VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wafaa Elhomosany
6120 Glen Oaks Court
Springfield, VA 22152
(703) 912-3877

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Aug. 8, 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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Discussed the menu and the need to be more specific. Example-Menu had Fruits listed-it should list what type of fruit, Menu had vegetables listed-it should list what type of vegetable. Discussed the sworn disclosure statement had been updated in the last five years and the form needs to be used. Discussed the maximum capacity and the requirement to not exceed capacity at all times.

Comments:

An unannounced monitoring inspection was conducted today from 10:08am-12:02pm with the provider on site. There were 14 children with 3 caregivers. The family day home is licensed for 12 children and was over capacity. A sample of 3 children's files and 3 caregivers/household member's files were reviewed. The children were engaged in the following: toy play, eating breakfast/snack, sleeping in cribs and standing in cribs. The site was clean. The physical space, attendance records, first aid kit, drill record and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, the first aid kit did not contain the minimum requirements. Evidence: 1. The provider had a first aid kit, but it did not contain assorted sized adhesive bandages.
Plan of Correction:	Bandages have been included in the first aid kit.
Standard #:	8VAC20-800-790
Description:	Based on observation and interview, the provider did not post all required telephone numbers in a visible area close to the telephone. Evidence: 1. The provider had 911 and poison control number posted, but did not have the responsible person for emergency backup care posted.. 2. The provider stated she did not know it was required to be posted.
Plan of Correction:	The backup emergency contact person's phone number has been posted next to the other numbers.
Standard #:	8VAC20-800-800-A
Description:	Based on review of the written emergency preparedness and response plan, the family day home's provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency back up care was not met. Evidence: 1. The emergency backup person listed had an address location in Gainesville, Virginia that was approximately 30-40 minutes from the provider's home.
Plan of Correction:	A new person has been assigned.
Standard #:	8VAC20-800-940-A
Description:	Based on observation, the refrigerator compartments temperatures were not maintained at or below 40 degrees. Evidence: 1. During the inspection, the refrigerator temperature read at 50 degrees when first checked and 53 degrees when checked approximately an hour later.
Plan of Correction:	We are currently using another refrigerator while the refrigerator is being checked. A new refrigerator will be deliver on 8/15/2023.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home. Evidence: 1. The provider is licensed for 12 children. During the inspection on August 8, 2023, 14 children were receiving care. 2. The provider stated that four children were going to be leaving care on August 18th, 2023. She had enrolled the 13th child on 7/10/2023 and the 14th child on 8/07/2023. 3. The provider has been over capacity since approximately 7/10/2023 through today.
Plan of Correction:	The last day for 2 of the kids was 8/08/2023. Please see attached letter.
Standard #:	8VAC20-800-50-C
Description:	Based on observation, information contained in a child's record was not kept privileged and confidential. Evidence: 1. The supplemental page from the inspection dated 1/20/2023 was posted on the wall with the summary page.
Plan of Correction:	Children's records were never shared and kept confidential. Previous inspection supplemental pages never indicated to not post it before yours. We will not post future supplemental pages.
Standard #:	8VAC20-800-50-E
Description:	Based on interview, records and reports on children were not maintained and made accessible to the department's representative for two years from the date of termination of services for a child, date of separation from employment for caregivers, or date of termination of residence for a household member, or unless specified otherwise. Evidence: 1. The provider stated she did not have copies of the attendance records for the last month when requested by the department representative to view them. She stated she did not keep records of attendance.
Plan of Correction:	We will keep a written record of children's attendance in accordance to the regulations.
Standard #:	8VAC20-800-60-A
Description:	Based on review of records and interview, the provider did not maintain an up to date record at the family day home for each enrolled child. Evidence: 1. Child #3 (Start date 8/07/2023) did not have an up to date record at the family day home. 2. The provider stated the parent had not turned it in yet. 3. The provider had the child's immunization record, proof of birth and medical insurance card only.
Plan of Correction:	The child's first day (8/07/2023) was one day before inspection date of 8/08/2023. Parents have submitted the paperwork.
Standard #:	8VAC20-800-60-B
Description:	Based on review of three children's records, the child records did not contain all required information. Evidence: 1. Child #2's file (start date 2/24/2021) did not have documentation of the review of the child's emergency contact information annually. The last review was dated 3/23/2022.
Plan of Correction:	Annual emergency contact has been included.
Standard #:	8VAC20-800-70-B
Description:	Based on review of children's records and interview, the provider did not obtain the parent's written acknowledgement of the receipt of the information in this section. Evidence: 1. Child #1 (start date 3/27/2023) did not have the provisions of the emergency plan form signed. 2. Child #3 did not have the parent's written acknowledgement of he receipt of the information in this section. The provider stated the parent had not turned in the forms yet.
Plan of Correction:	Child #1 Emergency plan form submitted on 8/14/2023 Child #3 started (8/07/2023) one day before the inspection (8/08/2023). Child has already submitted the forms.
Standard #:	8VAC20-800-180-A
Description:	Based on documentation review, the provider did not obtain updated tuberculosis (TB) test for each caregiver every two years. Evidence: 1. Caregiver #1 had a TB test or screening dated 5/03/2021 and was expired.
Plan of Correction:	Caregiver has the first available appointment for TB testing on Wednesday 8/23/2023.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home inside were not maintained in a safe and operable condition. Evidence: 1. In the back room where children sleep, three of the four walls needed drywall repair and the paint was chipping.
Plan of Correction:	Noted, the minuscule chipping/scratches on the wall will be addressed.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants and deodorizers were not stored away in areas inaccessible to children. Evidence: 1. In the kitchen area, Lysol and spray cleaner were on the table and within reach of children.
Plan of Correction:	Noted and has been already addressed.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider failed to cover all unused electrical outlets accessible to children under five years of age. Evidence: 1. In the back room where children sleep, one outlet was not covered by a crib on the right hand side wall.
Plan of Correction:	Noted and has already been addressed.
Standard #:	8VAC20-800-320-G
Description:	Based on interview, the fireplace and associated chimney had not been inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1. The provider stated she did not know she had to have the fireplace and chimney inspected annually.
Plan of Correction:	Since I got the house, we have never used the fireplace. I have scheduled for a chimney company to come out and inspect.
Standard #:	8VAC20-800-510-C
Description:	Based on observation, occupied cribs were not at least 12 inches from each other. Evidence: 1. In a back bedroom, 8 cribs were around the perimeter of the room. Seven of the cribs were touching the crib next to it and did not have 12 inches of space from each other and the last crib on the right was approximately a few inches from the crib next to it.. 2. In the kitchen, 4 cribs were touching the crib next to it and did not have 12 inches of space from each other.
Plan of Correction:	Crib spacing has been adjusted.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface did not meet the requirements. Evidence: 1. The diaper surface had a sheet over the changing pad and was not nonabsorbent.
Plan of Correction:	We have replaced it with a new one.
Standard #:	8VAC20-800-690-E
Description:	Based on observation, soiled disposable diapers and wipes were not disposed of in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. The caregiver pointed out to the trashcan they use for diapers. The top spins to open. It was not foot operated.
Plan of Correction:	We were cleaning the foot operated trashcan at the time of inspection. We have already placed the foot operated trashcan in its proper location.