VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rosa Ruiz
5543 Stroud Court
Centreville, VA 20120
(703) 347-5402

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Feb. 21, 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 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:

THE PROVIDER MUST SEND DOCUMENTATION TO THE LI THAT THE BACKGROUND CHECKS HAVE BEEN REQUESTED NO LATER THAN 10 DAYS FOLLOWING THIS NOTIFICATION DATED 2/21/2024. ONCE THE BACKGROUND CHECK IS RECEIVED BY THE CENTER, THE RESULTS MUST BE FORWARDED TO THE LICENSING INSPECTOR. A RENEWED LICENSE WILL NOT BE ISSUED UNTIL A COMPLETE APPLICATION IS SUBMITTED IN ADDITION TO THE REVIEW OF ALL OUTSTANDING BACKGROUND CHECKS.

Comments:

An unannounced renewal inspection was conducted today from 12:00pm-1:00pm. There were 2 children directly supervised by the provider. The home, 1 caregiver records, 2 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Annual training requirements for the provider were reviewed, and the provider has completed an additional 30 hours of annual training in addition to the required 16 hours required by the standards. Children were observed using utensils to serve themselves assorted fresh fruit, noodles, tomato beef sauce, and milk. Hand washing was also observed. 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, Kara Vaughan at Kara.vaughan@doe.virginia.gov or 703-537-6241. Please submit your plan of correction within five business days in order for it to be included on the public website.

Violations:

Standard #:	8VAC20-770-40-D-4
Description:	Based on record review, the provider failed to obtain a sworn statement or affirmation and a criminal record check for household members within 30 days of a person 18 years of age. Evidence: Adult 2's record did not contain the results of a criminal record check or a sworn statement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider failed to obtain for each adult household member a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 2's record did not contain a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.
Plan of Correction:	Not available online. Contact Inspector for more information.