VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Monica Summerville
6519 Tower Drive, Apt. 101
Alexandria, VA 22306
(703) 660-6651

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Feb. 7, 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 8VAC20-800 Transportation 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

Comments:

An unannounced monitoring inspection was conducted today from 9:00am-10:00am. There were 4 children directly supervised by 1 caregiver. The home, 2 household member records, 4 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Nancy Radcliffe at nancy.radcliffe@doe.virginia.gov or call703-268-3728.

Violations:

Standard #:	22.1-289.036-B-1
Description:	Based on review of household member (HHM), when a HHM turned 18 years of age a sworn statement of affirmation was not signed. Evidence HHM #1 turned 18 and has not submitted a signed sworn statement.
Plan of Correction:	My child is away at school, she will be home this weekend and I will have her sign the sworn statement.
Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, the provider did not annually review the child's record with the parent to ensure all information is updated and correct. Evidence The record for child #1 and #2 was not reviewed annually with the parent. The last update for child #1 was 11/7/22. The last update for child #2 was 8/22/22
Plan of Correction:	I will have the parents review and sign the record and make any updates.
Standard #:	8VAC20-800-170-A
Description:	Based on review of household member (HHM) records, each HHM did not obtain a report of tuberculosis screening when turning 18 years of age. Evidence HHM #1 turned 18 and has not obtained a report of tuberculosis screening.
Plan of Correction:	My child is away at school, when comes home this weekend I will get a copy of her TB screening.