VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Emebet Teferi
4600 Picot Road
Alexandria, VA 22310
(703) 896-2625

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: Feb. 13, 2019

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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Comments:

An unannounced monitoring inspection was conducted today from 11:20am-1:20pm. There were 6 children (21 points) directly supervised by 3 staff. The childcare area, 3 staff records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating lunch brought from home. On the date of inspection there was no caregiver present with a current CPR or First Aid certification. An exit interview was conducted with the provider, a plan of correction may be emailed to the licensing inspection within five days. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:

Standard #:	22VAC40-111-890
Description:	Based on observation, meals brought from home were not stored in container or manner which clearly identified the owner or the date. Evidence: Two lunches from home were observed without a label indicating the date or the owner.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, bottles were not labeled with the child's name and or date. Evidence: One bottle was observed without the current date labeled.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, 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: Child 4's record does not contain documentation of a physical examination by or under the direction of a physician. The child's enrollment date is listed as 10/15/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, one caregiver's record was incomplete. Evidence: Adult 3's record did not contain one of the required background checks or documentation of two references.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements every six months for children under the age of two years. Evidence: 1. Child 1's (D.O.B. 9/24/2017) most recent documented immunizations are dated 1/25/2018. 2. Child 2's (D.O.B. 1/28/2018) most recent documented immunizations are dated 2/15/2018. 3. Child 4's (D.O.B. 6/16/2018) most recent documented immunizations are dated 9/7/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-140-B-3
Description:	Based on record review, the provider and substitute provider do not meet all qualifications and requirements. Evidence: The provider and substitute provider do not have current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department: 1. The current CPR training for Adult 2 expired on 1/31/2019. 2. The current CPR training for Adult 1 expired on 2/1/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-140-B-4
Description:	Based on record review, the provider and substitute provider do not meet all qualifications and requirements. Evidence: The provider does not have a current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. 1. Adult 1's most recent certification expired on 2/1/2019. 2. Adult 2's most recent certification expired on 1/31/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-150-D-1
Description:	Based on record review, the assistant caregiver was not certified in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current CPR certification issued within the past two years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Adult 3 is not currently certified in CPR.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-150-D-2
Description:	Based on record review, the assistant caregiver is not currently certified in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: Adult 3 does not have a current certification in first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Adult 1's most recent Tuberculosis screening was conducted on 1/25/2017. 2. Adult 4's most recent Tuberculosis screening was conducted on 1/16/2015.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-200-A
Description:	Based on record review, the provider did not orient the substitute provider by the end of their first week of assuming job responsibilities. Evidence: Adult 3's date of employment is documented as 9/1/2018. On the date of inspection there was no documentation present indicating that the caregiver has received an orientation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, areas of the child care area were not maintained in a clean, safe and operable condition. Evidence: 1. Duct tape has been placed on the end rail of one of the cribs. The tape is peeling, and leaving exposed threads from what appears to be chewing by infants. 2. The kick-plate at the base of the bathroom vanity is broken in the middle and is falling off of the vanity in the bathroom used by children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-430-B
Description:	Based on observation, accordion expansion gates were used as protective barriers for stair openings. Evidence: The bottom of the steps in the child care area were blocked with an accordion gate. The gate was not mounted to the wall, but one end wedged into the spindles under the banister and the other end leaning against the wall.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-510-A
Description:	Based on observation and caregiver statement, each child is not provided with an individual crib for resting or Evidence: The family day home has four cribs present for six enrolled children. One caregiver stated that two children sleep in infant bouncy seats.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-540-A
Description:	Based on observation, children occupying high chairs were not secured with a safety strap. Evidence: Three infants were observed in high chairs without the strap securely fastened.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-540-B
Description:	Based on observation, infant walkers were available for child use. Evidence: An infant walker was present in the child care area.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-600-B
Description:	Based on observation, infants spent more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: At 11:20am, the beginning of the inspection, two infants were observed to occupy bouncy seats. The children remained in the bouncy seats until 12:10pm and 12:16pm respectively. The infants were then observed back in the bouncy seats at 12:48pm.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, one caregiver did not have the results of a central registry check within 30 days of employment. Evidence: Adult 3 (D.O.H 9/1/2018) does not have a central registry check on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1721.1-B-2
Description:	Based on record review, the initial applicant has not submitted to the required national criminal record check by subitting to fingerprinting. Evidence: The criminal record check present in the record for Adult 2 does not meet the requirements for the required fingerprint criminal record check.
Plan of Correction:	Not available online. Contact Inspector for more information.