VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Ramos Vigil
8116 Norwood Drive
Alexandria, VA 22309
(571) 699-9336

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Jan. 18, 2023

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. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Technical Assistance:

One or more background checks were found missing or incomplete during today's inspection. The licensee is aware that their renewal application cannot be processed until all missing and incomplete background checks have been reviewed by the licensing inspector.

Comments:

An unannounced renewal inspection was conducted today between 10:30am and 12:00pm. There were 7 children present with the Provider and 1 assistant for a total of 18 points within the supervision guidelines. The children were observed playing outside on bikes and trikes, playing on the backyard playground, waking up from nap, receiving bottles and washing hands before lunch. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, each caregiver did not submit to fingerprinting prior to employment. Evidence: Caregiver #2's record did not contain valid fingerprint results. The documentation on record was transferred from a previous employer.
Plan of Correction:	We can schedule the appointment today to get the fingerprints redone next week.
Standard #:	22.1-289.036-B-4
Description:	Based on interview, the Provider has not obtained an out-of-state central registry background check for each household member that has resided outside of the state of Virginia within the last five years. Evidence: 1. The Provider and Household member #1's sworn disclosure statements state that they resided in Maryland within the last five years. The Provider stated that they submitted the Maryland central registry background checks, but results were not received. The Provider stated that they did not contact the local agency to inquire about the background check requests.
Plan of Correction:	We did them but didn't keep a copy. I will call today to see if they received it. If they didn't, I will send the forms again and make a copy this time.
Standard #:	8VAC20-770-40-D-5-a
Description:	Based on interview, the provider did not obtain a central registry background check for a person residing in the home within 30 days of becoming 14 years old. Evidence: The provider confirmed that a Household member #4 turned 14 years old in April 2022. The provider stated that they completed a central registry background check for the household member, but the results were not received. The provider stated that they did not contact the local agency to inquire about the background check request.
Plan of Correction:	I did it but didn't keep a copy. I will call today to see if they received it. If they didn't, I will send the form again and make a copy this time.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, each caregiver does not have a central registry finding without 30 days off employment. Evidence: Caregiver #2 (date of hire: 9/6/2022) record did not contain a valid central registry finding. The documentation on record was transferred from a previous employer.
Plan of Correction:	They can fill the form out today, we need to get it notarized, I will make a copy and put it in the mail.
Standard #:	8VAC20-800-830-B
Description:	Based on interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: The provider stated that they practiced one shelter-in-place drill in 2022.
Plan of Correction:	I will make sure that we do two.
Standard #:	8VAC20-800-830-C
Description:	Based on interview, documentation of emergency evacuation and shelter-in-place drills was not maintained. Evidence: The provider stated that they did not document when the 2022 shelter-in-place drill was practiced.
Plan of Correction:	I will make sure to write them down.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider has not obtained documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1 (date of enrollment: 3/2/2021), Child #2 (date of enrollment: 3/2/2021), Child #3 (date of enrollment: 4/26/2021) and Child #5's (date of enrollment: 7/29/2021) and Child #6 (date of enrollment: 9/26/2022) records do not contain documentation of a physical exam.
Plan of Correction:	I will tell the parents that they need to bring the forms to me.
Standard #:	8VAC20-800-120-B
Description:	Based on record review and interview, assistants records did not contain all required information. Evidence: Caregiver #2's record did not contain documentation of two references. The provider stated that she was provided with two reference letters but then returned them to the assistant.
Plan of Correction:	I will have [them] bring the references back to me to keep in the record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child #4's record does not contain a second emergency contact. 2. Child #5's record does not contain two emergency contacts.
Plan of Correction:	I will tell the parents that they need to give the information to me.
Standard #:	8VAC20-800-70-A
Description:	Based on record review, parents were not provided in writing all required information. Evidence: 6 out of 6 children's records did not contain documentation signed by parents whether or not the family day home has liability insurance.
Plan of Correction:	I will print the form and fill it out to have all the parents sign for me.
Standard #:	8VAC20-800-170-B
Description:	Based on record review, tuberculosis (TB) screenings for new employees were not completed within the 30 days prior to employment. Evidence: Caregiver #2 (Date of hire: 9/6/2022) TB screening is dated 3/30/2021.
Plan of Correction:	They can make an appointment today to go for the test next week.
Standard #:	8VAC20-800-210-A
Description:	Based on record review, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver #1 did not complete any training in 2022.
Plan of Correction:	I will make sure that we attend the trainings to get it done.