VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Reeta Devkota
25282 Boldness Court
Aldie, VA 20105
(202) 701-6995

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Aug. 7, 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 8VAC20-820 HEARINGS PROCEDURES 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Technical Assistance:

The revised Central Registry background check form will be forwarded to you. The background portal link will be forwarded to you. Discussed the importance of correcting non-compliance and the risk ratings regarding repeated and systemic violations.

Comments:

An unannounced Monitoring inspection was conducted today. A total of 11 children (23pts) with 2 staff. All children and staff were at a nearby playground at the beginning of the inspection. The Licensing Inspection went onsite to the playground and observed programming and supervision. Staff were strategically spaced apart to ensure adequate supervision while there. The children lined up orderly and held hands to begin the walk back to the family day home. One staff was positioned in the front of the children and the assistant was in the back. The youngest children were either held or held hands with staff. Once the children returned to the family day home, they sat quietly and waited their turn to wash hands. They transitioned to the table where they were provided cold water to drink. Activiites were given to them which involved interconnecting parts, blocks and other activities to engage them into playing with each other. Sufficient number of cots onsite. No cribs are in use at this time. The home was found neat and organized. A total of 5 children's records and all staff records were reviewed. Some repeated violations found from the last inspection. This inspection began at approximately 9:30am and ended at 12:10pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with questions.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, one background check was not obtained. Evidence: Staff #2 was hired over 30 days ago. A Central Registry search was not obtained to date.
Plan of Correction:	I will request a search and will forward the results to the Licensing Inspector within 10 days.
Standard #:	8VAC20-800-120-B
Description:	Based on staff record review, one staff record was incomplete. Evidence: Staff #2's record did not contain the following: proof of age address references date of hire emergency contact
Plan of Correction:	A complete record will be established for this staff.
Standard #:	8VAC20-800-60-B
Description:	REPEAT: Based on child record review, a child's record was incomplete. Evidence: The record for Child #3 did not include a start date. Child #3's record maintained only 1 of 2 required emergency contacts.
Plan of Correction:	All child files will be reviewed to confirm they are complete.
Standard #:	8VAC20-800-70-B
Description:	REPEAT: Based on child record review, a parent's written acknowledgement that they received information for parents was not obtained. Evidence: A written acknowledgement that Child #1 and #2's parents received required information from the provider was not obtained.
Plan of Correction:	All child files will be reviewed to confirm they are complete.
Standard #:	8VAC20-800-90-C
Description:	REPEAT: Based on child record review, documentation of additional immunizations was not obtained every six months for a child under the age of 2 years. Evidence: Child #1 is under the age of 2 years. The last documentation of immunizations was dated in August 2022.
Plan of Correction:	Immunizations will be required from this parent.
Standard #:	8VAC20-800-200-C
Description:	REPEAT: Based on staff record review, documentation of orientation was not found for one staff. Evidence: Staff #2's file did not contain documentation of orientation training.
Plan of Correction:	This staff will have orientation training completed by tomorrow.
Standard #:	8VAC20-800-240-A
Description:	Based on observation of the family day home, one area of the home was not maintained in an operable condition. Evidence: The smoke detector located on the lower level of the family day home was not operable.
Plan of Correction:	A battery will be replaced today.