VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlos Avila
7118 Terry Lane
Falls church, VA 22042
(703) 587-5793

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: July 9, 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 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An unannounced renewal inspection was conducted today from 10:15am-1:00pm. There were 5 children (14 points) directly supervised by the provider. The home, 1 staff record, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating snack. Today's snack consisted of dry cereal, milk and mandarins. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-110-B
Description:	Based on record review, the family day home did not have a physical examination and an immunization form for a child in care that were signed or stamped by a doctor. Evidence: Child#5's record contains a physical examination and an immunization form that were not signed or stamped by a physician, designee, or an official of the local health department.
Plan of Correction:	We will ask the parents to bring a signed or stamped immunization and physical form.
Standard #:	22VAC40-111-60-A
Description:	Based on review of five children's records, the provider did not ensure all records had an annual update of the emergency information and that parents acknowledged it with a signature. Evidence: The records of Child#1, #2 and #3 did not have an annual update of the emergency contacts. Child#1's record was last updated on 3/16/2014. Child#2's record was last updated on 2/1/2018. Child#3's record was last updated on 3/6/2018. Emergency information is required to be updated annually with parents providing a signature that all information is correct and current.
Plan of Correction:	We will have the parents review and update the forms.
Standard #:	22VAC40-111-70-A
Description:	Based on review of children's records, the provider does not have documentation that parents were provided in writing required information before the child's first day of attendance. Evidence: Child#1's record is missing the family day home's Liability Insurance Declaration form. Child#4's record is missing provisions of the family day home's emergency preparedness and response plan.
Plan of Correction:	We will print the forms and have the parents sign them.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the family day home did not have documentation that they had view the proof of identity of a child within seven days of the child's first day of attendance at the family day home. Evidence: Child#5's record does not have documentation that the provider verified the child's proof of identity within seven business days of the child's first day of attendance. The child's first day of attendance was documented as 1/7/2019.
Plan of Correction:	We will ask the parents to bring the information needed.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, documentation of an immunization update (once every six months for children under the age of two years) were not obtained for all children in care. Evidence: Child#4 has an immunization record on file that was last updated on 11/26/18. Child#5 has an immunization record on file that was last updated on 12/7/18.
Plan of Correction:	We will ask the parents to bring an updated immunization form.
Standard #:	22VAC40-111-680-B
Description:	Based on observation of snack time it was determined that children did not wash their hands prior to eating snack. Evidence: Children were served snack following outdoor play time and did not wash their hands before eating.
Plan of Correction:	I will wash their hands as soon as we are ready to eat.