VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Roina Mustafa
7702 Tanner Robert Court
Springfield, VA 22153
(703) 569-4084

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: May 17, 2018

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 63.2 Child Abuse and Neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs.. 63.2 Liability Insurance Disclosure 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

An unannounced monitoring inspection was conducted today from 12:20pm-3:00pm. There were 10 children (31 points) supervised by 2 direct care staff. The home, 3 staff records, 10 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed building with blocks, engaging in free play, and transitioning to naptime. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-830-C
Description:	Based on observation, the family day home did not maintain documentation of all required emergency drills. Evidence: During the time of inspection, there was no documentation of completed shelter-in-place drills within the past year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, infant bottles were not labeled with all required information. Evidence: All infant bottles were labeled with the child's first name only. All children's last names and dates were not recorded on their bottles.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 4 of 10 children's records did not contain all of the required information. Evidence: 1. Child #3's (start date: 5/1/2017) record did not contain documentation of parent acknowledgement of the receipt of the information required by 22 VAC 40-111-70. 2. Child #5's (start date: 8/28/2017) record did not contain documentation of a completed physical form. 3. Child #6's (start date: 11/2/2017) record did not contain documentation of a second emergency contact. 4. Child #7's (start date: 8/24/2017) record did not contain documentation of completed immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, 2 of 3 caregivers did not maintain a current TB screening every two years, as required. Evidence: 1. During the time of inspection, Staff A's most recent documented TB screening was dated 11/1/2014. 2. During the time of inspection, Staff C's most recent documented TB screening was dated 10/2/2015.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, all areas inside of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 1. There were several areas of peeling paint on the walls in the playroom. 2. 2 doors leading to HVAC/storage rooms were unlocked and accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-280
Description:	Based on observation, poisonous materials were not inaccessible to children. Evidence: A container of petroleum was sitting on top of the children's playhouse. The container had a label that stated "Keep out of reach of children".
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-330-A
Description:	Based on observation, a landline telephone was not available, operable, and accessible during the time of inspection. Evidence: The provider stated that there was not a landline telephone available, operable, and accessible during the time of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1720.1-A
Description:	Based on record review, all caregivers do not have documentation of completed background checks, as required. Evidence: Staff C's (hire date: 10/10/2016) record did not contain documentation of a completed central registry background check.
Plan of Correction:	Not available online. Contact Inspector for more information.