VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Olivia Gomes
3114 15th Street, South
Arlington, VA 22204
(703) 271-7954

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Jan. 19, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors 63.2 Child abuse and neglect

Technical Assistance:

Reminder: All caregiver staff are required to obtain 16 hours of training annually.

Comments:

An unannounced monitoring inspection was conducted today, January 19th, 2022. There were 10 children (24 points) present with 2 caregivers. The entire physical plant, attendance logs, emergency evacuation logs, emergency supplies, emergency plans, cribs, bottles, children's records, caregiver records and household member records. There was no medication on site. The children were observed hand washing, playing with floor toys and 2 children were asleep. Areas of non-compliance are cited on the Violation Notice. If you have any questions, please contact the inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations:

Standard #:	8VAC20-770-40-D-1-b
Description:	Based on a review of caregiver records, the Family Day Home failed to obtain a criminal record history. Evidence: Caregiver #1's record does not contain documentation of a criminal record .
Plan of Correction:	I will obtain a criminal record background check for this caregiver.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of caregiver records, the Family Day Home failed to obtain a sworn statement from every caregiver. Evidence: Caregiver #1 and #2's records do not contain documentation of a sworn statement.
Plan of Correction:	I will have caregiver's fill out the sworn statement and place in their records.
Standard #:	8VAC20-800-50-A
Description:	Based on observation, the Family Day Home did not have a written record of attendance each day. Evidence: The provider did not have written attendance record for the day of inspection,
Plan of Correction:	I will remember to write down the daily attendance.
Standard #:	8VAC20-800-70-A
Description:	Based on a review of child records, the Family Day Home did not obtain all written information for parents. Evidence: Child #1's record did not contain documentation of whether or not there is liability insurance in force on the Family Day Home. Child #1 and #2's records did not contain documentation of the policy for the administration of medicines. Child #1 and #2's records did not contain documentation of the provisions of the Family Day Home's emergency preparedness and response plan.
Plan of Correction:	I will have the parent's fill out these forms and will place them in child records.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of caregiver records, the Family Day Home failed to obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Caregiver #3's record does not contain documentation of a tuberculosis test or screening.
Plan of Correction:	I will make sure the caregiver gets a tuberculosis test or screening and place it in the caregiver records.
Standard #:	8VAC20-800-200-C
Description:	Based on a review of caregiver records, the Family Day Home did not have documentation of orientation of assistant caregiver. Evidence: Caregiver #3's record did not contain documentation of orientation.
Plan of Correction:	I will remember to complete attendance daily.