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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Mrs. Sochitl Rodriguez Kauffman
26 Viking Lane
Stafford, VA 22554
(571) 429-1042

Current Inspector: Shawanda M Henderson (540) 216-1434

Inspection Date: Sept. 23, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
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

An unannounced monitoring inspection was conducted with the vendor on September 23, 2019 beginning at 8:47 AM and ending at 10:57 AM. There were sixteen children in the care of the vendor and three staff members. The children's ages were for a total of 6 months 7 months, 14 months,12 months, 19 months,19 months, 21 months, 23 months, 2, 2, 2, 2, 2, 3, 4, and 4 years old. The children were observed during free play. The children were also observed eating morning snack which consisted of carrot slices, cheese crackers, and milk. Handwashing procedures were observed. Seven children's records were reviewed. Two household members' records and three staff records were reviewed. There were no medications on site to be reviewed. The first aid kit, flashlight, and weather-band radio were observed and in compliance.

If there are any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at one time did not exceed the maximum licensed capacity of the home. Evidence: On September 23, 2019 the licensing inspector observed sixteen children present at the family day home in the care of the provider and three staff members. The family day home is licensed to provide care for a maximum of twelve children.

Plan of Correction: The provider stated that several of the children were enrolled in the program on a part-time basis. The provider stated that she would reduce in numbers immediately.

Standard #: 22VAC40-111-50-A
Description: Based on observation and staff interview, the provider failed to ensure that there was a written record of children in attendance for each day. Evidence: On September 23, 2019, there were fourteen children signed in on the attendance sheet but sixteen children physically present. Two of the children were not signed in on the daily written attendance sheet.

Plan of Correction: The provider will ensure that all children are signed in on the daily written attendance sheet.

Standard #: 22VAC40-111-60-B
Description: Based on a review of seven children's records, not all of the children's records contained the required information. Evidence: Child A's record was missing their medical insurance policy number and proof of identity. Child B did not have a record available during the inspection. Child D's record was missing phone numbers of the parent's place of employment. Child E's record was missing legal documentation and medical insurance policy number. Child G's record was missing the medical insurance policy number, phone number for one parent's place of employment, address for emergency contacts. Child H's record was missing the medical insurance policy number, phone number and phone number for an emergency contact.

Plan of Correction: The provider will obtain the missing information from the parents and update the children's records.

Standard #: 22VAC40-111-170-A
Description: Based on the review of documentation, not all of the adult household members had a current Report of Tuberculosis (tb) Screening form in their record. Evidence: Household member B's record was missing documentation of a tb screening.

Plan of Correction: The tb screening could not be located during the inspection. It will be placed in the record once it is located.

Standard #: 22VAC40-111-240-A
Description: Based on observation, not all of the furnishings of the family day home were in a clean and safe condition. Evidence: In the infant area there was a diapering pad with visible dried residue on the floor accessible to the children.

Plan of Correction: The diapering pad was picked up and cleaned immediately during the inspection. The staff will be retrained regarding the cleaning of the diapering pad.

Standard #: 22VAC40-111-690-D
Description: Based on observation not all of the diapering surfaces were nonabsorbent. Evidence: There was a changing pad with zippered cloth covering on it located on the large daycare area.

Plan of Correction: The provider stated that the changing pad with the cover was not being utilized by the staff and removed it immediately during the inspection.

Standard #: 63.2-1721.1-B-1
Description: Based on a review of documentation, not all of the staff members had documentation of a sworn statement or affirmation. Evidence: Staff C's record did not have a signed sworn statement form.

Plan of Correction: The provider will have the staff sign a sworn statement for immediately.

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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