VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Yamile Ferrari
6714 Abberley Loop
Gainesville, VA 20155
(703) 606-9483

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: May 8, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted from 10:00 - 11:30am with the provider and her assistant. There were eight children, ranging from four months to two years of age, for a total of 23 points. Children were observed playing with a variety of age-appropriate toys and watching an age-appropriate video. Seven child records, three caregiver/household member records, the emergency drill log, daily attendance, and required posted information were all reviewed. The provider is not currently certified in Medication Administration Training (MAT) and cannot administer medication to children in care. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, not all providers had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to employment as required. Evidence: the record for provider #2 (date of hire: 2/27/2024) had an OBI fingerprint determination letter dated: 3/7/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, not all providers had Central Registry search results by the end of their 30th day of employment. Evidence: the record for provider #2 (date of hire: 2/27/2024) had Central Registry search results dated: 4/29/2024 and there was no documentation of follow up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-B
Description:	Based on review of documentation, and an interview with the provider, not all shelter-in-place procedures were practiced a minimum of twice per year. Evidence: the last documented shelter-in-place drill was 7/19/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-100-A
Description:	(Repeat Violation) Based on record review, the provider did not obtain documentation of a physical exam by or under the direction of a physician before the child's attendance or within 30 days after the first attendance. Evidence: the record for child #3 (date of first attendance: (no date available, however was in attendance on 12/14/2023) did not contain documentation of a physical.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, not all provider records contained all required information. Evidence: the record for caregiver #2 (date of hire: 2/27/2024) did not contain documentation that two or more references were checked before employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-50-A
Description:	Based on review of documentation, it was determined that the provider did not ensure all children were accurately included on the attendance report. Evidence: There were eight children observed in care, however no children were listed on the attendance record for 5/8/24.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, not all child records contained all required information. Evidence: The records for child #1, child #4, child #5, and child #6 did not contain the complete name, address and phone number for two emergency contacts.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #1 (date of first attendance: 4/12/2024) and child #7 (date of first attendance: 1/8/2024) did not have documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on record review, not all providers had a Tuberculosis (TB) screening/test at the time of hire. Evidence: the record for caregiver #2 (date of hire: 2/27/2024) had a TB test/screening dated: 3/1/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	(Repeat Violation) Based on record review, not all providers had a Tuberculosis (TB) screening/test every two years as required. Evidence: the record for provider #1 had a negative TB test/screening dated: 7/28/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-530-F
Description:	Based on observation, and interview, soft bedding was used around an infant; Evidence: a four month old infant was observed laying on their back in a crib, crying, with a blanket completely covering their body and face.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-A
Description:	Based on observation, not all handwashing procedures were followed, as required. Evidence: a provider did not wash their hands before feeding an infant a bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, not all handwashing procedures were followed, as required. Evidence: a provider did not wash a child's hands before they were fed a bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.