VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Minu Thapa
7135 Quincy Avenue
Falls church, VA 22042
(703) 507-4787

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: June 6, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition

Comments:

A monitoring inspection was conducted on 06/06/2022 between the hours of approximately 9:50 am and 12:00 pm. There were 9 children present, ranging in ages from 8 months to 2 years, with 3 staff supervising. Children were observed while eating breakfast, playing outside and transitioning to lunch. Caregivers were observed while supervising the children during breakfast and while playing outside, washing the children's hands after outside play and getting them ready to have lunch. 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 2 child records and 3 staff 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not ensure that Central Registry search results were obtained by the end of the 30th day of employment, and new search results are obtained every five years. Evidence: 1) The record for Staff #3 (start date 03/11/2022) did not contain the results of a Central Registry search. 2) Central Registry results in the record for Staff #2 were dated 03/09/2016. New search results were due in 2021.
Plan of Correction:	I am in the process of receiving the search results for both staff members.
Standard #:	8VAC20-800-800-B
Description:	Based upon review of the emergency preparedness plan, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is documented. Evidence: 1.The most recent review of the Emergency Preparedness Plan documented by the provider was dated 02/16/2021.
Plan of Correction:	Reviewed and documented.
Standard #:	8VAC20-800-830-B
Description:	Based on documentation review and interview with the provider, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) On the date of inspection, the 2021 emergency drills log provided for review, had a shelter-in-place drill documented for the month of February 2021, however, a second shelter-in-place drill for the year 2021 was not documented. 2) The provider stated that they did not conduct a second drill for the year.
Plan of Correction:	I conducted a second drill in 2021 but accidentally wrote the wrong year. I have fixed this. Have already conducted one for 2022 and will be doing the second one soon.
Standard #:	8VAC20-800-920
Description:	Based on interview with the provider and documentation review, the menu for the current one-week period did not list substituted food. Evidence: 1) On the date of inspection, the provider stated that breakfast for the day was banana and a boiled egg, and for lunch, they would have brown rice, lentils soup, chicken nuggets, vegetables and fruits. 2) Upon review of the posted menu, the breakfast and lunch just described did not match with what was listed on the menu. (Listed: Breakfast: cheerios, milk, banana. Lunch: mac & cheese, boneless chicken, carrots, milk, apple)
Plan of Correction:	Corrected during inspection: The provider listed the substitutions on the menu.
Standard #:	8VAC20-800-50-C
Description:	Based on observation, the provider did not keep children's records confidential. Evidence: 1) The "Supplemental Page" of the previous licensing inspection containing confidential information about children in care was posted on the family day home's information area.
Plan of Correction:	It has been taken down.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 1 out of 2 children's records reviewed did not contain all required information. Evidence: 1) The record for Child #2 did not contain the first date of attendance.
Plan of Correction:	This has been updated.
Standard #:	8VAC20-800-80-C
Description:	Based on record review, the provider did not document in the child's record the method of verification of the child's age and identity. Evidence: 1) The record for Child #1 did not contain documentation of having verified the child's age and identity.
Plan of Correction:	Verified with child's birth certificate.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: 1) Upon inspection of the backyard play area, the following was observed: * Loose pieces of wooden trellis that separated a garden area from the play area, had sharp corners that could snag skin. * The wooden fence had rotten/broken pieces on the bottom of some areas. * Plastic equipment (slides, toy cars, play house) looked in need of deep cleaning.
Plan of Correction:	Some was corrected during inspection: The provider removed loose pieces of trellis and moved out of reach of children. The provider shall fix other areas and clean the equipment. Threw away the toy car and cleaned the slide the day after inspection.
Standard #:	8VAC20-800-250-E
Description:	Based on observation, plastic bags large enough for a child's head to fit inside were accessible to children under five years of age. Evidence: 1) Plastic bags were observed on a shelf next to the diapering area. The shelf was at a height accessible to children in care.
Plan of Correction:	Corrected during the inspection: The provider moved the bags out of the reach of children.
Standard #:	8VAC20-820-120-E-1
Description:	Based on review of required posted documents, the provider did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the license certificate posted was dated with an expiration date of 03/31/2019. The most recently issued license should read an expiration date of 03/31/2023.
Plan of Correction:	Corrected during inspection: The provider located the current license and posted it on the fdh's premises.