VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elizabeth Appiah
3349 Beechcliff Drive
Alexandria, VA 22306
(703) 347-7318

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: May 31, 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 child abuse and neglect training and possible provisional license.

Comments:

An unannounced monitoring inspection was conducted today from approximately 12:30pm-2:50pm. There were 4 children (9 points) in the direct care and supervision of 1 caregiver. A sample of 2 children?s records and 1 caregiver's record were reviewed. The children were observed playing in the play room. Zero new caregivers have been hired since the last inspection. Areas of non-compliance are identified in this report. 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 annually review with the parent the emergency contact information to ensure the information is correct. Evidence: The file of Child B was last reviewed 05/02/2017.
Plan of Correction:	Parent will be asked to review child file and correct any necessary information.
Standard #:	22VAC40-111-800-B
Description:	Based on observation, the provider did not review the emergency plan at least annually. Evidence: The emergency plan was last reviewed 03/10/2018.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-830-A
Description:	Based on record review, evacuation procedures were not practiced monthly. Evidence: Evacuation procedures were last practiced 07/16/2018.
Plan of Correction:	Provider will conduct monthly evacuation procedures.
Standard #:	22VAC40-111-830-B
Description:	Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There were no shelter-in-place procedures practiced in 2018.
Plan of Correction:	Provider will practice and record shelter-in-place required for the year.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical exam for each child. Evidence: Child B did not have documentation of a physical exam on file.
Plan of Correction:	Parents will be asked to provide update physical exam to be kept on file.
Standard #:	22VAC40-111-50-A
Description:	Based on interview, the provider did not keep a written record of daily attendance each day. Evidence: Assistant A stated the attendance couldn't be found for May.
Plan of Correction:	Provider will practice taking daily attendance starting with the month of June.
Standard #:	22VAC40-111-50-E
Description:	Based on interview, the provider did not maintain records of attendance for at least two years. Evidence: Assistant A stated that the attendance records for April 2019 were available but May 2019 records could not be found.
Plan of Correction:	Provider will maintain a weekly, daily attendance record.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records were incomplete. Evidence: 2 of 2 children's records reviewed were missing required information. 1. Child A was missing the father's employer and employer phone number. 2. Child B was missing the father's employer phone number, the mother's employer and employer phone number, the addresses of 2 of 2 required emergency contacts, the phone number of one emergency contact, and medical insurance policy number.
Plan of Correction:	Parents will be asked to complete child's record with all missing information.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain documentation of immunization for each child. Evidence: Child B did not have documentation of immunization on file.
Plan of Correction:	Parent will be asked to provide documentation of immunization.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, furnishings of the home were not maintained in a safe and operable condition. Evidence: The paint on walls of the main child care area was peeling.
Plan of Correction:	Provider will paint over sections of wall where paint is peeling in main child care area.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small appliances were not kept unplugged while not in use. Evidence: An air fryer, toaster, and blender were not in use and were plugged in. Small appliances were located in the kitchen.
Plan of Correction:	Provider will unplug small appliances that are not in use during child care hours.
Standard #:	22VAC40-111-690-E
Description:	Based on observation, a soiled disposable diapers were not disposed of. Evidence: A soiled disposable diaper was found on the changing table in the play room.
Plan of Correction:	Provider removed soiled disposable diaper.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The findings of the inspection which occurred 08/2017 were posted. The last inspection occurred 11/2018.
Plan of Correction:	Corrected during inspection.