VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Parvin Kohzady
4235 Sleepy Lake Drive
Fairfax, VA 22033
(703) 599-8407

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Aug. 13, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition

Technical Assistance:

Discussed reviewing the Standards, hand-washing procedures, cleaning procedures and organizing a bulletin board/space for required posted documents.

Comments:

An unannounced non-mandated inspection was conducted today between approximately 10:05am and 12:35pm. 4 children (13pts) were present with 2 caregivers. Ratios were in compliance. The physical space, children's records, posted documents and evacuation drills were reviewed. Hand-washing and diaper changing procedures were observed. The space contained an ample supply of age appropriate materials. Interactions between children and caregivers were positive. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, contact stephanie.salvatori@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-790
Description:	Based on observation and interview with the Provider, required emergency telephone numbers were not posted. Evidence: No emergency telephone numbers were posted anywhere in the family day home.
Plan of Correction:	I will create a bulletin to put required information on.
Standard #:	22VAC40-111-830-A
Description:	Based on record review, the Provider did not practice monthly emergency evacuation procedures. Evidence: The last emergency evacuation was practiced on 5/3/2019. There was no documentation for evacuations done in June or July.
Plan of Correction:	I will make sure to do, and document, evacuation drills monthly.
Standard #:	22VAC40-111-920
Description:	Based on observation and interview with the Provider, the weekly menu was not posted for parents to see. Evidence: This week's menu was not posted. The Provider stated she was going to be keeping the menu on a large poster and had taken it down to create.
Plan of Correction:	I will write the menu on the poster so it is large enough to see.
Standard #:	22VAC40-111-50-A
Description:	Based on review of records and interview with the Provider, a written record was not kept of the children in care. Evidence: The Provider stated she didn't have an attendance record.
Plan of Correction:	I will start keeping track today.
Standard #:	22VAC40-111-60-A
Description:	Based on record review, 3 out of 3 records did not contain all required information. Evidence: Child #1 was missing the address and phone number of the child's physician; Child #2 was missing the start date; Child #3 was missing Liability Insurance Declaration.
Plan of Correction:	I will get the information from the parents today.
Standard #:	22VAC40-111-230-A
Description:	Based on record review, the Provider did not maintain current first aid and CPR certification documentation. Evidence: The Provider's, and Assistant's, certification for first aid and CPR both expired 08/05/2019.
Plan of Correction:	We will sign up for a class this weekend.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances (cleaning agents and disinfectants) were not stored in areas inaccessible to children. Evidence: A small bottle of unlabeled bleach was on the floor next to the toilet in the bathroom. When the Licensing Inspector asked the Provider about the bottle, she stated a child had just gone to the bathroom in the small potty training toilet and the assistant was getting ready to clean it with the bleach right before the Licensing Inspector arrived.
Plan of Correction:	I will make sure all cleaning agents are inaccessible to children at all times.
Standard #:	22VAC40-111-520-E
Description:	Based on observation, crib bumper pads were used in 1 out of 4 cribs. Evidence: 1 out of 4 cribs contained bumper pads. No child was in the crib but the Provider stated they were for one of the infants in care.
Plan of Correction:	(The Provider took the bumper pads out while the Licensing Inspector was present.) I will not keep pads in the cribs anymore.
Standard #:	22VAC40-111-590-A
Description:	Based on observation, an infant was not placed on their back when going down for a nap. There was no written statement signed by the child's physician ordering the child to be placed on their stomach. Evidence: The Licensing Inspector observed the Provider placing Child #4 on their stomach for a nap. The Provider stated the parent's prefer the infant to be placed on their stomach but there was no written statement by the child's physician requesting the child to be placed on their stomach.
Plan of Correction:	(The Provider rolled the infant onto their back while the Licensing Inspector was present.) I will speak with the parents and ask them to provide a note from the physician if they want me to place infants on their stomach's for naps. Until I have the documentation, I will place infants on their backs.