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Dina Ibarra
9221 Wildwood Street
Lorton, VA 22079
(571) 239-2488

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Aug. 2, 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
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Licensing inspector discussed contacting OBI regarding the fingerprinting process with provider.

Comments:
An unannounced monitoring inspection was conducted today from approximately 11am-2:30pm. There were 8 children in care (21 points) directly supervised by 2 caregivers. A sample of 4 children?s records, 2 caregiver's records and 2 household member's records were reviewed. The children were observed playing outside, eating lunch, watching television, napping, playing with toys, during diapering procedures and washing hands. One new caregiver has been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review the file of each child at least annually. Evidence: Child A's file was last reviewed 06/14/2016 Child B's file was last reviewed 01/18/2018 Child C's file was last reviewed 02/23/2016

Plan of Correction: Parents will review files today.

Standard #: 22VAC40-111-800-A
Description: Based on interview with provider, the family day home did not have an emergency preparedness and response plan. Evidence: There was no emergency preparedness and response plan available during inspection. The provider stated that she did not have one.

Plan of Correction: I will complete the emergency plan this weekend.

Standard #: 22VAC40-111-800-C
Description: Based on record review, the provider did not ensure that each caregiver received training on the emergency procedures. Evidence: There was not emergency preparedness plan available during inspection. The provider did not train staff of the procedures of emergency preparedness.

Plan of Correction: I will train my assistant on the emergency plan next week.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination. Evidence: Child C did not have documentation of a physical examination on file.

Plan of Correction: I will ask parents to bring the physical today.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the record of each caregiver was incomplete. Evidence: The record of Caregiver A was missing, an emergency contact, 2 references, job title, and employment date.

Plan of Correction: I will complete the file by the end of the week.

Standard #: 22VAC40-111-50-A
Description: Based on record review and interview with provider, the family day home did not maintain a written record of daily attendance for the children in care. Evidence: The record of daily attendance was not maintained for the following days: July 23rd-July 27th 2018 and August 1st 2018.

Plan of Correction: I will update my attendance today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's files were incomplete. Evidence: 4 of 4 children's files reviewed were missing required information: 1) Child A was missing an annual review, 2) Child B was missing the phone number of 1 emergency contact, the address of the other emergency contact, and the insurance policy number. 3) Child C was missing an annual review, and immunization forms. 4) Child D was missing parents home addresses, the parents employment information, 2 of 2 emergency contact addresses, and Physicians phone number and address.

Plan of Correction: Parents will update files today.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation of immunization for each child. Evidence: Children B and C did not have documentation of immunization on file.

Plan of Correction: I will get the immunization forms for the children today.

Standard #: 22VAC40-111-200-A
Description: Based on record review and interview with provider, the provider did not orient the assistant provider by the end of the first week of assuming job responsibilities. Evidence: The provider stated that caregiver A began working July 23rd 2018 and she has not gone through orientation.

Plan of Correction: I will complete orientation within a week.

Standard #: 63.2-1720.1-B-2
Description: Based on record review and interview with provider, all caregivers did not submit to fingerprinting before the first day of working directly with children. Evidence: The provider stated that Caregiver A had not been fingerprinted at the time of inspection. Caregiver A began working with children 07/23/2018.

Plan of Correction: I will call the office and get my assistant an appointment for fingerprinting.

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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