VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shalasha Owens
7831 Lewis Chapel Circle
#202
Lorton, VA 22079
(703) 940-2312

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Jan. 26, 2024

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 8VAC20-790 Building or Home Maintenance 63.2 Child abuse and neglect 8VAC20-790 Supervision and Ratio Requirements 8VAC20-790 Introduction 8VAC20-790 Programs 8VAC20-790 Administration 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 General Qualifications 8VAC20-790 Special Services

Comments:

A subsidy health and safety (SHSI) inspection was conducted today between 11:00am and 12:45pm. There were 8 children present with 1 caregiver supervising. The physical plant, policies and procedures, emergency supplies and procedures, 8 children's records, and 1 caregiver record were reviewed. The exit interview was conducted with the provider/vendor. Areas of non-compliance are identified in this report. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-790-170-D
Description:	Based on observation, the vendor did not ensure that the family day home does not exceed the capacity of children cared for as allowed by law or regulation. Evidence There were 8 children present in care when the inspector arrived at 11:00am on 1/26/24 to conduct the inspection. The vendor is not allowed to exceed the capacity of 4 children in care.
Plan of Correction:	Vendor will not exceed capacity allowed.
Standard #:	8VAC20-790-180-B
Description:	Based on review of general recordkeeping reports, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence There was no written record of daily attendance during the inspection.
Plan of Correction:	Vendor will keep a daily sign in/out log.
Standard #:	8VAC20-790-190-A
Description:	Based on review of children?s records the vendor did not maintain and keep at the family day home written or electronic information for each enrolled child. Evidence There was no record for child #3
Plan of Correction:	To keep and maintain every child's records.
Standard #:	8VAC20-790-190-B
Description:	Based on review of children?s records the vendor did not maintain complete records for each enrolled child. Evidence There was no written parental agreement between parent and the vendor for child #1 and #2. There was no child information, name, home address and telephone number of parent, no emergency contact information, no authorized pick up, no immunization record, no emergency medical treatment authorization, no sick policy, and no written agreement between parent and the vendor for child #4 and #5. There was no child information, name, home address and telephone number of parent, no emergency contact information, no authorized pick up, no proof of identity, no emergency medical treatment authorization, no sick policy, and no written agreement between parent and the vendor for child #6.
Plan of Correction:	Records will be properly maintained.
Standard #:	8VAC20-790-250-F
Description:	Based on review of documentation and interview, the vendor did not ensure that each caregiver annually complete at least 16 hours of training, including the department?s health and safety update coarse. Evidence Caregiver 1?s record was reviewed, and no training was available for review. Caregiver 1 reported that she had completed some trainings but wasn?t sure how many hours and had no documentation on file.
Plan of Correction:	All caregivers will be properly trained.
Standard #:	8VAC20-790-270-A
Description:	REPEAT VIOLATION Based on observation the vendor did not ensure potentially poisonous substances were stored in areas inaccessible to children. Evidence Potentially poisonous substances, including cleaning agents and deodorizers, were accessible to children in the cabinet under the bathroom sink and under the kitchen sink.
Plan of Correction:	Vendor will remove all potentially poisonous items from cabinets. Will provide locks also.
Standard #:	8VAC20-790-280-A-4
Description:	Based on observation each bathroom was not equipped with all the required supplies. Evidence: No paper towels or an air dryer were observed in the bathroom the children use.
Plan of Correction:	Paper Towels will be provided.
Standard #:	8VAC20-790-300-A
Description:	Based on observation, a caregiver was not physically present on site and providing direct care and supervision of each child at all times. Evidence After existing the house on 1/26/24 at 12:45pm, but while still present on the property preparing to leave, the inspector observed Caregiver 1 leaving the family day home. The inspector went back to the family day home to confirm that Caregiver 1 had left the home and to see who was caring for the children in care. The children in care were left with two household members, only one of which was an adult. The household members told the inspector that Caregiver 1 had an appointment. Neither household member is designated as a caregiver
Plan of Correction:	Approved caregivers will always be present providing direct care. To ensure all caregivers are approved.
Standard #:	8VAC20-790-300-E
Description:	Based on observation, supervision and ratio requirements were not met. Evidence Upon the inspector?s arrival at 11:00am on 1/26/2024, eight children were in care, totaling 17 points, with one caregiver when each caregiver may only care of 16 points at one time. The home remained out of ratio during the entire inspection, and then after the inspector left the home at 12:45pm. Caregiver 1 left the home, leaving the children with no approved caregivers when at least two caregivers were needed.
Plan of Correction:	Supervision and ratio requirements will be met.
Standard #:	8VAC20-790-360-B
Description:	Based on observation, children less than three years of age were not protected from materials that could be swallowed or present a choking hazard. Evidence Observed in the area accessible to all the children were numerous pieces of small toys and objects, less than 1 ? inches in diameter and less than two inches in length, that could be swallowed or present a choking hazard to children less than three years of age.
Plan of Correction:	All chocking hazards toys have been removed.
Standard #:	8VAC20-790-360-G
Description:	Based on interviews, the children do not rest on individual cots or rest mats. Evidence Caregiver 1 told the inspector that the children rest on two futons that lay flat. The boys rest on one and the girls on the other, laying head to feet. Each futon is approximately 6 feet long by 4.5 feet wide.
Plan of Correction:	New sleeping arrangements will be made.
Standard #:	8VAC20-790-390-F
Description:	Based on observation there is no way to dispose of soiled diapers that is either foot operated or used in such a way that neither the caregiver?s hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence There was no way to dispose of soiled diapers or wipes without the soiled diaper, wipe or caregiver?s hands touching the storage system during disposal.
Plan of Correction:	Foot pedal receptacle has been installed.
Standard #:	8VAC20-790-410-A-1
Description:	Based on review of first aid supplies, the first aid kit was incomplete. Evidence The first aid kit was missing a digital thermometer, scissors, and single-use gloves.
Plan of Correction:	Proper first aid kit will be provided.
Standard #:	8VAC20-790-410-B-1
Description:	Based on observation, the required non-medical supplies did not contain a working, battery-operated flashlight. Evidence There wasn?t a working battery-operated flashlight available.
Plan of Correction:	Flashlight will be replaced.
Standard #:	8VAC20-790-410-B-2
Description:	Based on observation, the required nonmedical supplies did not contain a working, battery operated radio. Evidence There wasn?t a working battery-operated radio available.
Plan of Correction:	Proper supplies will be provided.