VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Surisa Phumtim
6251 Marcy Court
Alexandria, VA 22310
(703) 971-9333

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: May 1, 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 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Licensing inspector discussed ratios, points, child abuse and neglect training, and required posted documents with provider

Comments:

An unannounced renewal inspection was conducted today from approximately 2:50pm-5:20pm. There were 11 children (32 points) directly supervised by 3 caregivers. A sample of 5 children?s records, 3 caregiver's records and household member's record were reviewed. The children were observed playing, reading, learning colors, eating snack, and being dismissed. One new caregiver has been hired since the last inspection. Violations found during this inspection are in associated documents. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review children's files with parents annually. Evidence: The file of Child E file was last reviewed 02/08/2018.
Plan of Correction:	I will update files today or tomorrow.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, caregiver's records were incomplete. Evidence: Caregiver C was missing the following required information: Job title; Age Verification; Emergency Contact.
Plan of Correction:	She will complete it today.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records were incomplete. Evidence: 4 of 5 records reviewed were missing required information. 1. Children A and B were missing liability insurance form. 2. Child C was missing the mother's employer phone number. 3. Child D was missing the father's employer phone number.
Plan of Correction:	I will complete files today or tomorrow.
Standard #:	22VAC40-111-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current report of tuberculosis. Evidence: 1. Provider stated Caregiver C was hire 03/11/2019. 2. Caregiver C did not have a current tuberculosis screening on file.
Plan of Correction:	She did it but I can't find it. She will do it again next week.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain a tuberculosis screening every two years from the first date for each caregiver and household member. Evidence: 1. Caregiver A's tuberculosis screening was last conducted 02/24/2017. 2. Caregiver B's tuberculosis screening was last conducted 12/02/2016. 3. Household Member A's tuberculosis screening was last conducted 11/27/2015.
Plan of Correction:	We will complete it next week.
Standard #:	22VAC40-111-200-A
Description:	Based on record review, the provider did not orient assistant caregivers by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver B, hired 10/24/2016, did not have orientation on file. 2. Caregiver C, hired 03/11/2019, did not have orientation on file.
Plan of Correction:	I will do it with them this week.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small electrical appliances were not unplugged. Evidence: A small food blender located in the kitchen was plugged in and not in use.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-320-G
Description:	Based on record review, the fireplace and associated chimney were not inspected annually. Evidence: The fireplace and associated chimney were last inspected 03/16/2018
Plan of Correction:	I will call them tomorrow to get it disabled.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, an employee of the family day home did not have a central registry finding within 30 days of employment. Evidence: Caregiver C did not have central registry findings within 30 days of employment. Caregiver C was hired 03/11/2019.
Plan of Correction:	It was sent last week.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review, a caregiver did not have fingerprinting results on file. Evidence: Caregiver C, hired 03/11/2019, did not have fingerprinting results on file.
Plan of Correction:	She had an appointment 04/13/2019.
Standard #:	63.2-1720.1-B-3
Description:	Based on record review, an out of state central registry search was not conducted for a caregiver whom has lived outside of Virginia within the last 5 years. Evidence: Caregiver C, hired 03/11/2019, did not have an initiated out of state central registry search on file.
Plan of Correction:	We will initiate the search and send it within 10 business days (05/15/2019)