VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Encinas-Arevalo
2304 Emmett Drive
Alexandria, VA 22307
(571) 575-0249

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Jan. 18, 2024

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 8VAC20-770 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

Comments:

A monitoring inspection was conducted on 01/18/2024. There were a total of 10 children (24 points) observed with 2 caregivers present. The children were engaged in the following: toy play, games, bathroom breaks, hand washing, and other organized activities. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 5 child records and 2 caregiver/household member 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today in order for it to be included on the website. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact the inspector at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the provider did not ensure documents required by the Superintendent were posted in a conspicuous place on the licensed Premises. Evidence: The most current inspection summary and violation notice were not posted. The inspection dated 02/07/2023 was posted.
Plan of Correction:	Documents copied and posted as at visable area.
Standard #:	22.1-289.035-A
Description:	Based on a review of caregiver records, the provider did not get required repeat background checks after 5 years. Evidence: Caregiver #1 had fingerprints that expired on 12/19/2023. Caregiver #2 had fingerprints that expired on 11/26/2023.
Plan of Correction:	Requests for background check to be submitted to the VA dept of social services.
Standard #:	8VAC20-800-780-B
Description:	Based on a review of children's records, the provider did not get the required annual updates. Evidence: Child #1 had an annual update that expired on 10/27/2023. Child #2 had an annual update that expired on 12/10/2023. Child #4 had an annual update that expired on 10/24/2023.
Plan of Correction:	Will have all children annual update by date.
Standard #:	8VAC20-800-60-A
Description:	Based on a review of children's records, the provider did not maintain an up-to-date record for each child enrolled. Evidence: Child #5 (start date 01/15/2024) did not have a record on site during the inspection.
Plan of Correction:	Child #5 was provided and application, parents will turn in by date.
Standard #:	8VAC20-800-140-D
Description:	Based on a review of documentation and interview, the provider did not ensure a record with signature and time of arrival and departure for the substitute were documented. Evidence: There was no documentation of the substitutes hours on the date of the inspection 01/18/2024 while the provider was not in the home. Caregiver #1 confirmed they did not have documentation of the substitutes hours.
Plan of Correction:	Caregiver #1 is not a substitute. Caregiver #2 is a substitute, was only for 01/18/2024.
Standard #:	8VAC20-800-180-A
Description:	Based on a review of caregiver records, the provider did not ensure repeat TB screenings/test were completed every two years from the date of the first screening or test. Evidence: Caregiver #1 had a TB test that expired on 12/21/2023. Caregiver #2 had a TB test that expired on 07/27/2023.
Plan of Correction:	Caregiver #1 has a scheduled appointment for 1/31/2024. Caregiver #2 has an appointment for 1/25/2024.