VIRGINIA DEPARTMENT OF SOCIAL SERVICES

shabnum Siddique
6405 Holyoke Drive
Annandale, VA 22003
(703) 352-3449

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Oct. 24, 2022

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code, Carbon Monoxide 8VAC20-790 Subsidy Regulations.

Comments:

A subsidy health and safety (SHSI) inspection was initiated on 10/24/2022 and concluded on 10/24/2022. There were 2 children present with 1 staff supervising. The home was inspected, children records were reviewed. Vendor and household background checks were obtained from the Infant Toddler System specialist and found complete.This inspection covered subsidy health and safety regulations. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-180-B
Description:	Based on a review of records and vendor interview, the vendor has not maintained a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs Evidence: There were 2 children in care during this inspection, there was no record of written attendance documenting the arrival of these children. The vendor stated she records attendance on a wipe board which is then erased at the end of the day.
Plan of Correction:	The vendor will take written daily attendance.
Standard #:	8VAC20-790-190-B
Description:	Based on a review of children records, the vendor has not maintained all the required information for each child enrolled. Evidence: Child #1, #2 and #4 do not have documentation of proof of child's identity. Child #2 does not have name., address and phone number of at least one person designated by the parent to contact in an emergency. Child # 2 and #3 do not have documentation of written authorization to administer medication. Child #1, #2, and #4 does not have documentation of immunization record before the child's first day of attendance. The applicant applied to be a subsidy vendor on October 4, 2022, the children have been enrolled since the following dates: Child #1- 2/16/2021 Child #2- 3/8/2021 Child #3- 10/3/2022 Child #4- 9/27/2022
Plan of Correction:	The vendor will have the parents provide the required documents.
Standard #:	8VAC20-790-390-E
Description:	Based on observation, the vendor did not have a nonabsorbent diapering surface. Evidence: The diapering surface had a cloth covering making it not nonabsorbent.
Plan of Correction:	The vendor will remove the cloth cover from the diaper changing pad.
Standard #:	8VAC20-790-410-A-1
Description:	Based on observation, the first aid kit did not contain all the items. Evidence: The first aid kit was missing the following items: tweezers, gauze pads, adhesive tape, antiseptic cleaning solution.
Plan of Correction:	The vendor will purchase all the required items for the first aid kit.
Standard #:	8VAC20-790-410-B-2
Description:	Based on observation, the vendor did not have the required emergency supplies to include a working battery operated radio. Evidence: The vendor did not have a working battery operated radio.
Plan of Correction:	The vendor will obtain a battery operated radio.
Standard #:	8VAC20-790-420-A
Description:	Based on a review of emergency plans and vendor interview, the family day home did not have a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: The vendor does not have a written emergency preparedness plan.
Plan of Correction:	The vendor will develop a emergency plan.