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Katherine Maldonado-Tapia
2806 Douglass Avenue
Falls church, VA 22042
(703) 462-0152

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Jan. 18, 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
8VAC20-770 Background Checks

Technical Assistance:
Discussed with provider:
2 TB test results are about to expire.

Comments:
An unannounced monitoring inspection was conducted today. There were 13 children present, including 2 resident children (48 points) with 3 caregivers.
Children were observed playing with a variety of toys, eating and preparing for rest.
3 caregiver, 1 resident and 5 child records were reviewed. See Violation Notice for non-compliances cited today.
Emergency evacuation drills were conducted, just not recorded, per the provider.
The menu, cot spacing, fridge/freezer temperatures, bathroom supplies, first aid and emergency supplies were all in compliance today.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present today from 11:18AM - 12:45PM.
*Due to caseload adjustments, your next inspection may be with a new Inspector.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of records, one Household Member (HHM) record did not contain documentation of a completed nationwide fingerprint search in the allowable 30 day time frame.
Evidence:
HHM#1's nationwide fingerprint results available for review were dated10/20/23. Residency began 6/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-B-4
Description: Based on a review of records, one Household Member record did not have a completed Virginia Central Registry Search (CRS) on file within 30 days of residency,
Evidence:
Household member #1's record did not contain a completed CRS within 30 days of residency.
The results are now on file; however, they were not received in the allowable time frame.
The results on file are dated10/14/23. (Residency began 6/2023)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-B
Description: Based on a review of records, one resident record did not contain documentation of a completed Sworn Disclosure Statement (SDS) within 30 days of becoming a resident.
Evidence:
There was no SDS available for review for Household Member #1. (Residency began 6/2023)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-830-C
Description: Based on a review of records, documentation of practiced emergency evacuation drills has not been maintained.
Evidence:
Evacuation drills have not been recorded since April of 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Repeat Violation
Based on a review of records, child records did not contain all required information.
Evidence:
5 records were reviewed. Missing information included:
*Authorization for emergency care (Child 5)
*Missing 2 emergency contacts(Child 4)
*Missing 1 of 2 emergency contacts: (Children #1, #5)
*Missing emergency contact address/ phone number (Children #1, #3)
*Viewing proof of birth documentation (Signature of person viewing and date of viewing) (Children #1,2,4,5)
*Parent work information (name, address phone number) (Children #1,4,5)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-70-B
Description: Based on a review of records, child records did not contain written acknowledgement of receiving all required policies and procedures.
Evidence:
5 of 5 records reviewed were missing documentation of the declaration of liability insurance.
(Children #1-5)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-540-A
Description: Based on observation, safety straps were not fastened for multiple children when using equipment that had safety straps available.
Evidence:
Children were observed in bouncy seats, high chairs and a "Bumbo" infant seat without the safety strap fastened. straps were fastened during the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

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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