VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlos Avila
7118 Terry Lane
Falls church, VA 22042
(703) 587-5793

Current Inspector: Keesha Minor (571) 596-3660

Inspection Date: July 25, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 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.

Comments:

An unannounced, on-site renewal inspection was initiated on 7/25/2024 and completed on 7/25/2024, as a part of the licensure period. The on-site inspection began at 10:25am and ended at 11:40am. The inspector reviewed compliance in the areas listed above. There were 6 children present (13 points) and 1 caregiver. The inspector reviewed 6 children?s records and 1 caregiver's records on-site. This inspection included: ?document review (annual training, emergency training, emergency drill logs, authorization forms), ?tour of the facility, ?interviews, ?observations (children played freely in the backyard with the provider). Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/7/2024. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation, the provider did not ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: observed a first aid kit on shelf near the kitchen area and found that there were multiple packets of antacids, aspirin, and acetaminophen inside.
Plan of Correction:	First aid kit will be placed in a safe location.
Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the provider did not ensure that the first aid kit was complete and contained the required minimum items. Evidence: observed that the first aid kit was missing a second triangular bandage.
Plan of Correction:	A second triangular bandage was added.
Standard #:	8VAC20-800-100-A
Description:	Based on review, the provider did not ensure that they obtained documentation of children's physical examinations prior to a child's attendance or within 30 days after the first day of attendance. Evidence: reviewed 6 children's records and found that Child 1 did not have documentation of a physical examination.
Plan of Correction:	Will request physical from parents.
Standard #:	8VAC20-800-210-A
Description:	Based on review, the provider did not ensure that they completed 16 hours of annual ongoing training. Evidence: reviewed the provider's records and found that they only completed 7.5 hours of annual ongoing training during 2022-2023 and 7 annual clock hours from 2023-2024.
Plan of Correction:	Will take classes in the coming month.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure that hazardous materials were kept inaccessible to children. Evidence: observed that there was a bottle of bleach water accessible to children on a shelf/cabinet near the kitchen area.
Plan of Correction:	Bottle will (be) placed in a place the children can't reach it.