VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fatemeh Ranjbarkohan
745 Bonnie Ridge Drive, NE.
Leesburg, VA 20176
(703) 888-9118

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

Inspection Date: April 22, 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 8VAC20-820 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

Comments:

A monitoring inspection was conducted on 04/22/2024 between the hours of approximately 10:30 am and 11:20 am. There were 7 children present, ranging in ages from 16 months to 3 years old, with 3 caregivers supervising. Children were observed while playing with toys and eating snack. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider did not review with the parent, annually, the emergency contact information to ensure the information is correct and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency information in the record for Child #2 was dated 02/16/2023; for Child #4 was dated 02/07/2023; and for Child #5 was dated 01/12/2023.
Plan of Correction:	We will do it this week.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 03/21/2022) did not contain documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, caregivers' records did not contain all required information. Evidence: 1) The records for Staff #4 and Staff #5 did not contain the following: address; verification of age; job title; date of employment; 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:	Will be completed this week.
Standard #:	8VAC20-800-140-B-3
Description:	Based on record review, the Provider did not ensure that substitute providers have a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1) On the date of inspection, Staff #3 was supervising the children as the Substitute Provider. The most recent CPR certification in the record for Staff #3 was dated 04/11/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The record for Staff #4 did not contain the results of a Tuberculosis Screening.
Plan of Correction:	All of them have it. They are in their files.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the Provider did not ensure that each caregiver obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The most current Tb screening form in the record for Staff #1 was dated 04/11/2022 and for Staff #2 was dated 04/21/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, the Provider did not orient caregivers by the end of their first week of assuming job responsibilities. Evidence: 1) The records for Staff #4 and Staff #5 did not contain documentation that the caregivers completed orientation training as required.
Plan of Correction:	I did for all staff.