VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sherry Kelly-Williams
3102 Wilson Avenue
Alexandria, VA 22305
(703) 548-6818

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: July 26, 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 22.1 Background Checks Code, Carbon Monoxide 54.1

Technical Assistance:

Technical assistance was offered related to: 1. Children's records 2. Staff records 3. Background checks 4. Record keeping 5. Cribs and toys used by infants. The provider demonstrated compliance related to the installation of the carbon monoxide detector.

Comments:

A monitoring inspection was conducted on 7/26/23 10:15 am to 11:40 pm. There were 6 children present (18 points) with 3 caregivers supervising. The children were observed watching children's shows on TV, doing water play and infants being bottle fed. 2 children's records, 2 caregiver's records, attendance and emergency drill records were reviewed. There were no medications 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 #:	22.1-289.035-A
Description:	Based on records review and staff interview, the family day home did not obtain results of a repeat fingerprint based criminal record check (CRC) and central registry search (CRS) findings, every 5 years for an employee. Evidence: 1. The results of the provider's CRC expired on 4/3/23. 2. The results of the provider's CRS expired on 2/18/23. 3. None of the two background searches were completed and obtained within 5 years.
Plan of Correction:	Background check requests will be submitted ASAP and a follow up with the licensing inspector will be conducted no later than 8/3/23.
Standard #:	22.1-289.035-B-2
Description:	Based on staff interview and record review, the family day home did not obtain results of a fingerprint based criminal history check for an employee prior to the first day of employment. Evidence: 1. Caregiver # 1's first day of employment was 1/19/23. 2. Fingerprint results have not been obtained for Caregiver # 1 to this date.
Plan of Correction:	Background check requests will be submitted ASAP and a follow up with the licensing inspector will be conducted no later than 8/3/23.
Standard #:	8VAC20-770-60-C-2
Description:	Based on records review and staff interview, the family day home did not obtain results of a central registry search (CRS) for an employee within 30 days of employment. Evidence: 1. Caregiver # 1's first day of employment was 1/19/23. 2. The provider did not obtain results for Caregiver # 1's CRS to this date.
Plan of Correction:	Background check requests will be submitted ASAP and a follow up with the licensing inspector will be conducted no later than 8/3/23.
Standard #:	8VAC20-800-100-A
Description:	Based on staff interview, the provider did not obtain documentation of a physical examination for a child within 30 days of attendance. Evidence: 1. The provider stated that Child # 1's first day of attendance was 6/12/23. The provider stated that she did not have a copy of the child's physical exam.
Plan of Correction:	Physical exam will be obtained from the parents.
Standard #:	8VAC20-800-120-B
Description:	Based on staff interview, the family day home did not obtain documentation of two written reference checks for an employee prior to the first day of employment. Evidence: 1. The provider stated that Caregiver # 1's first day of employment was 1/19/23. 2. The provider stated that she did not obtain two reference checks for Caregiver # 1.
Plan of Correction:	Reference checks will be completed and filed.
Standard #:	8VAC20-800-60-A
Description:	Based on staff interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: 1. The provider stated that Child # 1's first day of enrollment was 6/12/23. 2. When Child # 1's record was requested for review, the provider stated that the parent had not returned the folder with all the paperwork. There were no documents to review for Child # 1.
Plan of Correction:	The record has been requested from the parents today.
Standard #:	8VAC20-800-60-B
Description:	Based on records review, children's records were not complete. Evidence: 1. Child # 2's record was missing the following items: a. Information for parents and the liability insurance form. 2. Child # 3's record was missing the following items: liability insurance form and the provisions for emergencies.
Plan of Correction:	All the missing information will be collected from the parents.
Standard #:	8VAC20-800-70-A
Description:	Based on staff interview, the provider did not provide in writing complete information for parents. Evidence: 1. The provider stated that Child # 1's first day of enrollment was 6/12/23. 2. Child # 1's record did not have a record that would include information for parents such as: a. operating information, b. communicable disease notification, c. general family day home policies, d. parent's written acknowledgment of the receipt of this information.
Plan of Correction:	The information will be requested from the parents.
Standard #:	8VAC20-800-80-A
Description:	Based on staff interview and records review, the provider did not obtain a proof of age and identity for a child within seven business days of the child's first day of attendance. Evidence: 1. Child # 1's first day of enrollment was 6/12/23. Child # 1 had no record to review and there was no documentation to show that the child's proof of ID was obtained. 2. Child # 2 and Child # 3's record did not have documentation to show that the proof of ID was reviewed by the provider.
Plan of Correction:	The proof of ID will be reviewed and documented in the children's records.
Standard #:	8VAC20-800-90-A
Description:	Based on staff interview and records review, the provider did not obtain documentation that the child has been adequately immunized prior to the first day of enrollment. Evidence: 1. The provider stated that Child # 1's first day of enrollment was 6/12/23. The provider stated that she did not have the immunization records for Child # 1. 2. Child # 2's record was missing documentation of immunizations.
Plan of Correction:	The immunization records will be requested from the parents and then added to each child's record.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas inside the family day home were not maintained in a safe condition. Evidence: 1. The metal heating radiator located by the front entrance door had a cover that does not stay on. The cover was found to have slipped off on the floor, exposing the sharp metal pieces inside. 2. The end of the metal cover was found to be rusty along with the some of the metal pieces inside the radiator.
Plan of Correction:	The radiator will be fixed, rust will be covered. In the meantime it will get covered until it is properly fixed.