VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norma Vidaurre
4106 Mason Ridge Drive
Annandale, VA 22003
(703) 256-2502

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Aug. 16, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussed with the provider: staying within capacity and points, caregivers need to be able to communicate in English to carry out job responsibilities and communicate effectively with emergency responders, records for emergency caregivers, proper documentation of proof of identity, updated sworn disclosure forms, ensuring children do not have access to the deck staircase when playing outside, doing a walk-through of outdoor area prior to children going outside, ensuring there is adequate space for cots to be spread out during nap time, children over the age of one sleeping on cots/rest mats, small electrical appliances must be unplugged when not in use, attendance, non-absorbent changing pad

Comments:

An unannounced monitoring inspection was conducted on 08/16/2022 between the hours of approximately 11:50 a.m. and 2:10 p.m. There were 13 children present, between the ages of 8 months and 3 years, with 2 assistants for a total of 42 points exceeding the supervision and capacity guidelines. The provider was not home at the time of inspection. The children were observed engaging in free play, singing songs, preparing for nap, and napping. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and caregiver records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. 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. Thank you for your cooperation. If you have any questions, please e-mail me at tameika.king@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and provider interview, the family day home did not ensure that all employees submit to fingerprinting and obtain results prior to employment. Evidence: 1. Caregiver #2 did not have results of fingerprinting on file before working at the family day home. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and provider interview, an employee of the family day home was employed before the home had the person?s completed sworn statement. Evidence: 1. Caregiver #2 did not have a completed sworn statement on file. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-750-B
Description:	Based on observation, topical skin products were accessible to children. Evidence: There were three diaper creams and one healing cream in bins on the changing table, accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of physical examination for each child prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: Child #2?s (start date: 10/05/2020) record did not contain documentation of physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-A
Description:	Based on record review, the provider did not maintain a record for each caregiver. Evidence: 1. The provider did not have a record for Caregiver #2. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-40-A
Description:	Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider?s maximum licensed capacity is 12. At the time of inspection, there were 13 children present. 2. Caregiver #2 stated that Child #8 was her child. Child #8 was not enrolled in the family day home, but was present during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on record review, the family day home did not keep a written record of children in attendance each day. Evidence: The last day that the family day home recorded attendance was 07/28/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-A
Description:	Based on record review, the family day home did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. There was no record on site for Child #6 (start date: 08/08/2022). 2. There was no record on site for Child #7 (start date: 08/08/2022).
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home. Evidence: 1. Child #2?s (start date: 10/05/2020) record did not contain documentation of immunization. 2. Child #5?s (start date: 08/19/2019) record did not contain documentation of immunization.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #3?s (age: 1 year) most recent immunization record was dated 12/06/2021. 2. Child #4?s (age: 20 months) most recent immunization record was dated 03/05/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-130
Description:	Based on observation and caregiver statement, caregivers were not able to speak in English as necessary to carry out job responsibilities. Evidence: 1. Caregiver #1 and Caregiver #2 were unable to communicate in English during the monitoring inspection. 2. When asked a question, Caregiver #1 stated that they do not speak English and called the provider?s daughter on the phone to assist. 3. The provider?s granddaughter arrived shortly after and translated the information.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening form. Evidence: 1. Caregiver #2 did not have a current Report of Tuberculosis Screening form. 2. The provider stated that Caregiver #2 is not a regular employee of the family day home and was just called to work that day due to an emergency.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings of the family day home, inside, were not maintained in a clean, safe and operable condition. Evidence: There were multiple areas of chipped paint on the half wall that divides the main daycare room from the eating area.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1. One spray cleaner with bleach, one container of powder bathroom cleaner, one container of disinfecting wipes, one bottle of dish soap (warning label says to keep out of reach of children), and two claw hammers were in an unlocked closet, accessible to children. 2. One bottle of alcohol antiseptic and one bottle of hand sanitizer were on the half wall, accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under five years of age. Evidence: 1. There was one outlet uncovered by the blue couch in the main daycare area. 2. There was one outlet uncovered by the high chairs. 3. There was one outlet uncovered in the nap room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-H
Description:	Based on observation, all flammable and combustible materials were not stored in an area inaccessible to children. Evidence: There was a multi-purpose lighter in an unlocked drawer, accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-340-C
Description:	Based on observation, the bathroom did not contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom provided for the children did not contain toilet tissue, liquid soap and paper towels.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-520-A
Description:	Based on observation, cribs were provided for children over 12 months of age who were developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1. Child #9 (age: 2 years) was observed in a crib during nap time. 2. Child #10 (age: 14 months) was observed in a crib during nap time. 3. Child #13 (age: 15 months) was observed in a crib during nap time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-A
Description:	Based on observation, cots and rest mats used for sleeping or napping by children other than infants did not have linens consisting of a top cover and a bottom. Evidence: 1. Child #2 (age: 2 years) was using a cot with a top cover and no bottom cover. 2. Child #4 (age: 20 months) was using a cot with a top cover and no bottom cover. 3. Child #5 (age: 3 years) was using a cot with a top cover and no bottom cover. 4. Child #11(age: 21 months) was using a cot with a top cover and no bottom cover. 5. Child #12 (age: 3 years) was using a rest mat with a top cover and no bottom cover.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on observation, the provider did not ensure that a caregiver did not exceed 16 points. Evidence: During the time of inspection, there were 13 children present, between the ages of 8 months and 3 years, totaling 42 points. There were 2 caregivers present during this time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child. Evidence: Caregiver #2 did not wash their hands after diapering Child #9.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not ensure that children?s hands were washed with liquid soap and warm running water after diapering. Evidence: Caregiver #2 did not ensure that Child #9?s hands were washed after diapering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not nonabsorbent and washable and was not cleaned and sanitized after each use. Evidence: 1. The diaper changing pad had a cloth cover. 2. Caregiver #2 did not clean and sanitize the diaper changing pad between diapering Child #9 and Child #8.
Plan of Correction:	Not available online. Contact Inspector for more information.