VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lucy Ayala
109 Caragana Court
Sterling, VA 20164
(703) 731-5382

Current Inspector: Tameika King (804) 629-7486

Inspection Date: Oct. 25, 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 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Facilities and Programs

Comments:

An unannounced renewal inspection was conducted today between 8:00 am and 12:00 pm. There were 8 children (23 points) with 2 caregivers. There was no medication on site. The physical plant, children's records, caregiver's records, household member records, menu's, attendance logs, cribs, emergency plans, high chairs, emergency supplies and bottles were inspected. The children were observed playing with toys, watching children's educational program on video, infant were observed being fed and during diapering. Children were also observed during hand washing and diaper changing. Areas on non compliance were cited on the Violation Notice. If you have any questions,please contact me at Tanya.Johnson1@dss.virginia.gov or call me at 571.423.6392.

Violations:

Standard #:	22VAC40-111-750-A
Description:	Based on observation and interview, 2 of 5 children's records indicated that a written authorization to apply diaper ointment was not available for review. Evidence: 1) According to provider, Child #1 and #2 have applications of diaper ointment as needed. 2) Child #1 and #2's records do not include written authorization for the use of diaper ointment. 3) 4 of 4 diaper ointment's inspected were not labeled.
Plan of Correction:	1. I will have parents fill out forms. 2. I will label all diaper ointments.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, the provider failed to ensure that bottles will be labeled with child's full name and date if more than one infant is in care. Evidence: There are two infants in care with bottles.
Plan of Correction:	If parents do not label bottles we will label them. Corrected during inspection.
Standard #:	22VAC40-111-60-A
Description:	Based on a review of records, the provider failed to ensure that children's records are maintained and up to date for all children enrolled. Evidence: 1) Child #2, #4 and #5's records do not have documentation of father's work addresses. 2) Child #3's record does hot have documentation of a phone number for their first emergency contact. 3) Child #1 and #5's records do not have documentation of names of persons other than the custodial parents who are authorized to pick up the child;
Plan of Correction:	I will get the information from parents.
Standard #:	22VAC40-111-180-A
Description:	Based on observation, the provider failed t ensure that each caregiver and household member obtain a current Report of Tuberculosis Screening form every two years from the date of the first screening. Evidence: Household member #1's record does not have documentation of a current Tuberculosis Screening Form.
Plan of Correction:	Household member #1 has an appointment for a TB Screening today, Friday, October 25, 2019.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, the provider failed to ensure that small electrical appliances shall be unplugged unless being used by the caregiver or with the children under close supervision. Evidence: The toaster oven and the blender were plugged in and not in use by caregiver.
Plan of Correction:	I will unplug all small appliances when not in use. Corrected during inspection.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, the provider failed to ensure that protective covers shall be installed on all unused electrical outlets and surge protectors accessible to children. Evidence: The Living Room, The Dining Room and the Family Room has electrical outlets that do not have protective covers.
Plan of Correction:	Corrected during inspection.