VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nidia Retamal
12495 Cliff Edge Drive
Herndon, VA 20170
(571) 283-3365

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: July 6, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800-120 Administration 8VAC20-800-170 Health Care of Caregivers and Household Members 8VAC20-800-210 Annual Training 8VAC20-800-240 Environment and Equipment 8VAC20-800-680 Spread of Disease 8VAC20-800-810 Emergencies 8VAC20-800-870 Nutrition

Technical Assistance:

Technical Assistance: Background checks, transitioning children from outside, emergency drill records.

Comments:

A renewal inspection was conducted on 7/6/22 from 10:30am to 12:00pm. There were 12 children present (19 points) with 3 staff supervising. The children were observed playing outdoors with a variety of equipment and supplies; washing hands before meals and after using the restroom; and eating lunch. The lunch included cheese pizza and milk. A walk through of the family day home was conducted. 3 household member records, 3 staff records and 3 children's records were reviewed. The family day home's emergency plan and drill records, emergency supplies were also reviewed. There were no children present with diagnosed food allergies or medications. 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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations:

Standard #:	8VAC20-770-40-D-4-a
Description:	Based on staff interview, the family day home did not obtain results of a central registry search and a complete sworn disclosure statement (SDS) for a household member upon reaching the age of 18 years. Evidence: 1. Staff # 1 stated that Household Member # 1 (18 years old) has been a resident at the family day home for approximately 8 years. 2. Staff # 1 stated that a central registry search was not submitted for Household Member # 1 when she turned 14 years old. Staff # 1 also stated that an SDS was not completed when Household Member # 1 turned 18 years.
Plan of Correction:	The form was mailed on 7/7/22.
Standard #:	8VAC20-800-170-A
Description:	Based on staff interview, the provider did not obtain for each adult household member a current report of Tuberculosis (TB) Screening prior to coming into contact with the children. Evidence: 1. Staff # 1 stated that Household Member # 1 has been a resident of the family day home for approximately 8 years. 2. Household Member # 1 was observed engaging with children in the family day home. 3. Household Member # 1 reached 18 years of age in October 2018. Staff # 1 did not obtain a TB screening for Household Member # 1 when she turned 18 years old. 3.
Plan of Correction:	The household member went for a TB screening on 7/7/22.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas outside the family day home were not maintained in a safe condition. Evidence: A child safety gate was attached to the stairs in the backyard. The gate's latch was broken with sharp protruding edges, posing an injury hazard for the children.
Plan of Correction:	The gate was replaced.
Standard #:	8VAC20-800-320-A
Description:	Based on observation, small appliances were not unplugged when not in use. Evidence: A toaster and electric kettle were not unplugged in the kitchens on the main level and in the basement.
Plan of Correction:	Small appliances will be unplugged when not in use.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, unused electrical outlets were not covered by child resistant barriers. Evidence: 5 unused electrical outlets in the family day home's basement, the area used by the children, were not covered by child resistant protective barriers.
Plan of Correction:	All electric outlets not in use will be covered by covers.