VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Silvia Rosales Galdamez
4112 Wakefield Chapel Road
Annandale, VA 22003
(703) 898-1298

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: May 24, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 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

Comments:

An announced initial inspection was completed on 5/24/2023 between the hours of 1:00pm-3:10pm. There were 4 children present (13 points) with the provider and one assistant. A variety of age appropriate materials were observed in the family day home. The Inspector reviewed 4 children's records, 2 caregiver/household member records, and the Emergency Preparedness Plan submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation, topical skin products did not meet all requirements. Evidence: 1. Two topical products were provided by the parent for Child #1. The products were not labeled with the child's name.
Plan of Correction:	We will label the skin products.
Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the first aid kit did not contain all required supplies. Evidence: The first aid kit did not contain triangular bandages.
Plan of Correction:	We will buy triangular bandages.
Standard #:	8VAC20-800-790
Description:	Based on observation, the required telephone numbrs were not posted in a visible area. Evidence: The following numbers were not posted in a visible area: 1. A 911 or local dial number for police, fire, and emergency medical responders; 2. The responsible person for emergency backup care 3. The regional poison control center.
Plan of Correction:	We will post the required numbers.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 1 of 4 children's records reviewed did not contain all required information. Evidence: 1. The record for Child #2 did not contain documentation of the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
Plan of Correction:	We will talk with the parent.
Standard #:	8VAC20-800-80-C
Description:	Based on record review, 4 of 4 children's records reviewed did not contain documentation of viewing proof of identity within seven business days of the child's first day of attendance.. Evidence, 1. The records for Child #1,2,3, and 4 did not contain the signature of the person viewing the proof of identity document and the date the document was viewed.
Plan of Correction:	We will update the forms with the signatures and dates.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that 2 of 4 children have been adequately immunized before their first day. Evidence: 1. The records for Child #1 and Child #2 did not contain documentation of immunizations received.
Plan of Correction:	We have been in ongoing contact with the parents regarding the forms and will continue to request from the parents.
Standard #:	8VAC20-800-520-A
Description:	Based on observation, cribs were not provided for 2 children under 12 months of age. Evidence: Child #1 (age 11 months) and Child #3 (age 8 months) were present at the family day home during the inspection. There were no cribs available for use during rest time at the family day home.
Plan of Correction:	We will purchase cribs.