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Claudia Roncal
20839 Blythwood Court
Ashburn, VA 20147
(703) 282-8655

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: March 15, 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:
Discussed:

Managing child records, annual file reviews and required documentation
Documenting Proof of Identification
Required annual training hours

Comments:
An unannounced monitoring inspection was conducted today from 2:50 pm-3:45 pm. There were 9 children directly supervised by 2 staff. The home, staff records, children?s records, household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed waking up from nap, playing freely, eating snack and parent pick up. Diapering and potty procedures were also observed and or reviewed. There was an ample supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice.

If you have any questions regarding this inspection, please contact Kelly.savittiere@doe.virginia.gov

Violations:
Standard #: 8VAC20-800-120-B
Description: Based on record review, caregiver record was incomplete.
Evidence:
Staff B's record did not contain documentation of 2 or more references that were checked before employment . ( Date of Hire 1/3/2022)

Plan of Correction: I will get them from her country.

Standard #: 8VAC20-800-60-B
Description: Based on record review, required information was incomplete.

Evidence:
Child C's record is missing parent #1 work address and telephone number, parent #2 work address and telephone number, emergency contact #1 address and telephone number, emergency contact #2 address and telephone number.

Plan of Correction: I will review all children's records and have parents sign.

Standard #: 8VAC20-800-70-B
Description: Based on record review, The provider did not obtain parent's written acknowledgement of receipt of information.

Evidence:
Child A- record contained Information for Parents and policies but was not signed by parent at time of enrollment.
Child B- Did not have signed receipt of Emergency Preparedness Plan, Liability Insurance Disclosure, or Medication Policy.
Child C- Did not have Medication Policy signed by parent.

Child B

Plan of Correction: I will have all parents review and have them sign.

Standard #: 8VAC20-800-140-B-3
Description: Repeat Violation

Based on record review, staff did not have current certification in cardiopulmonary resuscitation (CPR) as required.

Evidence:

Staff A- CPR expired 7/28/2023
Staff B- CPR expired 1/2022

Plan of Correction: We will do.

Standard #: 8VAC20-800-140-B-4
Description: Repeat Violation



Based on record review, staff did not have current First Aid Certification as required.
Evidence:
Staff A - Certification expired 7/28/2023
Staff B - Certification expired 1/2024

Plan of Correction: We will do.

Standard #: 8VAC20-800-180-A
Description: Based on record review, provider did not obtain a current Report of Tuberculosis form every two years for each caregiver and household member.

Evidence:
Staff B- Tuberculosis Screen Expired 1/14/2024
Household Member- Tuberculosis Screen expired 1/18/2024

Plan of Correction: They will get their TB Test.

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.

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