VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alferlo Delos Angeles
8336 Carnegie Drive
Vienna, VA 22180
(571) 363-8833

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: March 26, 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 8VAC20-770 Background Checks 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:

Technical Assistance was provided regarding requirements for caregiver records and requirements for administration of topical skin products.

Comments:

An unannounced non-mandated inspection was conducted today between the hours of 11:00am-1:00pm. There were 4 children directly supervised by the provider and 1 caregiver. The home, 2 caregiver records, 5 children?s records, and evacuation drills were inspected. Children were observed during naptime. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not obtain the results of a central registry search for 1 caregiver within 30 days of employment. Evidence: 1. Caregiver #1 began employment on 11/6/2023. 2. The record for Caregiver #1 did not contain the results of a central registry search. 3. A document in the record for Caregiver #1 indicated a request was sent on 3/4/2024. An additional document dated 3/6/2024 stated a portability request was denied and the individual's information was not found.
Plan of Correction:	The provider submitted a new Central Registry request for Caregiver #1.
Standard #:	8VAC20-800-750-A
Description:	Based on caregiver interview and record review, the use of topical skin products did not meet all requirements. Evidence: 1. Caregiver #2 stated topical products are used for Child #1,2,3,4 and 5. 2. Topical products were located in the family day home labeled with the children's names. 3. The provider did not obtain written parent authorization noting any known adverse reactions for the topical products for Child #1,2,3,4, and 5.
Plan of Correction:	The provider will request written authorizations from the parents.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, 1 caregiver record did not contain all required information. Evidence: 1. Caregiver #1 began employment on 11/6/2023. 2. The record for Caregiver #1 did not contain the name address and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	The provider will obtain the information from the caregiver.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 1 of 5 records reviewed did not contain all required information. Evidence: 1. The record for Child #1 did not contain the name, address and telephone number for one of two designated persons to contact in case of an emergency if the parent cannot be reached;
Plan of Correction:	The provider will request the information from the parents.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation a child has been adequately immunized before the child's first day for 1 of 5 children reviewed. Evidence: 1. Documentation of immunizations in the record for Child #4 (start date 1/23/2024) were dated 1/29/2024, after the child's first day.
Plan of Correction:	Provider will obtain documentation of immunizations prior to a child's first day.
Standard #:	8VAC20-800-170-B
Description:	Based on record review, a tuberculosis screening form was not completed within the last 30 days prior to employment for 1 caregiver. Evidence: 1. The tuberculosis screening results in the record for Caregiver #1 were dated 6/30/2023, more than 30 days prior to the caregiver's date of hire (11/6/2023).
Plan of Correction:	The caregiver will obtain a new tuberculosis screening by the end of the week.