VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sherry Kelly-Williams
3102 Wilson Avenue
Alexandria, VA 22305
(703) 548-6818

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Aug. 23, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 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 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

Technical assistance was offered regrading the following: Cribs, Immunizations records, safety gate.

Comments:

An unannounced monitoring inspection was conducted from 10:00 am to 12:40 pm. There were 7 children (19 points) in care of 2 caregivers. The children were observed being bottle fed, coloring and playing with toys. 5 children's records and 2 caregiver records were reviewed. There were no medications on site. Emergency drill records were current. Areas of non compliance are listed in the violation notice. For any questions regarding this inspection please contact me at 571-835-4718 or mahrukh.aziz@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-960-C
Description:	Based on observation, high chairs were not being used in accordance to the manufacturer's instructions. Evidence: Two infants were observed seated in two high chairs. The infants were not secured in the high chairs using the safety belts.
Plan of Correction:	I will make sure that the safety belts are being used.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, infant bottles were not properly labeled. Evidence: Bottles for two infants had their names, but were not dated.
Plan of Correction:	I will make sure that the bottles are dated as well.
Standard #:	22VAC40-111-100-A
Description:	Based on records review, the provider did not obtain documentation of physical exams for children within thirty days of enrollment. Evidence: 1. Child # 1's first day of enrollment was 2/1/19. 2. Child # 2's first day of enrollment was 8/15/15. 3. Documentation for a physical exam was not obtained for both children within 30 days of enrollment.
Plan of Correction:	I will ask the parents to submit the physical exams.
Standard #:	22VAC40-111-60-B
Description:	Based on records review, the provider did not maintain complete records for children in care. Evidence: 1. Child # 1 and Child # 2's record was missing information for persons authorized to pick up.
Plan of Correction:	I will ask the parents to provide me the missing information.
Standard #:	22VAC40-111-570-A
Description:	Based on observation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1. The inspection started at 10:00am. Caregiver # 1 had 5 children putting her at 14 points. 2. At 10:13am two more children arrived to the family day home, increasing the points to 19 points. 3. Caregiver # 2 arrived at the family day home at 10:26am. Caregiver # 1 was over points for 13 minutes.
Plan of Correction:	We will make sure that we are covered.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review and staff interview, the provider did not obtain fingerprint results for a caregiver before the first day of employment. Evidence: 1. Caregiver # 1 was hired on 2/25/19. Caregiver # 1 stated that she got her fingerprints done on 2/19/19. 2. Caregiver # 1's record did not have the results. Caregiver # 2 did not do a follow up for Caregiver # 1's fingerprints.
Plan of Correction:	I will check my email again to see if the results are in there. If not found the caregiver will do them again.