VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Taina Branch
7514 Republic Court
Apt 101
Alexandria, VA 22306
(703) 799-0182

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Oct. 2, 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. Reviewed diaper changing procedures. 2. Discussed safe sleep practices, and pillows may not be used until a child turns 2 years old. 3. Reviewed requirement for cleaning supplies to be stored out of reach of children. 4. Reviewed/trained vendor on new subsidy requirements. 5. Forms provided: proof of identity, new emergency plan, attendance, and emergency contact.

Comments:

11:00am-1:50pm Annual unannounced subsidy inspection conducted. Observed 5 children + 1 child that lives in the home = 18 points with the vendor. Ratios were not in compliance and the overall allowed capacity was not in compliance. Supervision was in compliance. Children were playing with toys, drawing, watching child appropriate shows on TV, washing hands, eating lunch, and taking naps during the inspection. Infants were being held and fed. A sufficient amount of supplies were available to the children. Recordkeeping and safety non-compliances found. The vendor will have 10-days to demonstrate corrective actions.

Violations:

Standard #:	22VAC4-665-340-H-1
Description:	Based on observations made, it was determined that 1 of 3 cribs in use does not meet the current federal safety guidelines, as it was not made after 5/1/13. Evidence: According to the manufacturer's label, the light tan colored wood crib was made August 2010.
Plan of Correction:	The vendor will get a new crib.
Standard #:	22VAC40-665-150-D
Description:	Based on observations made, it was determined that the maximum capacity of 4 children has been exceeded. Evidence: There were 5 children in care during the inspection today.
Plan of Correction:	The vendor will not accept more than 4 children at any given time.
Standard #:	22VAC40-665-160-B
Description:	Based on records reviewed and interview conducted, it was determined that a written hard copy record of daily attendance that documents the arrival + departure of each child as it occurs has not been maintained. Evidence: The written record indicates the last date it was written was 6/4/19. The vendor said she has not been writing daily attendance since that time.
Plan of Correction:	The vendor will write attendance for every child in care everyday.
Standard #:	22VAC40-665-170-A
Description:	Based on interview conducted, it was determined that 4 of 5 children in care did not have a record of enrollment. Evidence: The vendor said she did not have records for Child #10, #11, #12, and #13.
Plan of Correction:	The vendor will have enrollment records for each child before allowing them to attend.
Standard #:	22VAC40-665-170-B
Description:	Based on records reviewed, it was determined that 3 of 3 children's records did not include required information. Evidence: 1. Child #1 - Medication policy not noted on signed document. 2. Child #8 - 1 of 2 parent name, address + phone number; medication policy not noted on signed document, and a written care plan for documented allergies. 3. Child #9 - 1 of 2 parent name, address + phone number; and medication policy not noted on signed document.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-210-A
Description:	Based on interview conducted, it was determined that 4 of 5 children in care today did not have documentation of immunizations prior to attendance. Evidence: The vendor said she had no records for Child #10, #11, #12, and #13.
Plan of Correction:	Immunizations will be required before allowing children to attend.
Standard #:	22VAC40-665-280-E
Description:	Based on observations made, it was determined that ratios were not maintained and the vendor was working alone with children exceeding the 16 points allowed. Evidence: The vendor was working alone with 5 children in care + 1 child that lives in the home = 18 points today.
Plan of Correction:	The vendor will not exceed 16 points at any given time.
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 + water before being sanitized with bleach + water after each use. Evidence: The vendor said she sprays the diaper pad with a bleach + water solution and wipes it with a household wipe.
Plan of Correction:	The vendor said she will make a spray bottle with soap + water solution.
Standard #:	22VAC40-665-410-B
Description:	Based on interview conducted, it was determined that there was not a record of emergency evacuation drills practiced in the last year. Evidence: The vendor said she has practiced drills, but does not know where the records are today.
Plan of Correction:	Record will be kept and available for inspection.