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Mary Ugarte
187 Alpine Drive
Leesburg, VA 20175
(703) 581-0248

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: July 25, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussion of the newly obtained finger print checks and those left to obtain (Staff #2). These national background checks replace the criminal record checks done through the state and are good for 5 years. In addition, the existing search of the central registry (CPS) checks and Sworn Disclosure Statements (SDS) are retroactively good for 5 years. As a reminder, new employees will not be allowed to start until an ?Eligibility Letter? is on file, and any new staff person who lives or has lived outside of the Commonwealth of Virginia within the past 5 years will need to have an out-of-state CPS check requested to be placed in their file as well.

Comments:
The following inspection took place between the hours of 10 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in the town of Leesburg, Virginia. At the start of this unannounced monitoring inspection there were a total of 5 children (10 points) with 2 caregivers. A total of 5 children?s files, 2 staff files, and 1 household member?s file was reviewed. The children were engaged in the following: freeplay, toy play, music, learning, diapering, hand washing, lunch, nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review, 1 of 5 children's files reviewed indicated that annually, the Provider did not review with the parent the emergency contact information (required in 22 VAC 40-111-60 B 2 to ensure that the information was correct), and did not obtain the parent's signed acknowledgment of this review. Evidence - 1. On the date of inspection (07/25/2018), the most current review documented for Child #1 was dated - 06/12/2017. 2. The place of the form for the current review was left blank.

Plan of Correction: The review shall be conducted and the parent shall sign to acknowledge.

Standard #: 22VAC40-111-800-B
Description: Based on review, the Provider did not review the Emergency Preparedness & Response Plan (EP&RP) at least annually (updating the plan as needed), and did not document in writing the date of each review (and any possible update). Evidence - 1. The current EP&RP on file was dated - 07/04/2016. 2. The rest of the review spaces were left blank.

Plan of Correction: The EP&RP shall be reviewed, updated if needed, signed, and dated.

Standard #: 22VAC40-111-100-A
Description: Based on review, 2 of 5 children's files reviewed indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (07/25/2018), the documentation of a physical examination was not available for review for the following: Child #2, and Child #3. 2. The start date for Child #2 was listed as - 04/16/2018. The start date for Child #3 was listed as - 05/23/2018.

Plan of Correction: Documentation of a physical examination shall be obtained and placed on file.

Standard #: 22VAC40-111-60-B
Description: Based on review, 2 of 5 children's files reviewed indicated that not all of the required information/documentation was contained within each child's file. Evidence - 1. On the date of inspection (07/25/2018), the number for the medical insurance for Child #2 was not available for review. 2. On the date of inspection, 1 of 2 emergency contacts with information was listed for Child #3

Plan of Correction: All missing information shall be obtained and placed on file.

Standard #: 22VAC40-111-90-A
Description: Based on review, 1 of 5 children's files reviewed indicated that the Provider did not obtain documentation that the child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) prior to a child attending the Family Day Home. Evidence - 1. On the date of inspection (07/25/2018), an immunization page was not available for review for Child #3. 2. The start date for Child #3 was listed as - 05/23/2018. Child #3 was in attendance on the date of inspection.

Plan of Correction: The parent has already been contacted and the documentation is expected to be dropped off soon.

Standard #: 22VAC40-111-180-A
Description: Based on review, 1 of 2 staff files and 1 of 1 household member's file reviewed indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 22 VAC 40-111-170), every two years from the date of the last TB documentation on file. Evidence - 1. On the date of inspection (07/25/2018), both Staff #1, and Household Member #1 had TB documentation on file that was older than two (2) years. 2. The date of the TB documentation on file for Staff #1 was 06/08/2016. The date of the TB documentation on file for Household Member #1 was 06/07/2016.

Plan of Correction: Updated TB documentation shall be obtained for both and placed on file.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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