VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Umavathy Giridhar
1101 Wintrol Court
Herndon, VA 20170
(703) 870-7250

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Aug. 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 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:

Discussion was held on the topics of current enrollment, current staffing, and repeat violations.

Comments:

The following inspection took place between the hours of 11 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Herndon, Virginia. At the start of this unannounced monitoring inspection there were a total of 3 children (10 points) with 1 caregiver. A total of 3 children?s files, 1 staff file, and 1 household member?s file was reviewed. The children were engaged in the following: learning, song, music, toy play, infant feeding, lunch, and other organized activities. If you should have any future questions, please call or send an e-mail. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on review, 3 of 3 children's files reviewed indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (08/16/2019), documentation of a physical examination was not available for review for the following children: Child #1, Child #2, and Child #3. 2. The start date for each child were listed as - 06/03/2019 for Child #1, 12/03/2018 for Child #2, and 01/07/2019 for Child #3. 3. This same standard for these children was cited previously during an inspection conducted on 02/15/2019 for Child #2 and Child #3.
Plan of Correction:	All missing documentation of a physical examination shall be obtained for all applicable children.
Standard #:	22VAC40-111-60-B
Description:	Based on review, 1 of 3 children's files reviewed did not have all of the required information contained within each child's record. Evidence - 1. On the date of inspection (08/16/2019), the child's medical insurance policy number for the listed named policy was not available for Child #2. 2. This same standard for this child was cited previously during an inspection conducted on 02/15/2019.
Plan of Correction:	This missing information shall be completed, and placed on file.
Standard #:	22VAC40-111-70-A
Description:	Based on review, 2 of 3 children's files reviewed did not have all of the required documentation within each child's file. Evidence - 1. On the date of inspection (08/16/2019), a signed Policy for the Administration of Medication for the Family Day Home (FDH) form was not available for review for the following children: Child #2, and Child #3. 2. On the date of inspection, the Provisions of the Emergency Preparedness and Response Plan form was not signed by the parent of Child #2. 3. This same standard for these children was cited previously during an inspection conducted on 02/15/2019.
Plan of Correction:	All missing documentation shall be completed, signed, obtained, and placed on file.
Standard #:	22VAC40-111-90-C
Description:	Based on review, 2 of 3 files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children who were not exempt from the immunization requirements according to subsection B of this section once every six months for children under the age of two years. Evidence - 1. On the date of inspection (08/16/2019), the most current immunization documentation on file for Child #2 was dated - 11/26/2018. The most current immunization documentation on file for Child #3 was dated - 11/30/2018. 2. Both children were under the age of two years on the date of inspection.
Plan of Correction:	All missing documentation shall be obtained, and placed on file.