VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mirtha Aguilar
4013 Travis Parkway
Annandale, VA 22003
(703) 916-8735

Current Inspector: Derek Acosta (703) 554-4995

Inspection Date: May 14, 2019

Complaint Related: No

Areas Reviewed:

63.2 Facilities and Programs 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:

Training provided: Record keeping Emergency planning / supplies / drills updated model forms for proof of identity recalled products ( bumbo seats) documentation of children in care.

Comments:

An unannounced SHSI inspection was conducted today from 11:10 am- 1:10 pm. There were 3 children in care( 8 points) directly supervised by the vendor and her husband. The children were observed eating lunch/ being fed bottle, resting, napping in a crib, watching TV and playing on electronic device. Hand washing routines were also observed. Vendor/ household member/ child information was reviewed as well as emergency planning supplies and policies and procedures. If there are any questions regarding this inspection please contact kelly.savittiere@dss.virginia.gov

Violations:

Standard #:	22VAC40-665-160-B
Description:	Based upon records reviewed and interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The vendor has a total of 3 children in care at the time of the inspection and no written attendance has been taken. There is no documentation on record that attendance has been completed for children in care.
Plan of Correction:	Model form started during inspection. I will do from now on. We know its very important.
Standard #:	22VAC40-665-170-A
Description:	Based upon information reviewed, vendors did not maintain, and keep at the family day home, written or electronic information for each enrolled child, which shall be made available to the department's representative upon request. Evidence: There was a child ( A) in care that had no paperwork available to inspector.
Plan of Correction:	The baby is just here today. I will get paperwork if baby comes back.
Standard #:	22VAC40-665-170-B
Description:	Based upon information reviewed, required information was missing. Evidence: Child B missing emergency contact information ( name / address/ telephone number) and mothers work address and telephone number Child C missing emergency contact information ( name / address/ telephone number) and mothers work address and telephone number, sick policy and authorization for medical treatment Child D missing emergency contact information ( name / address/ telephone number) and mothers work address and telephone number, authorization medical treatment, sick policy
Plan of Correction:	I will get all missing information. I will use new model forms.
Standard #:	22VAC40-665-370-E
Description:	Based upon observation, diaper changing pad is not non- absorbent as required. Evidence: The pad had open slots that were fabric and did not allow for proper cleaning and sanitation.
Plan of Correction:	We put duct tape over holes today and will buy new pad.
Standard #:	22VAC40-665-410-B
Description:	Based upon records reviewed, required drills were not documented as required. Evidence: There were no evacuation drills documented since 9/2018. ( required monthly). There are no shelter in place drills recorded for 2018 ( required (2) per year) There is no lock down drill documented ( required (1) per year) for 2018.
Plan of Correction:	I have it for fire department, I cannot find it. New logs were provided.