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: Feb. 23, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Health Care of Caregivers and Household Members 8VAC20-800 Annual Training 8VAC20-800 Environment and Equipment 8VAC20-800 Spread of Disease 8VAC20-800 Emergencies 8VAC20-800 Nutrition

Technical Assistance:

Discussed with provider: Linens used for children; safe foods for children under 2 years old; background checks. Also discussed with provider the importance of maintaining points and ensuring there are enough caregivers present. The provider demonstrated compliance related to the installation of the carbon monoxide detector.

Comments:

An unannounced monitoring inspection was conducted from 10:30 am to 12:15 pm. There were 12 children (36 points) present with 3 caregivers. The children were observed in free play and eating lunch. The lunch menu included spaghetti with meat sauce, fruit and milk. There were no children present with allergies or medications. 3 caregiver's records, 1 household member's record, and 4 children's records were reviewed. The family day home's emergency drill logs were also 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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations:

Standard #:	8VAC20-800-920
Description:	Based on staff interview and record review, the weekly menu for the current one-week period was not prepared and posted. Evidence: When asked for the weekly menu, the provider showed a menu that was dated June 2022. The provider stated that she was using the same menu but it was not currently dated.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and date, with more than one infant present in care. Evidence: 1. Child # 1, Child # 2, Child # 3, Child # 4 and Child # 5's milk bottles were not labeled with their full name and date. 2. There was one bottle present with milk in it, and the provider was not sure about who it belonged to.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-100-A
Description:	Based on records review, the provider did not obtain documentation of a physical examination for a child within 30 days after the first day of attendance. Evidence: Child # 2's first day of attendance was 11/7/22. Documentation of Child # 2's physical was not obtained to this date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on records review, records for assistants were not complete. Evidence: Caregiver # 2's record was missing the following: First day of employment, documentation of 2 references checks, emergency contact information, orientation, and emergency training.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-60-B
Description:	Based on records review, children's records were not complete. Evidence: 1. Child # 3's record had a copy of the parent agreement and information for parents, but the forms were blank. 2. Child # 6's record was missing the following: father's information, mother's work information and emergency contact information.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-170-A
Description:	Based on records review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening prior to coming into contact with children. Evidence: 1. The provider stated that Caregiver # 2's first day of employment was 7/20/22. 2. Caregiver # 2's record did not have documentation of a TB screening.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-180-A
Description:	Based on records review, the provider did not obtain current results of the tuberculosis (TB) screening for each adult household member and caregiver, every two years from the most recent screening. Evidence: 1. Household Member # 1's most recent TB screening expired on 12/9/2022. 2. Caregiver # 1's most recent TB screening expired on 11/25/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-570-A
Description:	Based on staff interview and observation, the provider exceeded 16 points and did not follow the point system to ensure additional caregivers were present while children were in care. Evidence: 1. The licensing inspection started at 10:30 am. The provider was by herself with 12 children (36 points). The youngest child in care was 10 months old. 2. The provider stated that Caregiver # 1 was not feeling well and had to leave, but would be returning to the family day home. 3. Caregiver # 1 arrived to the family day home at 10:46 am. 4. The provider had not made any arrangements to have an additional caregiver so she could remain within points even after Caregiver # 1 had arrived. 5. After the licensing inspector discussed what the provider was planning on doing about managing her points, the provider called a back up assistant who arrived at 11:34 am. 6. The provider and Caregiver # 1 continued to be over points until 11:34 am.
Plan of Correction:	Corrected.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Caregiver # 2 was observed changing a child's diaper. She did not clean and sanitize the diaper pad after the diaper was changed.
Plan of Correction:	Corrected.