VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lucia Martinez
5646 Kathryn Street
Alexandria, VA 22303
(703) 960-6438

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Dec. 2, 2021 and Dec. 3, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program. A renewal inspection was initiated on 12/02/2021 and concluded on 12/03/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 4 children present, ranging in ages from 10 months to 4 years, with the provider supervising. The inspector reviewed compliance in the areas of administration, physical health of caregivers and household members, caregiver training, physical environment and equipment, care of children, preventing spread of disease, emergencies, nutrition, and background checks. A total of 2 child records and 2 staff/household member 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.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review with the parent the emergency contact information required in 8VAC20-800-60B to ensure the information is correct and obtain the parent's signed acknowledgment of the review annually for 1 child. Evidence: The emergency contact information in the record for Child #2 was last reviewed in 2019.
Plan of Correction:	I will talk to the parents today.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. The record for Child #1 (start date 4/8/2021) did not contain documentation of a physical examination.
Plan of Correction:	I will talk to the parents today.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 2 of 2 children's records did not contain all required information. Evidence: 1. The record for Child #1 did not contain the address of each custodial parent's place of employment. 2. The record for Child #1 did not contain the address and telephone number of one of two designated persons to contact in case of an emergency if the parent cannot be reached. 3. The record for Child #2 did not contain the name of one of two designated persons to contact in case of an emergency if the parent cannot be reached. 4. The record for Child #1 did not contain the policy number of the child's medical insurance.
Plan of Correction:	I will talk to the parents today to tell them to fill it out.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, parents were not provided in writing the information required in 8VAC20-800-70A before the child's first day of attendance. Evidence: 1. The written acknowledgement of the information required by 8VAC20-800-70A4-5, and A16 in the record for Child #1 (start date 4/8/2021)were dated 12/01/2021, after the child's first date of attendance. 2. The record for Child #1 did not contain written acknowledgement of the information required in 8VAC20-800-70A1-3, 6-15, and 17-19.
Plan of Correction:	I have given the information to the parent. I will ask for the signature.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the provider did not obtain from the parent verification of the identity and age of the child within seven business days. Evidence: 1. The proof of identification for Child #1 (start date 5/10/2021) was dated 12/01/2021.
Plan of Correction:	I will make sure I see it in 7 days.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized before a child may attend the family day home. Evidence: The record for Child #1 (start date 4/8/2021) did not contain documentation of immunizations.
Plan of Correction:	I will talk to the parents today.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: The most recent tuberculosis screening in the record for Household Member #1 was dated 5/8/2019.
Plan of Correction:	I will make an appointment this week.