VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elizabeth Houde
17006 Lakewood Court
Purcellville, VA 20132
(540) 338-4807

Current Inspector: Miranda Wright (571) 596-3661

Inspection Date: Nov. 2, 2022

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

Technical Assistance:

Exemption form for immunizations will be forwarded to the provider as a resource. The Information to Parents form will be forwarded to the provider. You are reminded that a monthly fire inspection is required and 2 shelter in place drills annually is also required.

Violations:

Standard #:	8VAC20-800-830-A
Description:	Based on staff statement and review of the evacuation drill log, monthly evacuation drills were not completed. Evidence: The provider stated a September and October evacuation drill was not completed or documented.
Plan of Correction:	A fire drill will be completed in November and monthly from now on.
Standard #:	8VAC20-800-70-A
Description:	Based on review of child records, information to parents was not provided before attendance for 5 children. Evidence: The following information was not provided to the parents of Child #1, 3, 4, 5 and 6: 1. Policies for termination 2. Amount of time a substitute provider may be onsite 3. Notification of injuries, illness, behavior problems, when first aid is administered, lost or death of a child, communicable diseases and daily communication.
Plan of Correction:	I will have each parent review the second page of the Information to Parents form, sign and date.
Standard #:	8VAC20-800-90-A
Description:	Based on review of child records, documentation that a child has been adequately immunized was not obtained prior to beginning care. Evidence: Child #3 began care on 10/03/2022. Documentation that the child has been adequately immunized was not obtained.
Plan of Correction:	This child is religiously exempt from immunizations. I will have the parent sign the exemption form.