VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sheila Amonzabel
14321 Flomation Court
Centreville, VA 20121
(703) 470-1557

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: May 3, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:

An unannounced monitoring inspection was conducted today between the hours of 10:55am-12:45pm. There were 4 children directly supervised by the provider. The home, 1 caregiver record, 3 children?s records, 1 household member?s record, evacuation drills, and emergency supplies were inspected. Children were observed playing freely. 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 #:	8VAC20-800-830-B
Description:	Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1. Documentation of emergency procedures indicated there were no shelter-in-place drills completed during the year 2022.
Plan of Correction:	I will make sure I do them this year.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for 1 child. Evidence: 1. Provider stated Child #1 began attending the family day home in 2022. 2. There is no documentation of a physical exam in the record for Child #1.
Plan of Correction:	I will ask the parents.
Standard #:	8VAC20-800-50-A
Description:	Based on record review, the family day home did not keep a written record of children's attendance each day. Evidence: 1. Documentation of daily attendance was not up to date. 2. The record of attendance for 5/1/23, 5/2/23, and 5/3/23 were not documented.
Plan of Correction:	Provider updated attendance documentation during inspection.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 2 of 3 children's records did not contain all required information. Evidence: 1. The record for Child #1 did not contain the child's first date of attendance. 2. The records for Child #1 and Child #2 did not contain the policy number of the child's medical insurance. 3. The record for Child #1 did not contain the name, address and telephone number of 1 of 2 designated persons to contact in case of an emergency if the parent cannot be reached 4. The record for Child #2 did not contain the address of 1 of 2 designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	I will ask the parents.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the first date of attendance for 1 child. Evidence: 1. Child #2 began attending the Family Day Home on 9/19/2022. 2. Documentation of immunizations in the record for Child #2 was dated 9/22/2022.
Plan of Correction:	Documentation of the immunizations were obtained and placed in the file.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, every two years. Evidence 1. The most recent documentation of a tuberculosis screening in the record for household member #1 was dated 8/20/2020.
Plan of Correction:	A tuberculosis screening for Household Member #1 was obtained on 5/5/2023.