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Vigdonia Guzman
6003 Kelley Court
Alexandria, VA 22312
(703) 582-8520

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: March 13, 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

Technical Assistance:
Discussed that the provider's MAT certification is expired. Recommended changing medication policy to "does not administer' until a new certification can be obtained.

Comments:
An unannounced renewal inspection was conducted today from 10:50am-11:40am. There were 9 children directly supervised by 3 caregivers. The home, 3 caregiver records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and doing a worksheet. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at Kara.vaughan@doe.virginia.gov or 703-537-6241.

Please submit your plan of correction within five business days in order for it to be included on the public website.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and provider statement, caregivers were allowed employment without the results of a national criminal record check.
Evidence:.
Caregiver 2 was caring for children on the date of inspection without the results of a criminal record check. Caregiver 2 was hired the week of March 4, 2024 and has been providing care since then.

Plan of Correction: National criminal record check will be
provided prior to any new provider
enrollment.
Caregivers2 inspection has arrived
3/14/24
and has been sent two inspector.

Standard #: 8VAC20-800-100-A
Description: Based on record review, the provider failed to 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:
Child 1 and Child 5's record did not contain documentation of a physical.

Plan of Correction: Parents will be contacted
about physical/immunizations

Standard #: 8VAC20-800-120-B
Description: Based on record review, caregiver records did not contain all required information.
Evidence:
1. Caregiver 1's record does not contain the date of hire.
2. Caregiver 2's record does not contain the date of hire, two reference checks, or all required background checks.

Plan of Correction: Will work on completing
this month.

Standard #: 8VAC20-800-50-A
Description: Based on record review, the provider failed to keep a written record of children in attendance each day.
Evidence:
There was not a record of attendance for 3/12/2024 or 3/13/2024.

Plan of Correction: Daily attendance will be taken
every day

Standard #: 8VAC20-800-60-B
Description: REPEAT VIOLATION
Based on record review, children's records did not contain all required information.
Evidence:
1. Child 1's record did not contain documentation of the child's first date of attendance.
2. Child 4's record did not contain documentation of the child's first date of attendance, health insurance policy number, proof of identity, and the place of one of the listed parent's employment.

Plan of Correction: Missing information will be
completed for each childs record

Standard #: 8VAC20-800-70-A
Description: Based on record review, parents were not informed of all required information in writing.
Evidence:
Child 1's record did not have documentation that parents have been informed of any pets living in the family day home, the provision of meals and snacks, whether the provider carries liability insurance, or the provider's discipline policy.

Plan of Correction: Will complete this week

Standard #: 8VAC20-800-90-A
Description: Based on record review, the provider failed to obtain records of immunizations for children prior the the child's first date of attendance.
Evidence:
Child 1 and Child 5's record did not contain an immunization record.

Plan of Correction: Parents will be contacted
about missing documents

Standard #: 8VAC20-800-170-A
Description: Based on record review, the provider failed to obtain first aid training and CPR training from each caregiver at the time of hire.
Evidence:
Caregiver 2's record did not contain any documentation of a a Tuberculosis screening.

Plan of Correction: Will contact the childcarenetwork by
phone to request copies of certificates

Standard #: 8VAC20-800-180-A
Description: REPEAT VIOLATION
Based on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
Evidence:
1. Caregiver 1's most recent Tuberculosis screening was conducted on 10/29/2021.
2. Caregiver 3's most recent Tuberculosis screening was conducted on 2/3/2020.

Plan of Correction: All providers are working on
completeing TB Test within
the next two weeks.

Standard #: 8VAC20-800-200-A
Description: Based on record review, the provider did not orient assistant provider's by the end of their first week of assuming job responsibilities.
Evidence:
Caregiver 2's record did not contain documentation that they have received an orientation.

Plan of Correction: Will complete orientation
this week

Standard #: 8VAC20-800-210-A
Description: Based on record review, caregivers did not complete a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities in addition to first aid training and CPR training.
Evidence:
Caregiver 1 and Caregiver 3's record did not contain documentation of completing any hours of annual training.

Plan of Correction: Will start completing training
hours this month.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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