VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Reardon
26155 Glasgow Drive
Chantilly, VA 20152
(703) 608-4621

Current Inspector: Ann Dramstad (703) 314-0860

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 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

A Central Registry check will need to be completed within 30 days of the caregiver working in the home. Documentation that fingerprints and the Central Registry form have been submitted within 10 days of receipt of the visit notes is required.

Comments:

An unannounced monitoring visit was conducted. Eight children were in care (twenty six points) with two caregivers which is within points for supervision. Children were observed at drop-off, free play with large construction blocks, infant care and story time. Reviewed records, physical space, emergency preparation, nutrition and training. Lunch to es served today was cheese pizza, carrots and milk. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on record review, one of three children's records was missing documentation of a physical exam within 30 days of attendance. Evidence: Child #1 was missing a physical (start date 9/4/2018)
Plan of Correction:	The information was requested to parents.
Standard #:	22VAC40-111-120-A
Description:	Based on provider statement, a record was not maintained for each caregiver. Evidence: Caregiver #1 started at the end of August and does not have a record on-site with information on name, address, two references prior to starting and an emergency contact.
Plan of Correction:	Employee obtained the references and en emergency contact.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 1 of 3 children's records did not contain all required information. Evidence: Child #1 was missing an annual update (start date was 9/4/2018).
Plan of Correction:	Information was required to the parents.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, parents were not given, in writing, the homes policies and procedures as required on the Information For Parents model form. Evidence: Child #1's "Information for Parents" form was blank and no medication policy was signed off by the parent. Child #2 was missing the "Information For Parents" form and signed acknowledgement by the parent as well as the Medication Policy Child #3 was missing 'Information for Parents" form and a signed acknowledgement by the parent as well as the liability insurance form completed, medication policy and the provision of emergency relocation form detailing the relocation site in case of an emergency.
Plan of Correction:	Home policies and procedures were completed by the parents.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the provider did not obtain proof of identity within seven business days of attendance at the Family Day Home. Evidence: Child #1's proof of identity documentation was not signed to document the date it was reviewed. Child #3 did not have proof of identity verified by the provider (start date 9/9/2019)
Plan of Correction:	The information was requested to parents.
Standard #:	22VAC40-111-170-A
Description:	Based on provider statement, a caregiver does not have a report of tuberculosis (TB) screening prior to contact with children. Evidence: Caregiver #1 started at the end of August and no TB report to document the absence of TB was present.
Plan of Correction:	Report of Tuberculosis screening is on the employee file. Negative as result.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, an area of the home was not maintained in safe and operable condition. Evidence: The gate onto the back patio area where the children enter the daycare was off one hinge.
Plan of Correction:	The gate was repaired,
Standard #:	22VAC40-111-320-B
Description:	Based on observation, protective covers were missing in unused outlets. Evidence: Seven outlets were not covered with protective covers.
Plan of Correction:	Protective covers were replaced.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, an employee of the Family Day Home was hired without the completed Sworn Disclosure Statement (SDS). Evidence: Caregiver #1 started the end of August and no SDS is on-site.
Plan of Correction:	The employee completed the Sworn Disclosure Statement today.
Standard #:	63.2-1720.1-B-2
Description:	Based on provider statement, a employee of the Family Day Home has not submitted to fingerprinting and has documentation of an "eligible" letter to work in the home. Evidence: Caregiver #1 started at the end of August and confirmed that she has not submitted to fingerprinting to be eligible for employment.
Plan of Correction:	The employee completed the finger printing on Sep.28th