VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Silvia Gomez-Portillo
3815 El Cerrito Place
Alexandria, VA 22309
(703) 531-7143

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 16, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes 22VAC40-665 General qualifications 22VAC40-665 Building or home maintenance. 22VAC40-665 Supervision and ratio requirements 22VAC40-665 Programs 22VAC40-665 Special Care Provisions & Emergencies 22VAC40-665 Special Services

Technical Assistance:

1. Steps should not be accessible to children under the age of 2 years old. Discussed the use of a safety gate. 2. Reviewed/trained vendor on new subsidy regulations.

Comments:

10:05-11:50am Conducted an unannounced annual subsidy inspection. Observed 5 children = 14 points with the vendor. Supervision was in compliance, though the capacity was exceeded for a period of time today. The children were observed playing with toys, watching a child appropriate cartoon on TV, washing hands, and eating snack. The infants were being held, fed, and having play time on the floor. The vendor was talking and playing with the children, and promptly tending to their needs. Conversations between the vendor and children were in Spanish. The daycare areas of the home were found to very clean, safeguarded appropriately, and well supplied with toys and equipment for the children. The vendor completed the required annual child development training, and is currently certified in First Aid/CPR. Recordkeeping and safety violations found today. Note: A revised inspection report was issued later on the same date due to information received from a local agency regarding background checks for the household.

Violations:

Standard #:	22VAC40-665-150-D
Description:	Based on observations made, it was determined that the maximum capacity of 4 children was exceeded today. Evidence: There were 5 children in the vendor's care when the inspector arrived to the home today. The vendor said the 5th child (Child #11) was a grandchild, who was picked up by a parent at approximately 10:20am. The inspector observed 5 children in care for approximately 20 minutes today.
Plan of Correction:	The vendor will not allow more than 4 children to be present at any one time.
Standard #:	22VAC40-665-160-B
Description:	Based on records reviewed, it was determined that a written hard copy of daily attendance that documents the arrival + departure of each child in care as it occurs has not been maintained. Evidence: Child #11 was not included on the written attendance report.
Plan of Correction:	All children will be included on the daily attendance.
Standard #:	22VAC40-665-170-A
Description:	Based on records reviewed, it was determined that 1 of 5 children present did not have required enrollment information. Evidence: There was no record for Child #11, who was present today.
Plan of Correction:	All children in care will have a complete enrollment file.
Standard #:	22VAC40-665-190-B
Description:	Based on records reviewed, it was determined that the vendor has not completed a TB screening every 2 years. Evidence: The vendor's TB test was completed 4/11/17.
Plan of Correction:	The vendor will get a new TB test.
Standard #:	22VAC40-665-260-A-3
Description:	Based on observations made, it was determined that the hot water temperature exceeded 120 degrees. Evidence: Today the water temperature was measured to be 129.1 degrees.
Plan of Correction:	The temperature will be turned down on the hot water heater. Also, the vendor stays with the children when they are washing their hands.
Standard #:	22VAC40-665-370-E-3
Description:	Based on interview conducted, it was determined that the diaper changing surface has not been cleaned with soap and water, and then sanitized with bleach and water after each diaper change. Evidence: The vendor said she cleans the pad with soap and water, but does not sanitize it with bleach and water.
Plan of Correction:	The vendor will clean the diaper pad with soap and water, and then also sanitize it with a bleach and water solution.
Standard #:	63.2-1721.1-B-2
Description:	Based on information received, it was determined that an adult living in the home has not submitted fingerprinting (criminal record check). Evidence: Adult #2, has lived in the home for a period of years, and did not completed a national background check/fingerprinting by September 2018.
Plan of Correction:	The fingerprinting will be completed in the next 10 days.