VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Machado
7806 Lake Pleasant Drive
Springfield, VA 22153
(703) 372-5269

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Oct. 3, 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 attendance record requirements. 2. Discussed the reasons and importance of the vendor have written information about any special needs a child may have. 3. Reviewed/trained vendor on new subsidy requirements. 4. Forms provided: attendance, new emergency plan, and proof of identity.

Comments:

9:35am - 12:00pm Annual unannounced subsidy inspection conducted. Observed 4 children + 1 child that lives in the home = 14 points with the vendor + adult #1/assistant caregiver. Ratios and supervision were in compliance. The children were playing with toys, puzzles, and having story time. Infants were being held and fed. Caregivers were talking and playing with the children, and promptly tended to their needs. The childcare areas of the home were found to be clean, safeguarded appropriately, and well supplied with toys and equipment for the children. Both caregivers are currently certified in First Aid/CPR. Recordkeeping and health non-compliances found.

Violations:

Standard #:	22VAC40-665-150-A
Description:	Based on observations made, it was determined that the vendor has not ensured compliance with the subsidy vendor agreement. Evidence: Two subsidy payment cards were in the home today, belonging to Child #6 and Child #8. [Photo #1 and #2]
Plan of Correction:	The vendor will tell parents that the cards may not be left in the home.
Standard #:	22VAC40-665-160-B
Description:	Based on records reviewed and interview conducted, it was determined that a written hard copy of daily attendance that documents the arrival + departure of each child as it occurs has not been maintained. Evidence: 1. Child #1 + Child #2 - There was no written record of attendance, and the vendor said it has not been written because the parent does not come inside the home to write it. 2. Child #14 - No record of arrival today, though the child was present during the inspection.
Plan of Correction:	The vendor said she will make sure attendance is written everyday when children arrive + leave.
Standard #:	22VAC40-665-170-B
Description:	Based on records reviewed and interview conducted, it was determined that 2 of 7 children's records did not include required information. Evidence: 1. Child #8 - There was no documentation of special care instructions and activities for a child with special needs. The vendor was not sure of the child's diagnosis. 2. Child #13 - While there was information about the child's diagnosis in the record, there was no additional instructions for the vendor.
Plan of Correction:	1. The vendor said she has asked the parent for something in writing, but has not received anything, and will ask again. The vendor said she and the assistant caregiver have a an understanding of the child's needs and are providing "therapy" exercises to the child daily. 2. The vendor said the child may be leaving her care this month, but if not, additional information about the child's special needs will be put in the record.
Standard #:	22VAC40-665-210-A
Description:	Based on records reviewed, it was determined that 1 of 7 children's records did not include documentation of immunizations prior to attendance. Evidence: Child #13 - There were no immunizations on-file. Child enrolled since August 2017.
Plan of Correction:	The vendor will request immunizations from parent, unless child leaves care in next 10-days.
Standard #:	22VAC40-665-370-E-2
Description:	Based on observations made and interview conducted, it was determined that the diaper changing surface is not non-absorbent. Evidence: The diaper pad had a terry cloth cover, which is absorbent. The vendor said parents want her to use a cloth cover on the pad, which she launders daily.
Plan of Correction:	The vendor removed the cloth cover during the inspection.
Standard #:	22VAC40-665-370-E-3
Description:	Based on observations made, it was determined that the diaper changing surface has not been cleaned with soap + water and then sanitized with bleach + water after each use. Evidence: The plastic diaper pad had a terry cloth cover which cannot be cleaned + sanitized.
Plan of Correction:	The cloth cover was removed during the inspection. The vendor will use the plastic diaper pad and will clean + sanitize it after each use.