VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Nov. 9, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 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 8VAC20-820 THE LICENSE 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 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training

Technical Assistance:

Discussed the possibility of a provisional license being issues due to the administrative issues. When a regular license expires and the applicant is temporarily unable to comply with the requirements of the regulations, the department may issue a provisional license for any period not to exceed six months. A provisional license shall not be issued to a facility or agency immediately following a conditional license. At the conclusion of the provisional licensure period, the facility or agency must be in substantial compliance with licensing standards or be denied a license to continue operation. (from General Procedures)

Comments:

An unannounced renewal inspection was conducted on 11/9/2023 from 8:55 to 10:40. The provider and two assistants were present with 11 children, totaling 31 points. The children were observed arriving for the day, playing and doing art projects. Lots of interaction between caregivers and children. The provider has lots of materials and space for the children in care. She is serving stew and bananas, blueberries and apples today for lunch Discussed the administrative part of being licensed, although the provider has great programming and a very caring environment, she has a hard time keeping up with the administrative part of being licensed. After last inspection she was offered assistance from the LI but declined. Several violations related to the administrative part of being licensed was cited at this inspection. One repeat citation. A violation notice was given to the provider along with this inspection summary. Reviewed 4 household member records, 3 staff records and 4 children's records during this inspection. Please call me at 703-203-8659 or email me at pernille.brandt@doe.virginia.gov if you have any questions regarding this inspection.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on the review of household member records, the provider failed to get subsequent records . Evidence: Four out of five household members have criminal records checks that are more than 5 years old. Household member 1,3 and 5.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-4
Description:	Based on the review of household members records, the provider failed to get subsequent background checks for some household members. Evidence: Based on the review of records, household member 1,2,3 and 5 are missing the subsequent child protective service check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Repeat Violation Based on the review of staff records, the provider failed to get some background checks required for staff. Evidence: The two assistants are missing the central registry check. Staff 2, was missing the check at the last inspection, DOH 3/1/23. Staff 3 is missing the check and has been working at the providers more than 30 days. DOH 4/21/23
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on the review of 4 children's records the provider failed to get some information to make the child's file complete. Evidence: Reviewed of 4 children's records, Child1, is missing the physical examination and immunization records. Child 4 is missing addresses for the emergency contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on the review of training records and conversation with the provider, she failed to get 16 hours of training in the last licensing period. Evidence: According to the provider she has been taking English classes but no classes related to caring for children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation during the inspection, the diapering surface is not non absorbent. Evidence: The diaper pad has several small holes that makes the pad absorbent when sanitized.
Plan of Correction:	Not available online. Contact Inspector for more information.