VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lata Bhagia
25565 Royal Hunter Drive
Aldie, VA 20105
(757) 652-7009

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Feb. 24, 2025

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. 8VAC20-820 HEARINGS PROCEDURES. 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 During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 02/24/2025, as part of the licensure period. The on-site inspection began at 9:30 am and ended at 11:35 am. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 11. The inspector reviewed 4 children?s records and 6 caregiver/household members records on-site. This inspection included document review and tour of the facility. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were 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 violation will be or has been corrected. Submit your POC within 5 business days from today, which will be the close of business on 03/06/2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-4
Description:	The center is required to obtain background checks from any state in which the individual has resided in the preceding five years, prior to the employee's first day of employment. Caregiver #5, employed for one week, did not have documentation of requesting a central registry check and sex offender registry check from one state.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.057-A
Description:	The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.057-B
Description:	The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-780-B
Description:	Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. The record review for Child #2, was overdue by two years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-B
Description:	The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. The most recent review of the emergency plan was dated 10/23/2017. A review of the emergency plan was overdue for seven years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	*REPEAT VIOLATION* Providers must maintain an up to date record for each caregiver. The records for Caregiver #4 and Caregiver #5 were missing the following information: employment date; address; verification of age; and the name, address and telephone number of a person to be notified in an emergency; and and documentation of the education and training. The record for Caregiver #3 did not contain documentation that a second reference as to character and reputation as well as competency was checked before employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	*REPEAT VIOLATION* An up to date record for each child enrolled shall be maintained by the provider. The record for Child #2, who has been in care for 18 months, did not contain the name and policy number of the child's medical insurance.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	The provider shall obtain from each caregiver at the time of hire and prior to coming into contact with children, a current Report of Tuberculosis Screening form. The record for Caregiver #4, who has been caring for children for two weeks, did not contain documentation of a current Report of Tuberculosis Screening form.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	*REPEAT VIOLATION* The provider shall orient each caregiver by the end of their first week of assuming job responsibilities. The record for Caregiver #4, who has been caring for children for two weeks, did not have documentation of having received orientation by the provider.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-250-E
Description:	Empty plastic bags shall be inaccessible to children under five years of age. Empty plastic bags were stored in a cubbies storage unit that children had access to.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored in areas inaccessible to children. The following materials were observed: cans of paint inside a closet in a back room, one fire retardant spray can in a closet in the hallway. The doors to both closets were unlocked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Child-resistant protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. One unused electric outlet in the bonus room next to the care area did not have a protective cover.
Plan of Correction:	Not available online. Contact Inspector for more information.