VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Soniya Ashraf
4514 Venable Avenue
Alexandria, VA 22304
(571) 501-1297

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: May 2, 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 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 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:

Discussed shelter in place drills and lockdown drills for 2024. Discussed the need for a variety of Band-Aid sizes. Discussed the crib height should be lowered. Discussed the wood swing outside should not be used for children in care. Discussed the crib sheet should be changed if soiled. Discussed the menu and the requirement to inform parents if she substituted food. Discussed the slide location on the deck and better locations to prevent injuries. Discussed paper towels need to be in the bathroom for children to use.

Comments:

An unannounced renewal inspection was conducted today from 9:35am-11:23am with the provider on site. There were 2 children in care and 1 resident child (8 points) present with 1 caregiver. A sample of 2 children's files and 2 caregiver/household files were reviewed. The children were engaged in the following: playing with various toys. The physical space, attendance records, drill record, menu and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Repeat violations were found and are identified within this report. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only. Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the violation notice and summary from the last inspection was not posted in a conspicuous place on the licensed premises. Evidence: 1. The last inspection from March 18, 2024 was not posted to include the summary and violation notice.
Plan of Correction:	I have post my new inspection.
Standard #:	22.1-289.058
Description:	Based on interview, the provider did not have a carbon monoxide detector. Evidence: 1. The provider did not have a carbon monoxide detector and the home was build before 2015.
Plan of Correction:	Bought a new carbon monoxide.
Standard #:	8VAC20-800-730-D
Description:	Repeat Violation Based on observation, the facility did not ensure that prescription medications are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A household member's prescription ointment was observed on a low shelf on the kitchen island, accessible to children.
Plan of Correction:	Moved this medication to the lock cabinet.
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 that was missing the first aid instructional manual and assorted size bandages.
Plan of Correction:	I have printed from online. Put in the box some bandages.
Standard #:	8VAC20-800-770
Description:	Repeat Based on observation, the facility did not ensure that they had a working battery operated weather band radio, and extra batteries. Evidence: 1. Observed that the provider had a portable weather band radio, but the provider did not have batteries in the radio to demonstrate that it was working.
Plan of Correction:	Got battery operator radio.
Standard #:	8VAC20-800-830-C
Description:	Repeat Violation Based on interview, the provider did not ensure that the emergency evacuation drill documentation included the minimum information. Evidence: 1. The provider stated she completed an emergency evacuation drill in April, but did not document the required information
Plan of Correction:	Emergency evacuation drill updated.
Standard #:	8VAC20-800-920
Description:	Repeat Violation Based on review of the provider's menu, it did not include all required information. Evidence: 1. The provider's menu was not dated for the current week.
Plan of Correction:	Menu has been updated.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on review of two children's records and interview, the records did not contain all required information. Evidence: 1. Child #1's file (start date 8/21/2023) was missing two emergency contact addresses, written authorization for emergency medical care and written authorization to go off premises. The provider stated she takes the children off premises. 2. Child #2's file (start date 8/21/2023) was missing one emergency contact address and phone number, written authorization for emergency medical care and written authorization to go off premises.
Plan of Correction:	Updated.
Standard #:	8VAC20-800-70-B
Description:	Based on review, the provider did not obtain the parent's written acknowledgment of the receipt of the information required in this section. Evidence: 1. Child #1's file (start date 8/21/2023) did not have the following forms signed: Information for Parent's form, the liability insurance declaration and the policy for administering medication form. 2. Child #2's file (start date 8/21/2023) did not have the following forms signed: The policy for administering medication form, the liability insurance declaration and provisions of the emergency plan
Plan of Correction:	Updated.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas of the family day home outside were not maintained in a safe condition. Evidence: 1. Visible broken glass was in the grass near the large tree swing in the backyard..
Plan of Correction:	Cleaned broken glass from under the tree.
Standard #:	8VAC20-800-250-A
Description:	Based on observation, hanging items including window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: 1. Multiple head phone wires with long cords were hanging on the wall near the crib in the playroom.
Plan of Correction:	I have removed all the hanging wire cords.
Standard #:	8VAC20-800-280
Description:	Repeat Violation Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were not stored away and kept inaccessible to children. Evidence: 1. A wheel and tire cleaner and armor all car wash was under the kitchen sink in an unlocked cabinet. 2.A container of Tide laundry soap, scrubbing bubbles and Windex were under the sink in an unlocked lower bathroom cabinet. The bathroom is used by children. 3. A bag of miracle grow was on the deck where the children play outside.
Plan of Correction:	I have put child proof cabinet lock.
Standard #:	8VAC20-800-320-B
Description:	Repeat Violation Based on observation, the provider did not ensure that unused electrical outlets accessible to children have child-resistant protective covers. Evidence: 1. Two unused outlets in the kitchen, 1 unused outlet in the family and 1 unused outlet in the playroom were not covered with protective covers.
Plan of Correction:	Covered with outlet cover.
Standard #:	8VAC20-800-330-A
Description:	Based on observation and interview, the provider did not have a landline telephone that did not require electricity to operate. Evidence: 1. The provider had a cordless telephone, but could not find her phone that did not require electricity to operate.
Plan of Correction:	Got telephone and kept it with emergency bag.
Standard #:	8VAC20-800-440-B
Description:	Based on observation, Protective barriers or guardrails were not constructed to prevent a child from climbing over, crawling or falling through, or becoming entrapped. Evidence: 1. On the deck, a child protective gate was attached to the rails by the stairs with zip ties and was not attached correctly allowing the gate door to open easily and give children access to the stairs.
Plan of Correction:	Have put safety lock.
Standard #:	8VAC20-800-500-D
Description:	Based on observation, outdoor play equipment did not meet the all requirements. Evidence: 1. The swing seat in the backyard was made of wood and did not have flexible seats of rubber, canvas or nylon.
Plan of Correction:	I have put flexible seat.