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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:

Complaint Related: No

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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