VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mahdiya Sindi
12259 Scarlet Maple Drive
Gainesville, VA 20155
(703) 868-0251

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: Oct. 3, 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 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

An unannounced monitoring inspection was conducted from 10:45 a.m. - 12:45 p.m. There were seven children in care with the provider and one assistant ages 3 months, 12 months, 17 months, 2 years, 2 years, 2 years, 2 years for a total of 19 points. The children were observed participating in free play, eating lunch, and preparing for nap. Lunch served today is rice, chicken soup, cucumber, tangerines, and milk. Seven children's records were reviewed. The provider record was reviewed. One medication was reviewed. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.l.allen@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-700-A
Description:	Based on interview with the provider it was determined that not all procedures for medication were followed. Evidence: Child C did not have written parental authorization to accompany their emergency medication that was on site.
Plan of Correction:	The provider will request a written authorization form from the parents of child C.
Standard #:	22VAC40-111-750-A
Description:	Based on interview with the provider it was determined that not all procedures for diaper ointment were followed. Evidence: Child B, C, and D had diaper ointment in the family day home without written parent authorization.
Plan of Correction:	The provider will request that authorization forms be completed by the parents of child B, C, and D.
Standard #:	22VAC40-111-750-B
Description:	Based on observation of the diaper area it was determined that not all diaper ointments were kept inaccessible to children. Evidence: Three diaper creams were observed in an unlocked cabinet under the changing table, accessible to children.
Plan of Correction:	The diaper creams were moved to an inaccessible area during the inspection.
Standard #:	22VAC40-111-800-A
Description:	Based on interview with the provider it was determined that the provider failed to have a written emergency preparedness and response plan on site. Evidence: The provider did not have documentation of an emergency preparedness and response plan on site.
Plan of Correction:	The provider will create an emergency preparedness plan for the family day home.
Standard #:	22VAC40-111-830-A
Description:	Based on interview with the provider it was determined that emergency evacuation drills were not practiced monthly. Evidence: The provider has not conducted emergency evacuation drills for the months of August and September.
Plan of Correction:	The provider will practice emergency escape drills monthly.
Standard #:	22VAC40-111-100-A
Description:	Based on review of seven children's records it was determined that not all records contained documentation of a physical within the first 30 days of attendance. Evidence: Child A (start date: 08/07/2019) and child B (start date: 07/21/2019) did not have documentation of a physical on file.
Plan of Correction:	The provider will request a physical from the parents of child A and child B.
Standard #:	22VAC40-111-120-A
Description:	Based on interview with the provider it was determined that the provider failed to provide a record for assistants. Evidence: Staff A (start date: 09/23/2019) did not have a record on file.
Plan of Correction:	The provider will keep a record for staff A on site.
Standard #:	22VAC40-111-50-A
Description:	Based on interview with the provider it was determined that a written record of attendance was not completed daily. Evidence: The provider does not keep a written record of attendance.
Plan of Correction:	The provider will keep a written record of attendance daily.
Standard #:	22VAC40-111-90-A
Description:	Based on review of seven children's records it was determined that not all records contained documentation of immunizations before the first date of attendance. Evidence: Child A (start date: 08/07/2019) and child B (start date: 07/21/2019) did not have documentation of immunizations on file.
Plan of Correction:	The provider will request an immunization record from the parents of child A and child B.
Standard #:	22VAC40-111-170-A
Description:	Based on interview with the provider it was determined that not all assistants had documentation of a TB (tuberculosis) screening on file before coming into contact with children. Evidence: Staff A (start date: 09/23/2019) did not have documentation of a TB screening on file.
Plan of Correction:	Staff A will obtain a TB screening and submit the results to the provider.
Standard #:	22VAC40-111-200-A
Description:	Based on interview with the provider it was determined that the provider failed to orient assistants before the end of the first week. Evidence: Staff A (start date: 09/23/2019) did not have documentation of orientation on file.
Plan of Correction:	The provider will provide orientation training to staff A.
Standard #:	22VAC40-191-60-B
Description:	Based on interview with the provider it was determined that the provider failed to obtain documentation of a sworn statement or affirmation for assistants. Evidence: Staff A (start date: 09/23/2019) did not have documentation of a sworn statement or affirmation.
Plan of Correction:	Staff A will complete a sworn statement or affirmation.
Standard #:	63.2-1720.1-B-2
Description:	Based on interview with the provider it was determined that the provider failed to obtain documentation that staff submitted to fingerprinting before the first day of employment. Staff A (start date: 09/23/2019) did not have documentation of an eligible determination letter based on fingerprinting.
Plan of Correction:	Staff A will not be permitted to return until fingerprint determination letter is obtained.