VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shaun Bissett
3110 19th Street S.
Arlington, VA 22204
(202) 316-8888

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Sept. 19, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussed the process for increasing capacity for the FDH.

Comments:

An unannounced renewal inspection was completed today. The physical plant, 5 caregiver records, 5 children's records, caregiver training, child nutrition, children's activities, evacuation drills, emergency procedures, drills and supplies were inspected between 11:50am-1:30pm. There were 11 children, totaling 40 points, directly supervised by 4 staff. There are no caregivers certified in MAT (medication administration training) and there are no children with any medication needs at this time. Children were observed enjoying free play, eating lunch, sang songs together and resting during naptime. For lunch, the children were served chicken nuggets, tater tots, broccoli with cheese and milk. Should you have any questions regarding this inspection, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on file review, 1 out of 5 children's records does not have 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 #5 began care on 1/31/19. There is no physical examination on file.
Plan of Correction:	The Provider will ask the parent for this.
Standard #:	22VAC40-111-40-A
Description:	Based on observations, the Provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence 1. Upon arrival to the FDH at 11:50am, there were 11 children in care. However, the FDH is only licensed to care for 9 children at any one time.
Plan of Correction:	The Provider notify two parents that they will need to find alternate care for their child.
Standard #:	22VAC40-111-60-A
Description:	Based on file review, 1 out of 5 children's records has not been updated annually. Evidence 1. Child #4's record was last updated on 5/30/18.
Plan of Correction:	The Provider will ask the parent to update the file.
Standard #:	22VAC40-111-60-B
Description:	Based on file review, 2 out of 5 children's records do not have all required information. Evidence 1. Children #2 and #5 do not have the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
Plan of Correction:	The Provider will ask the parents for this.
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 2 out of 5 children's records do not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #2 is 14 months old. The most recent immunization record was updated when the child was 4 months old. 2. Child #3 is 9 months old. The most recent immunization record was updated when the child was months old
Plan of Correction:	The Provider will ask the parents for this.
Standard #:	22VAC40-111-520-A
Description:	Based on observations, the Provider failed to ensure there were cribs provided for each child 12 months or younger that were in care. Evidence 1. There were 8 children in care today, who were 12 months old or younger. However, there were only 7 cribs available for use.
Plan of Correction:	The Provider will get another crib.
Standard #:	22VAC40-111-680-B
Description:	Based on observations, the caregivers failed to ensure that children's hands are washed before eating. Evidence 1. The Inspector observed the children being seated at high chairs and given food for lunch without having washed their hands.
Plan of Correction:	The Provider will make sure this is completed.
Standard #:	63.2-1721.1-B-3
Description:	Based on file review, the Provider did not obtain a search of the central registry (SCR) by any other state in which a caregiverl has resided in the preceding five years. Evidence 1. Caregiver #4 's sworn disclosure statement listed Maryland as a state that the caregiver has resided in within the past 5 years. There is no documentation of SCR check having been completed in this state.
Plan of Correction:	The Provider will print these forms today and will have them sent out by the beginning of next week.