VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Eymy Telleria
3410 Slade Court
Falls church, VA 22042
(703) 639-7877

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Dec. 19, 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 63.2 Child abuse and neglect

Comments:

An unannounced monitoring visit was conducted today between the hours of approximately 10:30 am through 1:30 pm. There were 12 children (32 points) directly supervised by 3 caregivers and the provider. A sample of 6 children's files and 5 staff/household member's files were reviewed. The provider has exceeded the 16 annual training hours required by completing 50 hours of training in 2019. The children were observed engaged in the following: toy play, circle time, singing songs, tracing and coloring and yoga. Interactions between the children and staff were positive. Cribs, the physical space of the care area, emergency supplies, evacuation drills, attendance records and the Emergency Preparedness Plan were reviewed. There were no medications on site today. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on record review, it was determined that two out of six children's records reviewed did not contain all required information. Evidence: 1) The record for Child 1 did not contain name, address and phone number of the place of employment for one custodial parent and the medical insurance policy number. 2) The record for Child 3 did not contain a signature as authorization for emergency medical care should an emergency occur.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, it was determined that parents were not always provided with required information before the child's first day of attendance. Evidence: 1) The record for Child 6 did not contain documentation that the parents were provided with the Policies for the administration of medications and the Provisions of the family day home's emergency preparedness and response plan.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-170-A
Description:	Based on documentation review, the provider did not obtain from each adult household member (HHM) prior to coming into contact with children, a current Report of Tuberculosis (Tb) Screening. Evidence: 1) The record for HHM 2 did not contain documentation of a current TB screening.
Plan of Correction:	We will get an appointment and get it done next week.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each caregiver and adult household member (HHM) a subsequent current Report of Tuberculosis (Tb) Screening form, every two years. Evidence: 1) The record for Staff 1 did not contain documentation of a current TB screening. The most recent Tb screening was dated 09/29/2017. A new Tb screening was due on 09/30/19. 2) The record for Staff 3 did not contain documentation of a current TB screening. The most recent Tb screening was dated 10/17/2017. A new Tb screening was due on 10/18/19. 2) The record for HHM 1 did not contain documentation of a current TB screening. The most recent Tb screening was dated 08/15/2017. A new Tb screening was due on 08/16/19.
Plan of Correction:	We will get an appointment and get it done next week.
Standard #:	22VAC40-111-200-A
Description:	Based on record review, it was determined that the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: 1) The record for Staff 2 (date of hire 08/13/2017) did not contain documentation that the Staff completed orientation training by the end of their first week of assuming job responsibilities.
Plan of Correction:	We will complete the orientation training today.
Standard #:	22VAC40-111-320-G
Description:	Based on documentation review and interview, it was determined that wood burning fireplaces and associated chimneys were not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, an inspection for the fireplace in the daycare area was not available for review. 2) The provider stated that the fireplace is never in use.
Plan of Correction:	I will get an appointment to get it done.