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Debra Goodman
13565 Melville Lane
Chantilly, VA 20151
(703) 631-2044

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: March 28, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The provider was reminded not to post the Supplemental form from today's inspection.

Comments:
Today an unannounced Monitoring inspection took place between 8:50am and 11:20am. There were 6 children present with the provider and 2 assistant for a total of 17 points within the supervision guidelines. The children were observed being dropped off by their parents, working on puzzles, coloring and practicing sight words. A complete inspection of the physical plant, children and staff records, fire drill log, menu and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-750-D
Description: Based on observation, over-the-counter skin products were kept beyond their expiration date. Evidence: During the inspection diaper cream for child #5 had expired 6/2017 and diaper cream for child #6 had expired 12/2017.

Plan of Correction: We've thrown them away.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam prior to or within 30 days after a child's first date of attendance. Evidence: Child #1 first date of attendance was 10/23/2017 and there is no physical exam on record. Child #2 first date of attendance was 8/11/2014 and there is no physical exam on record. Child #4 first date of attendance was 2/2/2017 and there is no physical exam on file.

Plan of Correction: I'll let them know that I need it.

Standard #: 22VAC40-111-120-B
Description: Based on record review, assistants' records did not contain all required information. Evidence: Caregiver #2 file did not contain the employee's first date of hire, documentation of two reference checks, documentation that the employee had received orientation by the end of their first day assuming job responsibilities and an address for their emergency contact.

Plan of Correction: We take care of it and get it done.

Standard #: 22VAC40-111-50-C
Description: Based on observation, information from children's records was not kept confidential. Evidence: The provider has the children's parent's first and last names along with all contact numbers posted on the wall of the family day home.

Plan of Correction: I'll slide a piece of paper in front of that.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all required information. Evidence: Child #1 record did not contain an address for their second emergency contact and the name and policy number of the child's medical insurance. Child #2 file did not contain local emergency contacts, documentation of an annual review of the families contact information and the name and policy number of the child's medical insurance. Child #4 file did not contain local emergency contacts, documentation of an annual review of the families contact information and the name and policy number of the child's medical insurance.

Plan of Correction: We will fill in all the missing information.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain a Tuberculosis (TB) screening for each caregiver prior to coming into contact with the children. Evidence: Caregiver #2 file did not contain documentation of a TB screening. At the time of the visit caregiver #2 was observed working with the children.

Plan of Correction: She can get it done on Friday because we'll be closed.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the provider has not obtained central registry results through Child Protective Services (CPS) within 30 days of employment. Evidence: Caregiver #2 file did not contain the results of a CPS check that had been mailed out for findings. The provider has confirmed that the caregiver has been employed for more than 30 days.

Plan of Correction: I'll call to check where it is.

Standard #: 63.2-1721.1-A
Description: Based on record review, the provider employed a staff member without obtaining fingerprinting results that would confirm the individuals eligibility to have responsibility for the safety and well-being of children. Evidence: Caregiver #2 file did not contain an eligibility letter obtained from fingerprint screening. Fingerprint screening has been required of all new staff hired after 1/22/2018. The provider has confirmed that the Caregiver #2 was hired after 1/22/2018 and she has not completed a fingerprint screening.

Plan of Correction: We'll all be getting it done.

Standard #: 63.2-1809.1-A
Description: Based on record review, each child in care was not provided with a written notice of an insurance declaration that states whether or not the provider have liability insurance to cover the operation of the family day home. Evidence: Child #1, Child #3 and Child #4 records did not contain documentation of an insurance declaration.

Plan of Correction: Give me a week to do it.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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