VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sherry Brown
2422 Windbreak Drive
Alexandria, VA 22306
(703) 765-0820

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: April 25, 2024

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 Emergencies 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Guidance was provided regarding the necessity of completing updated TB screenings and background checks, including fingerprinting, central registry, sworn statements, and out-of-state background checks. Also advised provider to complete the 2024 Health and Safety Update training in time for renewal.

Comments:

A monitoring inspection was conducted today between 11:00am to 12:30pm. There was a total of 4 children (10 points) with 2 caregivers present. The children were engaged in the following: toy play, cutting activities, free play and other organized activities. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, emergencies and nutrition. There was an assortment of age-appropriate materials for the children in care. A total of 3 child records and 2 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. If you have any questions regarding the inspections, please contact the Licensing Inspector, Diana De Silva at Diana.Desilva@doe.virginia.gov or 571-596-3656. Please submit your plan of correction within five business days for it be included on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the license and other documents required by the Superintendent were not posted in a conspicuous place on the licensed premises. Evidence: The most recently issued license and finding of the most recent inspection were not posted on the premises.
Plan of Correction:	The provider's license has been posted on the stairwell leading down to the daycare.
Standard #:	22.1-289.035-B-2
Description:	Based on record review of caregiver records, the provider did not ensure all caregivers submit to fingerprinting prior to first day of employment. Evidence: Caregiver #2 (first day of employment 4/1/2024), does not have documentation of an eligible fingerprint prior to first day of employment.
Plan of Correction:	Provider ensures caregiver is working on the process of getting fingerprinting done.
Standard #:	22.1-289.035-B-4
Description:	Based on record review of caregiver records, the provider did not obtain a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry from any state in which the individual has resided int he preceding five years. Evidence: Caregiver #2 (first day of employment 4/1/2024) has lived outside Virginia within the past five years. does not documentation that the provider obtained a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry from any state in which the individual has resided int he preceding five years.
Plan of Correction:	A copy of criminal background, sex offender registry and the child abuse and neglect registry will be provided for the file.
Standard #:	22.1-289.058
Description:	Based on observation the family day home was not equipped with a carbon monoxide detector. Evidence: A carbon monoxide detector was not observed. Provider confirmed there isn?t a carbon monoxide detector in the home.
Plan of Correction:	The provider will purchase a new carbon monoxide detector.
Standard #:	8VAC20-770-60-B
Description:	Based on record review of caregiver records, the provider failed to obtain a sworn statement or affirmation prior to first day of employment. Evidence: Caregiver #2 (first day of employment 4.1 2024), does not have documentation of a completed sworn statement or affirmation prior to first day of employment.
Plan of Correction:	The sworn statement or affirmation form has been completed.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review of caregiver records, the provider did not obtain a central registry sear finding within 30 days of employment for all caregivers. Evidence: There is no documentation the provider submitted a central registry finding for caregiver #2 (first day of employment 04/01/2024).
Plan of Correction:	Provider is currently working on obtaining central registry findings for Caregiver #2.
Standard #:	8VAC20-800-800-B
Description:	Based on record review of emergency procedures, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan Evidence: The emergency plan was last reviewed and updated on 01/10/23.
Plan of Correction:	Emergency plans have been updated as of 5/2/2024.
Standard #:	8VAC20-800-940-B
Description:	Based on observation and provider statement, an operable thermometer was not available to monitor refrigerator and freezer compartment temperatures. Evidence: Provider confirmed she does not have a thermometer for the fridge where food is stored.
Plan of Correction:	Thermometers will be provided for the freezer and refrigerator.
Standard #:	8VAC20-800-120-B
Description:	Based on record review of caregivers, the provider did not maintain a complete and updated record for all caregivers. Evidence: The record for caregiver #2 did not contain their address, emergency contact information and statement of health.
Plan of Correction:	The caregiver's emergency contact information is in the process of being updated.
Standard #:	8VAC20-800-60-A
Description:	Based on record review of caregiver records, the provider failed to maintain an up-tp-date record for each enrolled child. Evidence: Provider did not have a record available for review for child# 4 (first day of attendance 1/4/2020).
Plan of Correction:	Child #4's file has been located. Files will be updated.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on record review, 3 children?s records were incomplete. Evidence: The records for child #2 and child #3 (first day of attendance was 2/21/2023) do not have documentation of an annual parental review of child?s record. The record for child #1 (under two years old) does not contain documentation of an updated immunization record every two years for children under the age of two. Immunization record in record was dated 9/23/2023.
Plan of Correction:	Child records are in the process of being updated.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the outdoor play area was not maintained in a safe and operable condition. Evidence: Observations of the outdoor play area which revealed the presence of hazardous items such as a substantially large, discarded TV and oversized ladders accessible to children.
Plan of Correction:	The outdoor area will be maintained to be in a safe and operable condition.
Standard #:	8VAC20-800-320-G
Description:	Based on review of fore safety procedures, the wood burning fireplace and associated chimney was not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning was not maintained by the provider Evidence: Documentation of an annual inspection completed for the fireplace and associated chimney was not available for review.
Plan of Correction:	The fire place inspection is scheduled for May 4th 2024. Document will be provided after the inspection.
Standard #:	8VAC20-800-430-A
Description:	Repeat Violation Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision have access to stairs. Evidence: The stairs to the second level of the family day home are not blocked off at the top or bottom of the stairs, making them accessible to the children.
Plan of Correction:	A gate has been put in place to block off the top and bottom of steps.
Standard #:	8VAC20-800-510-A
Description:	Based on observation, children were not provided with individual cots for resting. Evidence: The cots were not identified for individual use.
Plan of Correction:	The cots have been labeled.