VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Thea Meinen
8809 Arlington Boulevard
Fairfax, VA 22031
(703) 282-2865

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Sept. 20, 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 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 Facilities and Programs

Technical Assistance:

Discussed attendance sheets and first aid kit. Discussed was provided for fireplace inspection. Provided consultation regarding provider's residence and license changes.

Comments:

An unannounced monitoring/renewal inspection was conducted today from 9:00 am-12:30 pm. There were 9 children (16 points) supervised by 2 direct care staff. The home, 3 staff records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaging freely and outside playgroup play Diapering procedures were also observed. There was an several books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. The playground inspected. There was an adequate number of staff with current certification in CPR and First Aid. Staff-to-child ratios were in compliance. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Eureka Nance at 703-638-5968 or eureka.nance@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-770
Description:	Based on direct observation, the provider did not have a working battery-operated flashlight and a working portable battery-operated weather band radio. Evidence: The provider did not a flashlight and battery operated radio during the inspection.
Plan of Correction:	I will get items this weekend.
Standard #:	22VAC40-111-830-C
Description:	Based on documentation review, the provider did not have documentation of emergency response drills and shelter in place drills. Evidence: 1. The provider's evacuation drill was last completed on December 6, 2018.
Plan of Correction:	I will have a printed out dated sheet and do a drill on Monday.
Standard #:	22VAC40-111-890
Description:	Based on observation, the provider did not label lunch boxes brought from the child's home. Evidence: 5 out 5 lunches boxes were not label with today's date during the inspection.
Plan of Correction:	Will label lunch boxes daily.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, 2 of 5 children's records did not contain 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: Child #5 and Child #6's records did not include documentation of a completed physical examination signed by a physician.
Plan of Correction:	I will contact parents through email to get by next week.
Standard #:	22VAC40-111-120-A
Description:	Based on staff records, 2 of 3 staff records reviewed do not have the required documentation. Evidence: Staff #2 and #3's records do not have documentation of emergency contact information, including address and telephone number.
Plan of Correction:	I will Staff #2 complete by the end of the day and Staff #3 complete on Monday.
Standard #:	22VAC40-111-120-B
Description:	Based on staff records, 2 of 3 assistant and substitute provider records did not include all required information. Evidence: 1. Staff #2 and #3 did not have documentation of two references checks in the file for review. 2. Staff #3 did not have verification of age.
Plan of Correction:	1. I will reference checks from staff (today and Monday). 2. I will make copy of verification of age.
Standard #:	22VAC40-111-60-A
Description:	Based on record review, 2 of 8 children did not have an up-to-date record at the family day home. Evidence: Child #1 and Child #7 did not have a record on file at the family day home.
Plan of Correction:	The children will have record here.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 5 of 5 children's records did not include documentation of all required information. Evidence: 1. Child 2's record did not include documentation of either parent's work telephone number, medical insurance information, and parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, the provider's medication authorization policy, emergency preparedness plan, and liability insurance. 2. Child #3's record did not include documentation of the full address for the second emergency contact person, medical insurance information, and parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, the provider's medication authorization policy, emergency preparedness plan, and liability insurance. 3. Child #4's record did not include documentation of proof of identity, either parent's work telephone number, either of the two required emergency contact persons, medical insurance information, and parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, the provider's medication authorization policy, emergency preparedness plan, and liability insurance. 4. Child #5's record did not include documentation of proof of identity, one emergency contact person, medical insurance information, and parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, the provider's medication authorization policy, emergency preparedness plan, and liability insurance. 5. Child #6's record did not include documentation of the mother's place of employment and work telephone number, the father's place of employment, addresses for either of the two emergency contact persons, medical insurance information, and parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, the provider's medication authorization policy, emergency preparedness plan, and liability insurance.
Plan of Correction:	Email each parent individual to get list of information.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, 2 of 5 children's records did not include 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. Evidence: Child #5 and Child #6's records did not include documentation of completed immunization records.
Plan of Correction:	I will contact the parent through email to let know need end of next week.
Standard #:	22VAC40-111-180-A
Description:	Based on documentation review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each household member every two years. Evidence: 1. Staff #1's most recent TB was dated 2/21/2016 (expired: 2/21/2018). 2. Staff #2's most recent TB was dated 7/31/2017 (expired: 7/31/2019). 3. Staff #3's most recent TB was dated 8/28/2017 (expired: 8/28/2019).
Plan of Correction:	Staff will scheduled appointments.