VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ana Garcia-Cerna
3635 Barcroft View Ter
Apt 101
Falls church, VA 22041
(571) 501-1033

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Aug. 20, 2019

Complaint Related: No

Areas Reviewed:

63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 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 regarding the changes to the vendor agreement standards were conducted during this inspection.

Comments:

The vendor is present with 8 children during this annual health and safety subsidy inspection. The inspection is unannounced. The vendor has a total of 13 points today. The children are playing with toys ,drawing and having snack and lunch during the inspection. The vendor and children are interacting, lots of conversation going on. The space used for care has lots of toys to explore.Children bring their food from home and the vendor supplements with snacks , she does not transport the children. At the beginning of the inspection the vendor had 5 children in the room. An hour in to the inspection , a school age child informed the inspector that another three children were hiding in a room. The vendor was asked to retrieve the children at that time. This inspection started at 10:15 and ended at 2:15. Please call me at 703-203-8659 if you have any questions regarding this inspection. Follow up to inspection was conducted on 9/27/2019 to present the vendor with violations and get corrective action from the vendor. 10:30-12:00

Violations:

Standard #:	22VAC4-665-340-F
Description:	Based on the review of the physical space, it was determined that the vendor failed to provide a crib for an infant. Evidence: A 2 1/2 month old is in care, started on 8/12/19. The vendor does not have a crib for the child.
Plan of Correction:	I have gotten crib out of storage on the day of the last inspection.
Standard #:	22VAC40-665-150-D
Description:	Based on observation during the inspection, the vendor did not ensure that the home did not exceed the capacity of children allowed by law. Evidence: There are 8 children present today, exceeding the maximum capacity by 4.
Plan of Correction:	I only have 4 children now. some times parents ask me to take care of the children for one or two days and I think it is not that big a problem. But normally I only have two or three children.
Standard #:	22VAC40-665-160-B
Description:	Based on the review of the vendors paperwork and interview with the vendor it was determined that the vendor does 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 does not have a written record of daily attendance that is up to date, the last date attendance is recorded is 1/30/19. On the follow up on 8/27/19 the vendor did not have any attendance for the last 6 days.
Plan of Correction:	I will start doing it every day. fixed during the follow up inspection.
Standard #:	22VAC40-665-170-A
Description:	Based on the review of children's records , the vendor failed to have information for 4 children. Evidence: The following children do not have any records, child B,C,D and E
Plan of Correction:	Child B,C and E are no longer in my care and the mom has brought me some of the information for child D. I am working with the parent to get the rest of the information.
Standard #:	22VAC40-665-170-B
Description:	Based on the review of the available paperwork for the children,it was determined that the vendor failed to get some of the required information to make the records complete. Evidence: Based on the review of four children's records , the information regarding emergency contacts addresses were missing from child A,F,G and H's files
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-665-280-A-1
Description:	Based on observation during the inspection, the vendor failed to be able to be aware of what every child was doing and being able to intervene: Evidence: At the start of the inspection (10:15am) there were 5 children in care with the vendor. After about an hour (11:15), one of the school age children in care told the inspector that three other children were hiding in the bedroom closet. The inspector asked the vendor to get the children and the vendor went to retrieve them in her son's room. The three children were directed by the vendor to come out. There were two 9 year olds and one 4 year old. When asked where they had been when the inspector looked in the room , the children said they had been in the closet During the approximate hour the vendor was not able to actively supervise the three children, not aware of what the children were doing and could not have intervened if she needed to.
Plan of Correction:	It is hard to explain in English. I need to work and the parents asked if I could help because school was out and sacc was closed and I was trying to help. My husband is in El Salvador and I have to pay everything. My kids said oh no check when you came, Matthew ran with my son and the two big girls went with my son because we knew we had too many kids. My son says they were only in the closet when you were checking in the room. I will make sure I just take care of 4 children from now on. When people come to my house to do a check I will make sure all the children stay in the space used for care.
Standard #:	22VAC40-665-370-A-1
Description:	Based on observation during the inspection, it was determined that the vendor failed to have the children was hands after eating snack and lunch. Evidence: At arrival the children were observed eating snack and after snack the children did not wash hands. Later the children did wash hands before lunch but failed to wash hands after lunch.
Plan of Correction:	I will make sure they wash hands
Standard #:	22VAC40-665-370-A-3
Description:	Based on observation during the inspection, it was determined that the vendor did not wash hands after changing a child's diaper. Evidence: The vendor changed a child's diaper but failed to wash hands afterwards.
Plan of Correction:	I just forgot that day . I will make sure I was my hands and the babys.
Standard #:	22VAC40-665-370-E-2
Description:	Based on the inspection of the physical plant, it was determined that the vendor failed to have a non absorbent diaper changing pad. Evidence: The diaper pad on the changing table is torn and covered with a cloth diaper.
Plan of Correction:	I bought a new mat
Standard #:	22VAC40-665-370-E-3
Description:	Based on the observation during the inspection , it was determined that the vendor failed to clean and sanitize the diaper pad after each use. Evidence: The vendor did not sanitize the diaper changing pad and when asked about it she said she cleans it in the morning.
Plan of Correction:	I sanitize after every diaper change
Standard #:	22VAC40-665-410-A-1
Description:	Based on review of the emergency evacuation records the vendor failed to conduct emergency evacuation records monthly. Evidence: The vendors last recorded emergency evacuation drill was conducted in May of 2019.
Plan of Correction:	I have already had a fire drill this month and will make sure I have one every month