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Liliana Torres Serpa
6470 Fourth Street
Alexandria, VA 22312
(703) 371-2293

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Jan. 4, 2022 and Jan. 6, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and interviews.

A renewal inspection was initiated on 01/04/2022 and concluded on 01/06/2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 3 children present, ranging in ages from 2 years to 4 years, with the provider. 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 2 children records and 1 staff record 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 #: 8VAC20-800-760-A-1
Description: Based on the review of the emergency supplies, the first aid kit did not contain the minimum equipment.
Evidence:
1) On the date of inspection, triangular bandages were not available in the first aid kit.

Plan of Correction: I ordered the triangle bandage that my first aid kit was missing.

Standard #: 8VAC20-800-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.
Evidence:
1) The most recent signed acknowledgements of the review of the emergency contact information in the records for Child #1 and Child #2 were both dated 11/20/2020.

Plan of Correction: I asked the mother to sign the form.

Standard #: 8VAC20-800-800-B
Description: Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented.
Evidence:
1) The most recent review documented by the provider was dated 12/27/2020.

Plan of Correction: I have completed the missing information.

Standard #: 8VAC20-800-830-A
Description: Based on documentation review, emergency evacuation procedures were not practiced monthly.
Evidence:
1) The emergency drills log provided for review, did not show emergency drills documented for the months of November 2021 and December 2021.

Plan of Correction: I've already printed new forms. I'm going to be more aware of writing down the days.

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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