VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Wenjie Ping
519 Worchester Street
Herndon, VA 20170
(703) 547-7785

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Sept. 9, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 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 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed the training requirement and the renewal process.

Comments:

An unannounced monitoring inspection was conducted today between the hours of 9:10am through 11:40am with the provider on site. There were 10 children (23 points) with the provider and assistant. A sample of 5 children's files and 2 staff/household member's files were reviewed. The children were engaged in the following: toy play, listening to music, hula hoop play, working on a moose project, playing outside and other organized activities. Interactions between the children and caregiver were positive. The site was clean and organized The physical space, emergency supplies, evacuation drills, attendance records and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct and obtain the parent's signed acknowledgment of the review. Evidence: 1. Child #3 and Child#4's file did not have a yearly review documented. The last review was dated 8/20/2018. 2. Child #5's file did not have a yearly review documented. The last review was dated 6/13/2018.
Plan of Correction:	I will have the parents review and sign tonight.
Standard #:	22VAC40-111-830-A
Description:	Based on record review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: 1. The provider did not practice an emergency evacacuation during the months of February, June, July and August 2019.
Plan of Correction:	I will make sure to document the fire drills every month.
Standard #:	22VAC40-111-880
Description:	Based on review of the menu, the family day home is not following the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The provider emailed the parent's of the children a menu for the week that did not include on the required components. Monday's lunch included chicken noodles, strawberry and milk. Tuesday's lunch included hot dog, milk and apple. Wednesday's lunch included chicken nuggets, milk and broccoli. Wednesday snack included strawberry only Thursday's lunch included cheese pizza, carrot and milk. Thursday snack included tortilla chips only.
Plan of Correction:	I will correct and post it at the door.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4 began with the provider on 8/05/2019 and did not have a copy of the child's physical examination
Plan of Correction:	I will ask the parent for the physical.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to attending the family day home. Evidence: 1. Child #4 began with the provider on 8/05/2019 and did not have the child's immunization record.
Plan of Correction:	I will ask the parent for the immunization record.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1's last immunization record was dated 8/14/2017 and needed another update on immunization records. 2. Child #5's last immunization record was dated 1/06/2017 and needed another update on immunization records.
Plan of Correction:	I will ask the parents for the updated immunization records.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, areas of the family day home inside were not maintained in a safe, and operable condition. Evidence: 1. There was a large circular hole behind the door in the baby room the size of a door knob. 2. There was dry wall damage and chipping paint near the gate at the bottom of the stairs.
Plan of Correction:	I will try and get that repaired this weekend.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances were not stored away inaccessible to children. Evidence: 1. A clorox toilet bowl cleaner was on the floor near the toilet that the children use.
Plan of Correction:	The cleaning product was moved to a higher location during the inspection.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. 2 lower outlets near the radio were not covered with outlet covers and were not being used. Children in care were under five years of age. 2. 1 lower outlet near the window and book shelf in the baby room was not covered with an outlet cover and was not being used.
Plan of Correction:	The outlets were covered during the inspection.