VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Etelbina Marroquin
6720 Edsall Road
Springfield, VA 22151
(209) 404-7157

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: May 8, 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 8VAC20-770 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

Comments:

A monitoring inspection was conducted today between 10:00am and 11:30am. There were 8 children present with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed playing freely, singing and dancing. A total of 5 child records, 2 caregiver records and 2 household member records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards and violations were documented on the violation notice issued. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on review of children's records, forms for topical skin products did not include parental authorization for specific products. Evidence The forms for topical skin products for child # 1, 2, 3, and 5 did not list specific products. Listed on the forms were bug spray, diaper ointment, sunscreen for example.
Plan of Correction:	We will have the parents completed the forms and list each specific product on the form.
Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, the provider did not annually review with the parent the emergency contact information. Evidence The record for child #2, first day of attendance 1/26/2023, was not annually reviewed with the parents. The last parental review of the record was dated1/5/2023.
Plan of Correction:	We will review the record with the parents annually and have them document any updates.
Standard #:	8VAC20-800-800-B
Description:	Based on review of the emergency plan, the provider did not review and update the plan at least annually. Evidence The emergency plan was last reviewed and updated 11/14/2022.
Plan of Correction:	We will review the emergency plan and make any updates. We will make sure to sign and date annually when it is reviewed.
Standard #:	8VAC20-800-170-A
Description:	Based on review of caregivers records, each caregiver at the time of hire, did not have a current report of tuberculosis screening with it documenting the absence of tuberculosis in a communicable form. Evidence Caregiver #1 (date of hire 6/7/2023) does not have documentation of a current report of tuberculosis screening with it documenting the absence of tuberculosis in a communicable form.
Plan of Correction:	Caregiver will obtain her TB screening.
Standard #:	8VAC20-800-180-A
Description:	Based on review of each caregiver record, the provider did not obtain a current report of tuberculosis screening every two years from the date of the first screening for an adult household member. Evidence Household member #1 does not have documentation of a current report of tuberculosis screening. The report of tuberculosis screening in the record expired 9/19/2022.
Plan of Correction:	The TB screening will be done and we will make sure we always get it done every two years.
Standard #:	8VAC20-800-320-G
Description:	Based on observation, the provider did not maintain documentation of the annual inspection and cleaning of the wood burning stove and associated chimney. Evidence The documentation of the last annual inspection and cleaning of the wood burning stove and associated chimney was dated 9/2/2022.
Plan of Correction:	We will make an appointment and have the chimney and fireplace inspected. We will make sure it is done every year.