VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms Katherine van der Rest
9500 Kendall Knolls Lane
Nokesville, VA 20181
(540) 303-1680

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Feb. 23, 2022

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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors

Comments:

A renewal inspection was initiated and concluded on 02/23/2022. There were 12 children present, ranging in ages from 10 months to 3 years, with 2 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, 2 staff records, and 2 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 #:	22.1-289.035-B-2
Description:	Based on review of one staff record it was determined that not all records contained documentation of an eligible determination letter based on fingerprinting on file before the first day of employment. Evidence: A letter from the office of background investigation (OBI) dated 01/03/22 was observed for staff A (start date: 02/15/2022). The letter stated that OBI could not determine eligibility for Staff A until the fingerprinting process was repeated. The provider did not follow up on requesting that Staff A repeat a fingerprint request.
Plan of Correction:	The provider will request that Staff A set up an appointment to repeat fingerprinting. Staff A will not work at the family day home until determination of eligibility has been received. Provider Stated the returned letter looks exactly like the Eligible letter and it was her fault for not reading completely.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on review of two household member records it was determined that not all records for household member's who were 14 years of age or older contained documentation of a central registry check. Evidence: The record for household member A (D.O.B. 07/06/2007) did not contain documentation of a central registry check.
Plan of Correction:	The provider will request a central registry check for household member A.
Standard #:	8VAC20-800-710
Description:	Based on review of medication it was determined that not all procedures for administering prescription medication were followed. Evidence: The medication observed for Child B was not maintained in the original, labeled container indicating that the medication was dispensed from a pharmacy.
Plan of Correction:	The provider will request the original container with the prescription label for the medication, from the parents of Child B.
Standard #:	8VAC20-800-280
Description:	Based on observation of the family day home it was determined that potentially poisonous substances were not always inaccessible to children. Evidence: 1. A 1 gallon container of bleach was observed in the bathtub of the bathroom used by children. 2. Cleaning agents such as, disinfectant spray, hard wood cleaning agent, and various other cleaning supplies were observed in an unlocked, lower cabinet located in the feeding area.
Plan of Correction:	1. The bleach in the bathtub was removed during the inspection. 2. The lower cabinet was locked during the inspection. Provider stated that she had just finished cleaning the windows and will ensure all cupboards are locked immediately after cleaning product is taken out.
Standard #:	8VAC20-800-320-B
Description:	Based on observation of the family day home it was determined that not all unused electrical outlets were covered with child-resistant protective covers. Evidence: Four electrical outlets were observed without child-resistant protective covers.
Plan of Correction:	The electrical covers were capped with child-resistant protective covers during inspection. Provider stated that electrical covers will immediately be covered after craft time before moving on to next activity.
Standard #:	8VAC20-800-540-A
Description:	Based on observation of the feeding area it was determined that not all children using infant seats were securely fastened using a safety strap. Evidence: The safety strap was not fastened for Child A who was observed sitting in an infant seat attached to the feeding table.
Plan of Correction:	The safety strap for Child A was fastened during the inspection. Provider stated that Childs feet were touching the ground but she will make sure every child in that type of seat will wear the safety strap from now on.