VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Stephanie Beekman
8611 Gateshead Road
Alexandria, VA 22309
(703) 799-9120

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Sept. 27, 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 22VAC40-111 Transportation 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:

An unannounced monitoring inspection was conducted today between the hours of 9:40 am through 2:15 pm with the provider on site. There were 2 children (4 points) with the provider and one assistant. A sample of 3 children's files and 2 staff/household member's files were reviewed. The children were engaged in the following: toy play and musical movement, hand washing, and other organized activities. Interactions between the children and caregivers were positive. The physical space, emergency supplies, evacuation drills, attendance records, injury reports, and the Emergency Preparedness Plan were reviewed. No medications today. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Eureka Nance at eureka.nance@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-980-A
Description:	Based on children's record review and interview, general written permission shall be obtained from the parent of each child for the provider to take the child off the premises of the family day home. Evidence: 1. Child #1 did not have written permission to go off premises. The provider stated she takes the children on walks to a nearby playground.
Plan of Correction:	I will have parent complete form today
Standard #:	22VAC40-111-100-A
Description:	Based on children records review, the provider shall obtain documentation of a physical examination within 30 days of enrollment. Evidence: 1. Child #2's (start date 4/29/2019) records did not have physical examination available for review.
Plan of Correction:	I will get information from the parent.
Standard #:	22VAC40-111-50-C
Description:	Based on observation, information contained in a child's record shall be privileged and confidential. Evidence: 1. The supplemental page from the last inspection dated 5/29/2019 was posted which contained confidential information.
Plan of Correction:	I have paperwork of a recent inspection completed. I will seal the chimney.
Standard #:	22VAC40-111-70-B
Description:	Based on children records, the provider shall obtain the parent's written acknowledgement of the receipt of the information in this section. Evidence 1. Child #1's record was missing written acknowledgment of receipt on the information, liability insurance declaration form and policy to administered medication.
Plan of Correction:	I will have parent complete the form.
Standard #:	22VAC40-111-90-C
Description:	Based on children records, the provider shall obtain documentation of additional immunizations for enrolled children. Evidence: 1. Child #1's record did not have immunizations documented every 6 months for a child 2 years old and under.
Plan of Correction:	I will maintain current immunizations.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, areas and furnishings of the family day home, inside were not maintained in a safe and operable condition. Evidence: 1. A door frame on the main level home had two holes in base of the door frame and peeling drywall. 2. In the lunch room located by the door entrance, there was peeling wall paint. 3. Four yellow stack-able toy cubes had torn material in the corners that were accessible to children.
Plan of Correction:	I will get repaired.
Standard #:	22VAC40-111-320-G
Description:	Based on record review, chimney was not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: The provider's last chimney inspection was on 8/09/2016.
Plan of Correction:	A recent inspection was completed. I will seal the chimney.
Standard #:	22VAC40-111-690-D
Description:	Based on observation, the diaper surfacing was not nonabsorbent. Evidence: The changing table cover had two small tears which is unable to be cleaned and sanitized after each use.
Plan of Correction:	I will throw away and get a new one.