VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Enma Rivas
5657 Chelmsford Court
Burke, VA 22015
(703) 425-1511

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: March 10, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Facilities and Programs

Comments:

An unannounced monitoring inspection was conducted today between the hours of 12:45pm to 2:15pm with the provider on site. There were three children(9 points) with the provider. A sample of three children's files, provider's file, and two household member's files were reviewed. The children observed during nap time. The physical space, emergency supplies, evacuation drills, attendance records, and the Emergency Prepardness Plan were reviewed. Areas of non-compliance are identified int he violation notice. Please contact me if you have any questions at karen.dickens@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-80-A
Description:	Based on record review, provider did not have documentation of proof of identity and age of a child within seven business days of the child's first day of attendance. Evidence: Provider did not have documentation of verification of identity and age in the record for Child #1(start date-10/15/2019).
Plan of Correction:	Provider will contact parent to obtain documentation.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: Three cleaning agents containing the statement "Keep out of reach of children" were located in an unlocked bathroom cabinet below the sink.
Plan of Correction:	Provider removed the cleaning agents from the cabinet.
Standard #:	22VAC40-191-40-D-5-a
Description:	Based on record review and interview, provider did not have documentation of a central registry finding for a 14 year old residing in the home. Evidence: Provider did not have documentation of Central Registry results for household member #2. Provider stated that she was unaware that her 14 year old daughter needed a Central Registry finding.
Plan of Correction:	Provider printed a copy of the Central Registry Form and stated that she will complete complete filling it out and have it notarized. Provider will send Licensing Inspector proof that Central registry was mailed in ten days.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation, the provider did not post the findings of the most recent inspection of the facility. Evidence: Provider did not have the findings of the most recent inspection, 09/24/2019, of the facility posted. The inspection posted was dated 04/02/2019.
Plan of Correction:	Provider located the most recent inspection dated 09/24/2019 during the inspection and posted it.