VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lilian Ramirez
1637 Bennington Hollow Ln.
Reston, VA 20194
(571) 699-6615

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: July 10, 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 22VAC40-80 THE LICENSE. 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An unannounced renewal inspection was conducted today from approximately 10:10am to 11:10am. 6 children (16pts) were present with 1 caregiver. The Licensed Provider was on vacation; the substitute was caring for the children. Ratios were in compliance. The physical space, 4 children's records, Provider/substitute/household member records, attendance records, evacuation records and required posted documents were reviewed. No medications were on site. Children were observed playing, watching musical videos and interacting with the caregiver. Interactions were positive. Age appropriate activities and materials continue to be offered to the children. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, please contact stephanie.salvatori@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-A
Description:	Based on record review, and interview with Provider, up-to-date records were not kept at the family day home for each enrolled child. Evidence: 6 children were present with only 4 children's files available. The Provider stated Child #1 and Child #2 started the program on 7/9/2019. Today is their 2nd day and the parents haven't returned the completed files yet.
Plan of Correction:	I will ask the parents to return the files or the children may not return tomorrow.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, and interview with Provider, 2 out of 6 children's files were missing all required information. Evidence: Child #1 and Child #2 were missing all required information for each individual record. The missing required information is as follows: Child's full name, nickname (if any), sex, address, and birth date; emergency contact information; Parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70; Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 22 VAC 40-111-80; Immunization records for the child as required by 22 VAC 40-111-90; Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds; Written authorization if a caregiver is to administer prescription or nonprescription medication to the child as required by 22 VAC 40-111-700 A 2.
Plan of Correction:	I will ask for the information right away.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, and interview with the Provider, there was no documentation to prove parents had been provided required information before the child's first day of attendance. Evidence: The Provider stated Child #1 and Child #2 both started on 7/9/2019 but did not have files on site. The information required for this standard include Policies and Procedures, the Policy of Administration of Medications form, the Provisions of the Emergency Preparedness Plan and the Liability Insurance Declaration.
Plan of Correction:	I will get the information right away.