VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Jan. 19, 2024

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 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 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:

Substitute time sheet was discussed with the substitute provider and the form was accessed on the website. Discussed medication administration and authorization for medication.

Comments:

An unannounced non mandated inspection was conducted on 1/5/24 from 10:45-12:05 with a follow up check in on 1/10/24 from 9:45-10:00. The provider was out of the country and two assistants and a household member were at the home. The home had 10 children present with two caregivers, the substitute provider was helping prepare lunch during the inspection. A total of 27 points. The children were observed playing and getting ready for lunch. The children had chicken nuggets and cut up apples and jello for lunch. Milk was offered as a drink. Discussed the importance of correcting things that have been cited at previous inspections in a timely manner. This was a 60 day inspection from the renewal done in early November. The department is still waiting for background checks in order to be able to issue the license. A violation notice was given to the provider with this inspection summary. Request for plan of corrections and dates to be corrected has been requested. Please contact me at 703-203-8659 or pernille.brandt@doe.virginia.gov if you have any questions regarding this inspection.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on the physical plant inspection, the provider failed to post the most recent violation notice and inspection summary in a place where the paperwork could be reviewed by parents. Evidence: The most recent inspection summary and violation notice was taped to the refrigerator in the providers kitchen and area where parents do not come.
Plan of Correction:	We will post in daycare area
Standard #:	8VAC20-770-40-D-4
Description:	Repeat Violation Based on the review of the household members files, one household member is missing a subsequent central registry check. Evidence: Household member 1 is missing a central registry search, his last search was over 5 vears old. This was cited on 11/9/23 and the provider failed to submit the request for a search within 7 days after the citation. The request for a central registry search was sent on 12/13/23.
Plan of Correction:	We will get this to you as soon as we receive it, we sent it in 12/13/2023
Standard #:	8VAC20-770-60-C-2
Description:	Repeat Violation, 2nd repeat. Based on the review of the staff records, one staff, staff 2 is missing the Central registry check. Evidence: The staff has been employed since March 2023 and this was first cited on 4/5/23 and again on 11/9/2023. The staff still does not have a check in the file.
Plan of Correction:	My grandson will check and see with OBI if they have it.
Standard #:	8VAC20-800-700-A
Description:	Based on interview with the substitute provider, over the counter medication is being administered as needed without authorization from parents. Evidence: During the inspection, children's Claritin and Children's Tylenol was found on site without any child's name on the container. According to the substitute provider the provider gives this medication to the children after contacting the parents. When asked if they have authorization, the substitute provider showed the decision to administer medication form. No authorization forms on file for either medications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-730-A
Description:	Based on the review of the physical plant, medications for children and household members are stored in the same place. Evidence: The providers albuterol and children's Tylenol and children's Claritin were found stored on an open shelf of a kitchen cabinet.
Plan of Correction:	I will talk to my wife about it, it will be fixed
Standard #:	8VAC20-800-730-D
Description:	The provider failed to have medications stored in a locked space. Evidence: Albuterol for the provider, children's Claritin and Children's Tylenol is stored on a shelf in the kitchen accessible to children.
Plan of Correction:	I will talk to my wife about it and it will be fixed.
Standard #:	8VAC20-800-880
Description:	Based on the observation during the inspection the children did not get all of the components required to meet the USDA's standards for a lunch. Evidence: During the inspection the children did not have any vegetables as part of their lunch.
Plan of Correction:	We will make sure we serve vegetables with lunch
Standard #:	8VAC20-800-920
Description:	The provider failed to have a weekly menu posted. Evidence: According to interviews with the assistants and substitute provider the parents are told at the end of every day what the children have eaten. Menus are not given to the parents for a week at a time.
Plan of Correction:	We will post a weekly menu
Standard #:	8VAC20-800-50-A
Description:	Based on the review of records, the substitute provider failed to take daily attendance. Evidence: At the inspection, attendance records could not be located for the month of December and no attendance was taken for January 4th and 5th as well as January 8th and 9th.
Plan of Correction:	I will get it to you when I get back from my trip. We will take daily attendance.
Standard #:	8VAC20-800-60-B
Description:	Repeat violation Based on the review of two children's records, the provider is missing some of the information to make the child's file complete. Evidence: 2 children's files reviewed, information missing from last inspection has not been corrected at this time. One child is missing the immunization record and the physical. The second child is missing the emergency contact addresses.
Plan of Correction:	We will ask the parents for the information
Standard #:	8VAC20-800-140-D
Description:	Based on the review of paperwork, the substitute provider did not keep a time sheet indicating when he was working at the childcare as a substitute. Evidence: The provider is out of the country and another household member is the substitute, The household member failed to record the times he is working at the daycare.
Plan of Correction:	I did not know I had to fill out a time sheet but I will do this from now on.
Standard #:	8VAC20-800-210-A
Description:	Repeat Violation. Based on the review of the staff files, the provider has not taken any training in the last 14 months. Evidence: Review of the training records for the provider does not show any trainings attended.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on the review of the diaper changing pad, the pad is absorbent. Evidence: The pad used for changing diapers are covered with a terry cloth cover making it impossible to sanitize after each diaper change.
Plan of Correction:	Fixed during the inspection, fabric cover removed.