VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Alice Matthews
3933 Fairfax Farms Road
Fairfax, VA 22033
(703) 218-1608

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 30, 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 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. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

Technical Assistance was offered regarding the following: attendance records, emergency plan and high chairs.

Comments:

An unannounced monitoring inspection was conducted from 11:15am through 1:10pm. There were 11 children (26 points) with 4 caregivers present. A total of 4 children's files and 2 staff member's files were reviewed. The children were observed eating lunch, using the bathroom and getting diapers changed, hand washing, playing with toys and getting ready for nap time. The lunch menu included rice with veggies and turkey, cantaloupe and milk. One medication and emergency drill records were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:

Standard #:	22VAC40-111-120-A
Description:	Based on staff interview, the provider did not maintain a record for each caregiver. Evidence: 1. Caregiver # 2's first day of employment was 4/26/19. 2. Caregiver # 1 stated that she does not have any written record information for Caregiver # 2 including name, address, results of 2 reference checks, emergency contact information, verification of age, and first date of employment.
Plan of Correction:	If Caregiver # 2 continues to work here then we will maintain a complete record.
Standard #:	22VAC40-111-170-A
Description:	Based on staff interview, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening (TB). Evidence: Caregiver # 1 stated that Caregiver # 2's first day of employment at the family day home was 4/26/19. Caregiver # 1 did not obtain a TB screening from Caregiver # 2 prior to Caregiver # 2 coming into contact with the children.
Plan of Correction:	If Caregiver # 2 continues to work here then we will obtain a TB screening.
Standard #:	22VAC40-191-60-B
Description:	Based on staff interview, a caregiver at the family day home did not complete the Sworn Disclosure Statement (SDS) prior to the first day of employment. Evidence: Caregiver # 1 stated that Caregiver # 2's first day of employment at the family day home was 4/26/19. Caregiver # 2 did not complete the SDS prior to her first day working with the children.
Plan of Correction:	I will have her complete the form today.
Standard #:	63.2-1720.1-B-2
Description:	Based on staff interview and observation, the family day home provider did not obtain fingerprint results for a caregiver before the first day of employment. Evidence: 1. Caregiver # 1 stated that Caregiver # 2's first day at the family day home was 4/26/19. Caregiver # 2 was observed providing care and supervision for the children present. 2. Caregiver # 1 stated that Caregiver # 2 is being observed for potential employment, and Caregiver # 1 did not think that Caregiver # 2 would need fingerprints for that.
Plan of Correction:	I will make sure that no caregivers are employed without obtaining fingerprint results.