VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Sanchez
22418 Stablehouse Drive
Sterling, VA 20164
(571) 246-6923

VDSS Contact: Maria Robles-Lopez (703) 397-3827

Inspection Date: Dec. 7, 2023

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

Consultation was provided on the following standards: * 8VAC20-790-390. Hand washing and toileting procedures * 8VAC20-790-420. Procedures for emergencies. * 8VAC20-790-430. Emergency response drills. The Licensing Inspector shared with the vendor links, forms and information.

Comments:

An unannounced initial Unlicensed Subsidy Health and Safety (USHSI) inspection was conducted on 12/07/2023. There were 6 children (14 points) present with the vendor supervising. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at Maria.Robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-790-170-D
Description:	Based on observation, the vendor exceeded the capacity of children cared for as allowed by law or regulation. Evidence: 1) On the date of inspection, 6 children were in care with the vendor supervising. A voluntary registered home should not care for more that 4 children at any one time.
Plan of Correction:	Take care of no more than 4 kids at the location.
Standard #:	8VAC20-790-180-B
Description:	Based on documentation review, 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: 1) On the date of inspection, an attendance record for the current week was not available for review. The last attendance record available for review was dated November 27 - December 1, 2023.
Plan of Correction:	Take attendance and keep the paper in a place.
Standard #:	8VAC20-790-190-A
Description:	Based on records review, the vendor did not maintain, written or electronic information for each enrolled child. Evidence: 1) On the date of inspection, a record was not available for Child #3.
Plan of Correction:	Make a record for the child and store it.
Standard #:	8VAC20-790-190-B
Description:	Based on records review, children's records did not contain all required information. Evidence: 1) The record for Child #1 and Child #2 did not contain the address, and telephone number for each custodial parent's place of employment. 2) The record for Child #2 did not contain information on allergies and actions to be taken in an emergency situation.
Plan of Correction:	Ask parents for the information.
Standard #:	8VAC20-790-200-1
Description:	Based on record review, caregivers' records did not contain all required information. Evidence: 1) The record for Caregiver #2 did not contain the date of employment.
Plan of Correction:	Fill out the form.
Standard #:	8VAC20-790-200-2-d
Description:	Based on record review and interview, the vendor did not ensure to obtain a completed Sworn Statement from one employee prior to first day of employment. Evidence: 1) On the date of inspection, the record for Caregiver #2 did not contain a completed Sworn Statement.
Plan of Correction:	Caregiver #2 will sign the Sworn Statement.
Standard #:	8VAC20-790-210-A
Description:	Based on record review, the vendor did not ensure that documentation of negative tuberculosis (Tb) screening for each employee was obtained at the time of employment and prior to coming into contact with children. Evidence: 1) The record for Caregiver #2 did not contain documentation of a Tb screening report.
Plan of Correction:	Will schedule an appointment for the Tb.
Standard #:	8VAC20-790-250-C
Description:	Based on record review, orientation training for caregivers was not completed prior to the caregiver working with children. Evidence: 1) The record for Caregiver #2 did not contain documentation of having completed orientation training on the required topics.
Plan of Correction:	Caregiver is going to take the orientation training.
Standard #:	8VAC20-790-270-A
Description:	Based on observation, potentially poisonous substances were not stored away in areas inaccessible to children. Evidence: 1) On the date of inspection, the following was observed in areas that were accessible to children: *A Lysol disinfectant spray bottle on top of a bookshelf next to the diapering area * A mini bottle of perfume and a Febreze spray in a n unlocked drawer in the bathroom. * Cleaning products like Lysol spray, laundry detergent, and fabric softener were observed in an unlocked closet in the hallway.
Plan of Correction:	Remove the chemicals away of kids and lock drawers.
Standard #:	8VAC20-790-390-E
Description:	Based on observation, the diapering surface did not meet all requirements. Evidence: 1) The diapering surface shall be nonabsorbent and washable. - On the date of inspection, the plastic cover of the diapering mat had a ripped corner preventing it from being nonabsorbent.
Plan of Correction:	Replace the surface with a new one.
Standard #:	8VAC20-790-420-A
Description:	Based on documentation review, the vendor did not have a written emergency preparedness plan that addresses caregiver responsibility and home readiness that address the most likely to occur emergency scenarios. Evidence: 1) On the date of inspection, an emergency preparedness plan was not available for review.
Plan of Correction:	Prepare a plan for emergencies.
Standard #:	8VAC20-790-430-A-1
Description:	Based on documentation review, evacuation procedures were not practiced at least monthly. Evidence: 1) On the date of inspection, the 2023 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of July 2023 to November 2023.
Plan of Correction:	Make a practice for drill of fire and fill out the document.