meet all requirements.
Evidence:
1. The providers playground equipment was not firmly anchored with ground supports and
was under a hard surface of dried dirt.Plan of Correction: I will get rid of the playground equipment today
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.
