VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Diuris Quant
2701 Dawn Drive
Alexandria, VA 22306
(417) 619-5962

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: May 1, 2019

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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Facilities and Programs

Technical Assistance:

Discussed caregiver trainings.

Comments:

An unannounced renewal inspection was conducted today from 10:45am-1:15pm. There were 8 children (26 points) supervised by 3 direct care staff. The home, 3 staff records, 5 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed doing an art project outdoors, painting with bubble wrap, sticks, wood chips, and their fingers; eating lunch, and tranisitioning to naptime. Diapering procedures were also observed. Lunch served was chicken soup with potatoes, carrots, onions, tortilla chips, and rice; apples, and milk. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on a review of children's records, 1 of 5 children's records did not contain documentation of a completed physical form signed by a physician. Evidence: Child #3's (start date: 12/5/2018) record did not contain documentation of a completed physical form signed by a physician.
Plan of Correction:	I have already talked to mom and she will request a copy from the pediatrician.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, 1 of 3 caregiver records did not contain documentation of a current report of tuberculosis screening form. Evidence: Caregiver B's (date of hire: 4/2017) most recent documented TB screening was dated 4/11/2017 (expired: 4/11/2019).
Plan of Correction:	The caregiver will go get the TB test done by next Monday.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, the family day home provider did not ensure that all areas and furnishings of the family day home were maintained in a clean, safe, and operable condition. Evidence: 1. The outdoor swing set had a blue plastic swing seat that was crack and along the middle edges of the seat, causing the seat to bend. 2. The outdoor back wooden deck area had a wooden board that was cracked and deteriorating. 3. A tree in the outdoor play area had plastic tubing around it that was cracked and no longer secured in the ground.
Plan of Correction:	We will replace the wood with the crack. In the meantime, we will put tape over the cracks in the wood and on the plastic tubing. We will also replace the swing seat.