VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Reyna King
202 E. Lynn Court
Sterling, VA 20164
(703) 707-0684

Current Inspector: Leah Pagala (703) 537-6757

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 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 Facilities and Programs

Technical Assistance:

Technical assistance provided regarding a recalled pieces of unsafe equipment, two Rock 'N Play baby Sleepers, which were not in use at the time in the home.

Comments:

An unannounced monitoring inspection was conducted today from 10:00am-11:30am. There were 7 children (18 points) directly supervised by 2 staff. The home, 2 staff records, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed cutting pictures and practicing with scissors, playing freely and playing outside. There was a supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not annually review with the parent the emergency contact information to ensure it is correct. Evidence: Child 3's record was last reviewed in November 2017 when the child enrolled.
Plan of Correction:	I will ask the parents to review the information
Standard #:	22VAC40-111-830-A
Description:	Based on record review, the provider did not conduct monthly emergency evacuation procedures. Evidence: The provider stated that emergency drills have been conducted but the last documented drill was conducted in November 2018. No drills have been recorded since November 2018.
Plan of Correction:	I did the drills. But I did not write them down. I will make sure to write them down.
Standard #:	22VAC40-111-830-B
Description:	Based on record review, the provider did not conducted shelter-in-place procedures twice per year. Evidence: One shelter in place procedure was practiced and documented in March 2018.
Plan of Correction:	I will do the drill and write them down.
Standard #:	22VAC40-111-920
Description:	Based on observation and record review, the menu was not kept on file at the family day home. Evidence: The provider could not produce the menu on file for one week at the family day home.
Plan of Correction:	I will make sure to keep a file of the menu for one week.
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 3 is missing documentation of a physical within 30 days of the first day of attendance. (Child 3, Start date: 11/2017)
Plan of Correction:	I will talk to the parents.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, the provider did not maintain complete records for each caregiver. Evidence: Staff 1 is missing start date, two references and an emergency contact.
Plan of Correction:	I will complete the file.
Standard #:	22VAC40-111-50-A
Description:	Based on record review, the provider did not maintain a written record of children in attendance each day. Evidence: There was no record of attendance for 5/2/2019. The provider could not provide attendance sheets for the months of January, February, March and April of 2019.
Plan of Correction:	I have new attendance sheets. I will take attendance every day.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provide did not maintain a complete record for each child enrolled. Evidence: 1) Child 1 and Child 2 are missing two parent work phone numbers, written authorization for emergency care, and medical policy insurance number.
Plan of Correction:	The parents already know. I will get all the information tonight.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, the provider did not ensure parents received all required information in writing prior to the child's first day of attendance. Evidence: 1) Child 1 and 2 were not provided in writing prior to the child's frist day of attendance regarding liability insurance disclosure, medication policy, emergency provisions policy, operating hours, fees, check in and out procedures, and termination policies.
Plan of Correction:	I will have the parents sign the information tonight.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain documentation that children have been adequately immunized. Evidence: Child 1 and 2 are missing documentation of immunization. Child 1 and 2 started attending in April 2019.
Plan of Correction:	The parents already know. I will get the immunization records and put them in the file.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, the provider did not maintain all areas and equipment inside and outside in a clean safe and operable condition. Evidence: 1) On the playground, there were several pieced of equipment which were broken. There is a a rocking horse with a broken base, swing which has broken hooks had been draped over and kept out of reach. The bottom of the ropes for the rope ladder are frayed and could cause a potential hazard. A rope utilized for climbing the rock wall of the play structure has broken off and is frayed causing a potential tripping hazard and danger to children. The training wheels for a bicycle are lose and coming off causing the bicycle to be off balance. 2) Inside of the home, there was a frayed rug in front of the door leading to the outside play area which a child tripped on while walking. 3) The covered porch being utilized by children had a vacuum cleaner in the same area, bags of clothes propped up on shelves, and empty paint canisters on shelves accessible to children.
Plan of Correction:	I will throw away what is broken and not safe and fix what I can.
Standard #:	22VAC40-111-540-B
Description:	Based on observation, an infant walker was being used. Evidence: An infant was in the infant walking during the inspection.
Plan of Correction:	I will throw away the walker.