VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lorena Ricci Castillo
5513 Helmsdale Lane
Alexandria, VA 22315
(571) 214-8730

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 11, 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:

Technical assistance was offered related to: Inspection reports, renewal of a conditional license, menu, children's records, storage of over the counter ointments and authorization forms used for topical ointments.

Comments:

An unannounced non mandated inspection was conducted today from 12:05pm to 1:10pm. There were 4 children (10 points) in care of 1 caregiver. The children were observed playing outdoors, playing with blocks and puzzles. Diapering was observed. 4 children's records and 1 family day home document, emergency drill records and attendance record was reviewed. There were no children with medications or diagnosed food allergies on site. 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 #:	8VAC20-800-100-A
Description:	Based on records review, the provider did not obtain documentation of a physical exam for children in care within 30 days of enrollment. Evidence: 1. First day of enrollment for the children enrolled are as follows: Child # 1: 8/15/22; Child # 2: 1/1/22; Child # 3: 8/2021 and Child # 4: ?. 2. Documentation of a physical exam was not obtained for any of the four children.
Plan of Correction:	The forms will be obtained.
Standard #:	8VAC20-800-60-B
Description:	Based on records review, information in children's records was not complete. Evidence: Child # 1, Child # 2, Child # 3 and Child # 4's record was missing the medical insurance information and the policy number.
Plan of Correction:	All the missing information will obtained from the parents.
Standard #:	8VAC20-800-70-A
Description:	Based on records review, children's files were not complete. Evidence: 1. Child # 1, Child # 2, Child # 3 and Child # 4's records were missing information related to the following: medication administration policy, liability insurance policy, and provisions of the family day home's emergency preparedness plan.
Plan of Correction:	The missing documents will be completed and filed in each child's record.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the caregiver did not ensure that children's hands were washed after diapering. Evidence: The provider changed Caregiver # 1'sdiaper, but did not wash Child # 1's hands after the diapering was completed.
Plan of Correction:	I will ensure that children's hands are washed after diapering.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned after being used. Evidence: The provider changed Child # 1's diaper on the diaper changing pad. The provider did not use soap and water to clean the pad, prior to using the disinfectant solution.
Plan of Correction:	I will follow the two step cleaning and disinfecting process.