VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Daniela Soto
14933 Jaslow Street
Centreville, VA 20120
(703) 477-2680

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: May 20, 2019

Complaint Related: Yes

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

The provider was not on site during the inspection. A discussion was held with caregivers regarding maintaining staff and children's records, training and medication administration.

Comments:

On May 20, 2019, an unannounced inspection was conducted regarding a complaint received by the licensing office on May 17, 2019. An interview with the caretakers was conducted regarding staff/child ratios. The information gathered from this investigation is inconclusive and the complaint is determined to be not valid. During the inspection, there were 7 children ( 17 points) in direct supervisor of the caretakers. During the inspection, 3 children's records, 3 staff records, and the physical plant were reviewed. Violations were cited today unrelated to the complaint. Any questions contact nancy.radcliffe@dss.virginia.gov or call 703-268-3728.

Violations:

Standard #:	22VAC40-111-120-B
Complaint related:	No
Description:	Based on review of caregivers records, 2 are not complete. Evidence: Staff #1 does not have documentation of reference checks, emergency contact information, experience or education. Staff #2 does not have documentation of emergency contact information, experience or education.
Plan of Correction:	Staff #1 emergency contact and references are have on file. Education evidence will be requested. Staff #2 reference and emergency contacts I do have and will requested the education information.
Standard #:	22VAC40-111-70-A
Complaint related:	No
Description:	Based on review of 5 children's records, 2 were incomplete. Evidence: Child #1 does not have documentation of address for emergency contacts. Child #2 does not have documentation of the parents receiving written information of any polices and procedures, including hours of operation, schedule of fees, check in/out procedures, liability insurance, medication policies, emergency procedures, and termination procedures,
Plan of Correction:	Files will be completed.
Standard #:	22VAC40-111-170-A
Complaint related:	No
Description:	Based on review of caregivers records, one caregiver does not have documentation of having a Tuberculosis (TB) screening before first day of employment. Staff #2, date of hire 1/15/19, does not have documentation of a TB screening before first day of employment.
Plan of Correction:	TB test screening will be requested.
Standard #:	22VAC40-111-180-A
Complaint related:	No
Description:	Based on review of caregivers records, one record does not have documentation of a tuberculosis (TB) screening every two years. Evidence: Caregiver #3 has a TB screening that expired 12/2/2018
Plan of Correction:	TB will be done.
Standard #:	22VAC40-111-240-A
Complaint related:	No
Description:	Based on observation, areas of the family day home are not being maintained in a clean, safe and operable condition. Evidence: Peeling and chipped paint was observed in the play room by the window and door. A broken backstop on a basketball hoop was observed in the backyard. There were sharp broken pieces accessible to children.
Plan of Correction:	Paint is not peeling off. I will paint the wood over it to make it look even. The sharp pieces were removed.
Standard #:	22VAC40-111-250-A
Complaint related:	No
Description:	Based on observation, a hanging window blind cord was accessible to children. Evidence: The side window had a blind cord within the reach of children under five years of age.
Plan of Correction:	Cord will be fixed and out of reach.
Standard #:	22VAC40-111-560-D
Complaint related:	No
Description:	Based on observation, infants are not protected from older children. Evidence: An infant was placed in a seat on the floor, not protected from older children.
Plan of Correction:	Babies will always be placed in the baby area.
Standard #:	22VAC40-111-690-D
Complaint related:	No
Description:	Based on interview with caregiver and observation, the diapering surface is not being cleaned and sanitized. Evidence: After a diaper change the diapering surface is being sprayed with a solution of soap and water, and wiped dry. The diapering surface is not being sanitized with a solution of bleach and water and allow to air dry after cleaning with the soap and water.
Plan of Correction:	I will go over the sanitizing steps with my assistants, since we use soap & water and lysol.
Standard #:	22VAC40-191-40-D-1-a
Complaint related:	No
Description:	Based on review of caregivers records, 2 records do not have documentation of a central registry check within 30 days of employment. Evidence: Staff #1 and 2 do not have documentation of a central registry check.
Plan of Correction:	I printed the records and they are now in the file.
Standard #:	63.2-1721.1-B-2
Complaint related:	No
Description:	Based on review of caregivers records, 2 records have fingerprint eligibility letters dated after their first day of employment. Evidence: Staff #1, start date 12/21/18, has a fingerprint eligibility letter dated 1/25/19. Staff #2, start date 1/15/19, has a fingerprint eligibility letter dated 1/25/19.
Plan of Correction:	I printed the records and they are now in their file.