VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shaun Bissett
3110 19th Street S.
Arlington, VA 22204
(202) 316-8888

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: May 2, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

An unannounced monitoring inspection was completed today. The physical plant, 6 caregiver records, 5 children's records, caregiver training, child nutrition, children's activities, evacuation drills, emergency procedures, drills and supplies were inspected between 1:25-2:50pm. There were 9 children, totaling 33 points, directly supervised by 4 staff. The Provider was not present during the inspection, so the reports will be left for him to complete, sign and mail back to the Fairfax office within 5 days. There are no caregivers certified in MAT (medication administration training) and there are no children with any medication needs at this time. Children were observed enjoying free play while outside, being fed bottles, having tummy time For lunch, the children were served noodles with chicken and spinach, oranges and milk. Should you have any questions regarding this inspection, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-830-A
Description:	Based on review, the provider failed to ensure that emergency evacuation procedures were practiced monthly. Evidence: 1. There was no documentation of an evacuation drill having been completed in April 2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-920
Description:	Based on observations, the Provider failed to post the menu for the current one-week period. Evidence 1. The menu was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-100-A
Description:	Based on file review, the Provider failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence 1. Children #2, #3, #4 and #5 do not have physical examinations on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-120-B
Description:	Based on file review, the provider failed to ensure that the assistant's records are maintained with the required information. Evidence 1.Caregivers #4 and #5 did not have documentation of reference checks, emergency contact information, or age verification.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-50-A
Description:	Based on interview, the Provider failed to keep a written record of children in attendance each day. Evidence 1. There was no written attendance of the children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-60-B
Description:	Based on file review, 3 out of 5 children did not have all required information. Evidence 1. Children #1, #2 and #5 do not have the name, address and phone number of two emergency contacts in case the parents cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-70-A
Description:	Based on file review, 1 out of 5 children's records does not have all required information given to parents prior to their first day. Evidence 1. Child #5 does not have a Provisions to the Emergency Preparedness Plan signed by the parent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-90-A
Description:	Based on review, the provider failed to obtain documentation of immunization records before children attend the family day home. Evidence: 1. Children #2, #3 and #5 do not have immunization records on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 2 out of 5 children do not have additional immunizations once every six months up to 2 years. Evidence 1. Child #1 is 25 months old. The most recent immunization record was updated when the child was 15 months old. 2. Child #4 is 18 months old. The most recent immunization record was updated when the child was 9 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-170-A
Description:	Based on file review, 1 out of 6 caregiver/household members does not have a TB test/screening on file. Evidence 1. Caregiver/household member #6 does not have a TB test on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-280
Description:	Based on observations, the Provider did not ensure that all potentially poisonous substances were stored in areas inaccessible to the children in care. Evidence 1. In the bathroom on top of the toilet, there was a bottle of fragrance mist and a small can of paint.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-340-C
Description:	Based on observations, the bathroom did not include all required items. Evidence 1. The bathroom did not have paper towels.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-530-A
Description:	Based on observations, the children did not have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges during naptime. Evidence 1. There was 1 child who slept on a mat during naptime, who did not have a top cover accessible for use.
Plan of Correction:	Not available online. Contact Inspector for more information.