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: July 16, 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 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

During this licensing renewal inspection, the compliance history was discussed with the provider. Given the repeated and systemic violations found during this period and the provider?s inability to comply, the recommendation for a Provisional License was discussed to address compliance going forward.

Comments:

An unannounced renewal inspection was conducted today from 11:10am-1:00pm. There were 10 children (23 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating lunch. Lunch served today was eggs, beef, tortillas, and potatoes. 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 #:	22VAC40-111-870-G
Description:	Based on observation, the provider failed to clean the table after each use. Evidence: The provider did not clean the table after the children were playing and drawing on the table. The provider cleared the toys, markers and papers off the table. The children sat at the table, were served lunch and ate there.
Plan of Correction:	Tables and toys are being sanitized right after being used.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination for each child's within 30 days after first day of attendance. Evidence: Child 2 does not have documentation of a physical examination for each child within 30 days of first date of attendance. (Child 2, Date of Attendance: 11/30/18)
Plan of Correction:	Parents of child 2 has made appointment for physical exam for August 2, 2019.
Standard #:	22VAC40-111-120-A
Description:	Based on record review and interview, the provider failed to maintain a record for each caregiver. Evidence: Staff 1 does not have a file.
Plan of Correction:	Staff 1 record has been completed.
Standard #:	22VAC40-111-50-A
Description:	Based on record review, the provider did not keep a written record of children in attendance each day. Evidence: The last child checked in to the program was at 7:15am. At 11:10am, only 4 children were marked in attendance.
Plan of Correction:	Attendance has been marked everyday.
Standard #:	22VAC40-111-60-A
Description:	Based on record review, the provider did not maintain up to date records for each enrolled child. Evidence: Child 4 does not have a file at the family day home.
Plan of Correction:	Child 4's file has been completed, but child no longer attends daycare.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provider did not maintain complete children's records. Evidence: 1) Child 1 is missing one parent work phone number, and medical policy insurance number. 2) Child 2 is missing one parent work phone number, employer, physician name and phone number, and medical insurance and policy number. 3) Child 3 is missing one parent work phone number.
Plan of Correction:	Child 1: all information has been provided by parent. Child 2: All information has been provided by parent. Child 3: Phone number has been added to file.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, the provider did not provide in writing all required information before the child's first day of attendance. Evidence: 1) Child 1 is missing the termination policy, and an address for relocation. 2) Child 2 is missing the termination policy. 3) Child 3 is missing the termination policy. 4) Child 4's guardians did not receive all required policies in writing prior to their first day of attendance.
Plan of Correction:	Termination policy has been provided and signed by all parents forchildren 1,2,and 3. Child 4 parent received all the required policies, but child no longer attends daycare.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the provider did not obtain within seven business days of the child's first day of attendance a proof of identification. Evidence: 1) Child 1 is missing documentation of the provider viewing an original proof of identification. Provider stated the child has been in care for more than 7 days.
Plan of Correction:	Parents of Child 5 has submitted identification.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, the provider failed to obtain documentation of additional immunizations for a child once every six months for children under the age of two years. Evidence: Child 5 most recent immunization record is from 05/2018. (Child 5, DOB 05/21/2017)
Plan of Correction:	Immunizations record was submitted by parent.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each caregiver an updated tuberculosis screening every 2 years. Evidence: Staff 2 has a tuberculosis screening which was last conducted on 05/19/2017.
Plan of Correction:	Staff 2 tuberculosis screening has been completed.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances such as cleaning products and disinfectants were not kept in an area inaccessible to children. Evidence: 1) While children were in the kitchen area, one cleaning product was observed on the counter. 2) In the kitchen, cleaning products were stored underneath the kitchen sink that was unlocked at the time of inspection.
Plan of Correction:	Windex cleaner and bug repellent were moved from the kitchen counter right away. Cabinet under sink is secure with safety 1st child lock.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, unused electrical outlets were did not have child-resistant protective covers in place. Evidence: In the dining room, two unused electrical outlets did not have child-resistant protective covers in place.
Plan of Correction:	All unused electrical outlets in the house were covered.
Standard #:	22VAC40-111-340-C
Description:	Based on observation, the bathroom did not have all required components. Evidence: The bathroom did not have paper towels.
Plan of Correction:	Paper towels were placed and are kept in bathroom.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, the provider failed to obtain an employee's completed sworn statement or affirmation. Evidence: Staff 1 does not have a completed sworn statement.
Plan of Correction:	Sworn Statement by staff 1 has been completed.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review, the provider failed to ensure a fingerprinting background check was completed for all employees. Evidence: Staff 1 does not have a completed fingerprinting background check.
Plan of Correction:	Finger prints background check by staff 1 has been completed.