VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Amy Resseman
7082 Helm Drive
Remington, VA 22734
(703) 901-5196

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: March 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on the following: 8VAC20-800-90C Children?s immunizations should be updated every 6 months for children under the age of 2 years old. 8VAC20-800-330A The required landline phone should be plugged in and operable. 8VAC20-800-690D The diaper surface should be non-absorbent so that it can be sanitized.

Comments:

An unannounced renewal inspection was conducted on 03/21/2024 from 11:35am to 1:15pm. There were 9 children ages 20 months to age 5 years old (18 points) with the Provider. The programming area, attendance, menus, Provider and Household member records, 6 children?s records, emergency drills, injury reports, emergency supplies, and policies were reviewed. There were no children?s medications onsite. Children were observed participating in writing activities, reading, and lunch. Handwashing procedures were also observed. The Provider had a current certification in CPR and First Aid training. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 4/1/24. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and staff interview, the center did not ensure they post the license or the findings of the most recent licensing inspection of the facility. Evidence: 1)The Provider?s license was not posted in a conspicuous place as required. 2)The most recent licensing inspection of the facility was not posted. The last inspection posted was dated 2/9/22.
Plan of Correction:	You didn't look under the papers that were on the board. it was there. I did contact you afterwards to let you know it was there. I moved it to the top. Of the papers on the bulletin board.
Standard #:	8VAC20-800-730-D
Description:	Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: Pain relief medication and antibiotic ointment were stored in the first aid kit that was unlocked and sitting on the counter in the kitchen area where children were eating lunch.
Plan of Correction:	First aid kit has been put away. And a locked area.
Standard #:	8VAC20-800-790
Description:	Based on observation and Provider interview, the Provider did not ensure that they had posted in a visible area close to the phone A 911 or local number for police, fire, and emergency medical responders; the responsible person for emergency backup care; and the regional poison control center. Evidence: There were no emergency numbers posted for 911, local police, fire, and emergency medical services, the emergency backup care person, or the number for poison control.
Plan of Correction:	Emergency contacts/911 info/poison con Already on board
Standard #:	8VAC20-800-180-A
Description:	(Repeat violation)Based on review of 4 household records, the Provider did not obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening. Evidence: The record for Household member #1 contained a Tuberculosis screening that was last completed on 2/12/22.
Plan of Correction:	Received shot on Friday March 22, 2024
Standard #:	8VAC20-800-320-G
Description:	Based on review of documentation and Provider interview, the Provider did not ensure that fireplaces and associated chimneys were inspected annually and cleaned as needed. Evidence: The Provider did not have documentation that a fireplace inspection was completed within the last year.
Plan of Correction:	This is the first time in 22 years. I assumed that all I needed was the original one. I have contacted. A local chimney sweep, and scheduled an appointment for inspection.
Standard #:	8VAC20-800-570-A
Description:	Based on observation the provider did not ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed. Evidence: Upon arrival for the inspection, the Provider was alone with 9 children (18 points) and there was not another caregiver present during the inspection.
Plan of Correction:	As I explained to you, I wasn't suppose to have the extra child that day. But due to a parent need, I said I would watch the child. This is the first time in 22 years! And I had a good reason.