VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lucia Martinez
5646 Kathryn Street
Alexandria, VA 22303
(703) 960-6438

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Nov. 30, 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Discussed the following: timelines for background check requirements record-keeping requirements for children and caregiver records

Comments:

An unannounced renewal inspection was conducted on 11/30/2022 from 1:20pm-2:35pm. There were 7 children directly supervised by the provider and 1 assistant caregiver. The home, 2 caregiver records, 1 household member record, 2 children?s records, evacuation drills, and emergency supplies were inspected. Children were observed practicing fine motor skills and coordination through using scissors and coloring. Diapering and handwashing procedures were also observed. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the provider did not obtain the results of a fingerprint-based criminal history record check for 1 caregiver, prior to the first date of employment. Evidence: 1. The fingerprint-based criminal history record check results in the record for Caregiver #1 (employment date 1/11/2022) was dated 1/25/2022.
Plan of Correction:	Results were obtained and placed in the caregiver's file.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the provider did not obtain a Sworn Statement or Affirmation for 1 Caregiver prior to the first date of employment. Evidence: 1.The record for Caregiver #1 (employment date 1/11/2022) did not contain documentation of a sworn statement.
Plan of Correction:	Provider will provide the department with documentation that an updated sworn statement was completed within the next 10 business days.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not obtain the results of Central Registry search by the end of 30th day of employment. Evidence: 1.The Central Registry check results in the record for Caregiver #1 were dated 8/15/2022.
Plan of Correction:	Results were obtained and placed in the caregiver's file.
Standard #:	8VAC20-800-790
Description:	Based on observation and provider interview, required telephone numbers were not posted in a visible area. Evidence: 1. The following required information was not posted in the Family Day Home: -A 911 or local dial number for police, fire, and emergency medical responders; -The responsible person for emergency backup care -The regional poison control center.
Plan of Correction:	I will post the numbers.
Standard #:	8VAC20-800-800-A
Description:	Based on record review and provider interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. Documentation of the emergency preparedness and response plan was not available for review during the inspection. 2.The provider stated she didn?t know where the plan was.
Plan of Correction:	I will create another one.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination within 30 days of the first day of attendance for one child. Evidence: 1. The provider stated Child #1 began attending the family day home in ?March or April? of 2022. 2. The physical in the record for Child #1 was dated 07/1/2022.
Plan of Correction:	I will require parents give me the forms before they can start.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, 1 caregiver record did not contain all required information. Evidence: 1.The provider stated Caregiver #1 began employment on 1/11/2022. 2.The record for Caregiver #1 did not contain the following: -Address; -Verification of age; -Job title; -Date of employment or volunteering; -Name address and telephone number of a person to be notified in an emergency; -documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	I will get the information and put in her file.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 1 of 2 children?s records did not contain all required information. Evidence: 1.The record for Child #1 did not contain the first date of attendance. 2. The record for Child #1 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction:	The date of attendance was added. I will have the parent sign the form.
Standard #:	8VAC20-800-70-B
Description:	Based on record review, the provider did not obtain the parents' written acknowledgement of the receipt of all required information for 2 of 2 children?s records reviewed. Evidence: 1. The records for child #1 and Child #2 were missing written acknowledgement of receipt of the following required information: -Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; -Schedule of fees and payment plans; - Check in and check out procedures; -Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; -Requirement for the parent to inform the family day home within 24hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease - Requirement for the child to be adequately immunized -Requirement for paid caregivers to report suspected child abuse or neglect -Custodial parent's right to be admitted to the family day home any time the child is in care -General daily schedule that is appropriate for the age of the enrolling child; -Policies for the provision of food; -Presence of a pet or animal in the home; -Discipline policies including acceptable and unacceptable discipline measures; -Amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider; -Provisions of the family day home's emergency preparedness and response plan; -Policies for termination of care
Plan of Correction:	I will give the parents the information and have them fill out the form.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, the provider did not obtain from the parent, within seven business days of the child?s first day of attendance, verification of the identity and age of the child for 2 children. Evidence: 1.Provider stated Child #1 began attending the family day home in ?March or April? of 2022. The documentation in the record for Child #1 does not contain the signature of the provider or the date the proof of identification was reviewed. 2. Child #2 began attending the family day home on 4/11/2022. The documentation in the record for Child #2 does not contain the signature of the provider or the date the proof of identification was reviewed.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, 1 of 2 children?s records reviewed did not contain documentation that a child has been adequately immunized before the child began attending the family day home. Evidence: 1.The provider stated Child #1 began attending the family day home in ?March or April? of 2022. 2. The immunizations in the record for Child #1 were dated 07/1/2022.
Plan of Correction:	I will require parents give me the forms before they can start.
Standard #:	8VAC20-800-200-C
Description:	Based on record review, 1 Caregiver record did not contain documentation that the provider provided orientation training to the assistant by the end of their first week of assuming job responsibilities. Evidence: 1.The provider stated Caregiver #1 began employment on 1/11/2022. 2.There was no documentation of orientation in the record for Caregiver #1.
Plan of Correction:	I will use the state form to document.