VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Child and Family Network Centers - Wheeler Site
3700 Wheeler Avenue
Alexandria, VA 22304
(703) 836-0214

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: April 17, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was conducted on 04/17/2023 between the hours of approximately 9:30am and 11:30am. There were 29 children present, ranging in ages from3 years to 5 years, with 4 staff supervising. 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 3 child records and 6 staff records 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 #:	22.1-289.035-B-2
Description:	Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person. Evidence: 1) The record for Staff #6 (hire date 01/06/2022) had a fingerprint-based criminal history check determination letter dated 03/18/2022.
Plan of Correction:	All staff members will be required to complete their fingerprints prior to their first day of employment.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, the center did not ensure to obtain a completed Sworn Statement prior to first day of employment. Evidence: 1) On the date of inspection, the Sworn Statement in the record for Staff #6 (start date 01/06/2022) was dated 01/24/2022.
Plan of Correction:	Going forward, all staff will be required to complete sworn statements prior to first day.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center did not ensure that documentation of negative tuberculosis (Tb) screening for each employee was submitted at the time of employment and documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1) The record for Staff #5 (hire date 09/06/2022) did not contain a Tb screening. 2) The Tb screening form in Staff #6's record (hire date 01/06/2022) was dated 09/12/2021.
Plan of Correction:	All Tb tests will be submitted by new staff members prior to their first day of employment.
Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center did not ensure that employees obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) A current Tb screening was due for Staff #3. The Tb screening form in the record for Staff #3 was dated 03/10/2021.
Plan of Correction:	Staff was reminded or our policy of Tb test and to submit an updated test by end of April.
Standard #:	8VAC20-780-40-M
Description:	Based on documentation review, allergy lists did not contain all required information. Evidence: 1) On the date of inspection, the allergy list in Room #1 was not dated as required.
Plan of Correction:	Staff reviewed and dated the allergy list.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain work phone number and place of employment of a second parent who has custody. 2) The record for Child #3 did not contain addresses of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Parents will be contacted to update these sections of child records.
Standard #:	8VAC20-780-70
Description:	Based on record review, staff's records did not contain all required information. Evidence: 1) On the date of inspection, the record for Staff #5 (hire date 09/16/2022) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	References were added to this file and all new staff will receive 2 reference check forms in their files prior to employment.
Standard #:	8VAC20-780-280-H
Description:	Based on observation and interview with staff, cosmetics, medications, or other harmful agents were stored in areas, purses or pockets that were accessible to children. evidence: 1) On the date of inspection, the inspector observed a purse located on the floor, next to a desk on Room #1. Upon interviewing staff in the room, it was confirmed that the purse contained cosmetics and a bottle of over-the-counter medication.
Plan of Correction:	All staff members were reminded of our policy on storing personal items in the classroom.
Standard #:	8VAC20-780-550-D
Description:	Based on documentation review, emergency evacuation procedures were not practiced monthly. Evidence: 1) On the date of inspection, Room #1's 2022 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of December 2022. 2) Room #2's 2023 emergency drills log provided for review, did not have an evacuation (fire) drill documented for the month of March 2023.
Plan of Correction:	The emergency drill form will be changed to include months for easier tracking. All staff was reminded of our policy on emergency drills.