VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Velasquez
5229 Forman Court
Springfield, VA 22151
(703) 477-1989

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: Nov. 1, 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 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Facilities and Programs 22VAC40-665 Special Care Provisions & Emergencies

Technical Assistance:

Newer form for documenting Substitute Provider hours

Comments:

An unannounced renewal inspection was completed today between 9:45 am and 1:00 pm. There were 3 children (10 points) present with 2 caregivers. The children were observed playing with leggo's, singing and engaged in story time with the caregiver. The child were also observed, during diaper changes, hand washing and eating lunch. Lunch consisted of chicken, rice, carrots,apple sauce and milk. The entire physical plant including outside play space, children's records, caregiver's records, household member's records, animal immunizations, evacuation logs, attendance, logs,menu's emergency plans and emergency supplies. There were no medications on site. Areas of 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 #:	22VAC40-111-90-A
Description:	Based on a review of children's records, the provider failed to ensure that prior to the first day of attendance the family day home obtained documentation that the child has been adequately immunized according to the requirements of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child #3's record documents the first day of attendance was 1/14/2019, the first immunizations documented are dated 1/15/2019.
Plan of Correction:	I will check with parents and see if they have another form.
Standard #:	22VAC40-111-90-C
Description:	Based on a review of children's records,2 of 3 children's records did not have documentation of additional immunizations for a child who is not exempt from the immunization requirements according to subsection B of this - once every six months. Evidence: 1) Child #1 is under the age of two and the current immunization information documented is dated 1/23/19. 2) Child #2 is under the age of two and the current immunization information documented is 3/20/18. 3) Child #3 is under the age of two and the current immunization information documented is 1/14/19. 2)
Plan of Correction:	I will remember to remind parents to bring in new immunization information as they get it.
Standard #:	22VAC40-111-180-A
Description:	Based on a review of caregiver and household member records, the provider failed to obtain for each caregiver and adult household member a current report of tuberculosis screening form, in accordance with the requirements in 22 VAC 40-111-170 every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1) Caregiver #1 most current Tuberculosis screening has expired. Last screening dated 5/22/17. 2) Household member #1's most current Tuberculosis screening has expired. Last screening date 7/12/17.
Plan of Correction:	I will obtain and submit Tuberculosis screening forms from caregiver and household member.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, the provider failed to ensure that areas of the family day home inside and outside,shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include , but are not limited to the presence of poisonous plants,; tripping hazards; unstable heavy equipment or furniture or other items that a child could pull down on himself; splintered, cracked or otherwise deteriorating wood, chipped or peeling paint; visible cracks, bending or warping,, rusting or breakage of an equipment; head entrapment hazards and protruding nails, bolts or other components that could entangle skin. Evidence: 1) In the door leading to the outside play space, there a four broken panes of glass. 2) In the outside play area, heavy equipment including ladders are accessible to the children and could be pulled over on top of them. 3) At the far corner of the yard, the fence is missing a section at the bottom.
Plan of Correction:	1. We are replacing glass in door. 2. I will have my husband move the equipment in the backyard. 3. I will have my husband repair the fence.
Standard #:	22VAC40-111-500-C
Description:	Based on observation of the outdoor play space, the provider failed to ensure that stationary outdoor play equipment shall not be installed over a hard surface. Evidence: The large outside playground equipment does not have any resilient surface material.
Plan of Correction:	I will have resilient material placed under the swing.
Standard #:	22VAC40-665-410-A-1
Description:	Based on a review of evacuation procedures, the provider failed to ensure that evacuation procedures shall be practiced at least monthly. Evidence: The provider did not have documentation of practicing evacuation procedure for the month of October 2019.
Plan of Correction:	I will remember to complete fire drills each month.