VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Liliana Torres Serpa
6470 Fourth Street
Alexandria, VA 22312
(703) 371-2293

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Aug. 16, 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 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

Comments:

The inspection findings have been updated after an administrative review on 12/6/2023. A monitoring inspection was conducted on 8/16/2023 and the inspector was on site from approximately 11:15 am - 12:57 pm. There were a total of 4 children (8 points) observed with 1 caregivers present from approximately 11:18 am - 12:57 pm. The children were engaged in the following: toy play. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 4 child records and 1 caregiver/household member records were reviewed. 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions about this inspection, please contact the inspector at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the provider did not ensure the current license was posted at all times in a place that is conspicuous to the public. Evidence: The current license was not posted in the family day home.
Plan of Correction:	I have to make sure I have every yearly renewed license hung up.
Standard #:	8VAC20-800-30-A
Description:	Based on observation, the provider did not ensure compliance with the standards and the terms of the current license issued by the department. Evidence: 1. The provider failed to ensure compliance with the standards when 4 children were left in the care of a 13 year old household member. 2. The household member is not qualified as they do not have the required education, experience, age or training.
Plan of Correction:	I will make sure the substitute has all the required training and the required age.
Standard #:	8VAC20-800-60-A
Description:	REPEAT VIOLATION Based on a review of child records, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #1 did not have a record on site during the inspection.
Plan of Correction:	I have to make sure I have documentation for each enrolled child.
Standard #:	8VAC20-800-90-A
Description:	REPEAT VIOLATIONS Based on review of child records, the provider did not obtain documentation that the child has been adequately immunized, according to the requirements of the Code of Virginia, before the child can attend the family day home. Evidence: Child #1 did not have documentation of immunizations. Date of attendance was 8/15/2023 & 8/16/2023.
Plan of Correction:	Make sure to have documents of the child being adequately immunization.
Standard #:	8VAC20-800-150-A
Description:	Based on observation the provider did not ensure the Assistants were 16 years of age or older. Evidence: Household Member #1 (age 13) was in charge of the children (ages 21 months, 3 years, 4 years, and 7 years) for approximately 10 to 30 minutes.
Plan of Correction:	I have to leave assistant that is over 18 and capable of taking care of kids with proper documents.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider did not ensure poisonous substances, such as, cleaning agents were in areas inaccessible to children. Evidence: There was a bottle of Clorox and a bottle of All Purpose Cleaner in an unlocked lower cabinet in the bathroom used by children.
Plan of Correction:	I have to make sure to lock the cabinet for Clorox and cleaning chemicals and make sure they are out of the child's reach chemicals.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, the provider did not ensure that child-resistant protective covers were installed on all unused electrical outlets accessible to children under five years of age. Evidence: The two outlets closest to the door in the napping room did not have child-resistant protective covers installed.
Plan of Correction:	I have to make sure I put child resistant protective covers on all of the outlets.
Standard #:	8VAC20-800-340-C
Description:	Based on observation, the provider did not ensure the bathroom contained required supplies. Evidence: There were no paper towels in the bathroom that the children use.
Plan of Correction:	I have to make sure there is always paper towels the bathroom for the children to use.
Standard #:	8VAC20-800-560-A
Description:	Based on observation and interview, the provider did not ensure a caregiver was physically present on site and providing direct care and supervision of each child at all times. Evidence: 1. The inspector arrived at the providers house at approximately 11:15am. 2. Approximately 3-5 minutes later the inspector saw the provider arrive by vehicle to the home. 3. When the inspector entered the family day home at approximately 11:30am, the provider was present with 4 children ages 21 months, 3 years, 4 years, and 7 years and household member #1 (13 years old). The inspector confirmed that there was no substitute or assistant present while the provider was away from the home. 4. During interviews, the provider confirmed household member #1 was watching the children for approximately 10 minutes while she was away from the home. 5. The provider stated that "a 57 year old nephew was at the home while she was gone". The inspector did not see an adult male during the walk through of the home and did not observe an adult male leaving during the inspection.
Plan of Correction:	I should not leave a child under 18 looking after little daycare at that time because something could happes to the children.