VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sangeeta Sarkar
13586 Cobra Drive
Herndon, VA 20171
(703) 668-0722

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Oct. 22, 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 63.2 Facilities and Programs

Technical Assistance:

Discussion was held on the topics of medication documentation, equipment recalls, topicals, and ratios.

Comments:

An unannounced mandated inspection was conducted today between the hours of approximately 8:40 am through 11:40am. During the time of the inspection, there were 11 children (39 points) directly supervised by 2 caregivers. A sample of 6 children's files and 5 staff/household members? files were reviewed. The children were observed during free toy play, circle time, phonics, and math (patterns). During circle time, the children sang the days of the week, months of the year and colors in English and Spanish, they also practiced the alphabet in English and Sign Language. The physical space, emergency supplies, medication, evacuation drills and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-770
Description:	Based on emergency supplies review and interview, a battery-operated weather band radio was not available to caregivers at all times. Evidence: 1) A battery-operated weather band radio was not available in the family day home at the time of inspection. 2) The provider said that she had one but she could not locate it during the inspection.
Plan of Correction:	The radio was in another shelf in the daycare area, and it was found immediately after the inspector left that day.
Standard #:	22VAC40-111-800-B
Description:	Based on document review, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1) The date of the last review of the Emergency Preparedness plan is August 2016.
Plan of Correction:	The plan is up on the wall nd I had to update it. This was reviewed and updated on the same day of visit of the inspector.
Standard #:	22VAC40-111-890
Description:	Based on observation, meals and snacks brought from home were not clearly labeled in a way that identifies the owner. Evidence: 1) A food container in the refrigerator of the child care area was not labeled with the child's name or other child identifier.
Plan of Correction:	I have discussed this with the concerned parents and they have fixed it.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and the date. Evidence: 1) Two out of four bottles were not labeled with the child's full name and date.
Plan of Correction:	I have discussed this with the concerned parents and they have fixed it.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1) The record of Child #2 (start date 07/22/19) did not contain documentation of a physical examination. 2) The record of Child #5 (start date 03/08/18) did not contain documentation of a physical examination.
Plan of Correction:	I will contact the concerned parents and get the documentation.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, the record for each caregiver did not contain required information. Evidence: 1) The record for Staff #4 did not contain job title, date of employment and documentation that two or more references were checked before employment.
Plan of Correction:	Document updated.
Standard #:	22VAC40-111-50-A
Description:	Based on observation and interview, the provider did not keep a written record of children in attendance each day. Evidence: 1) On the day of inspection, a written record of attendance was not available for review. 2) The provider stated that she writes the names of the children on the white board to know who is present.
Plan of Correction:	I used to write names on the white board as soon as the kids arrived at the daycare, and that was OK with my previous inspector. That is what I did on 22 October. I have started keeping the record on a sheet of paper now.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provider did not maintain required information in the record for each child. Evidence: 1) The record for Child #1 did not contain an address for a second emergency contact. 2) The record for Child # 2 and Child #4 did not contain information on allergies and intolerance to food. 3) The record for Child #5 did not contain phone numbers for both parent's place of work and the parent?s written acknowledgement of having received required information from the Family Day Home.
Plan of Correction:	I will contact the concerned parents and get the forms updated.
Standard #:	22VAC40-111-80-B
Description:	Based on record review, the provider did not verify the identity and age of each child. Evidence: 1) The record of Child #2, Child #3 and Child #4 did not contain documentation that the provider verified their identity and age.
Plan of Correction:	Verified.
Standard #:	22VAC40-111-200-A
Description:	Based on record review, the provider did not orient each assistant by the end of their first week of assuming job responsibilities. Evidence: 1) The record for Staff #4 did not contain documentation that she received orientation by the end of the first week of employment.
Plan of Correction:	I forgot to write the date on the date of orientation. The date has been written on the form now.
Standard #:	22VAC40-111-280
Description:	Based on observation, possible poisonous substances were not stored in areas inaccessible to children. Evidence: 1) Next to the diapering area, a bottle of bleach was observed under the utility sink. 2) In the care area, a bottle of hand sanitizer was observed on top of a book case, accessible to children.
Plan of Correction:	An empty bottle of bleach was kept under the utility sink, intended to be discarded with the rest of the trash in the ground level upstairs. It was discarded immediately, as soon as it was pointed out. Hand sanitizer is usually kept out of reach on the top shelf of wall book shelf, but was momentarily left on top of book case. This was removed immediately.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small electrical appliances were not kept unplugged when not being used. Evidence: 1) In the upstairs kitchen, a small grill was observed plugged in and not in use.
Plan of Correction:	Panini sandwich maker is on bay window in kitchen area to make lunch for the daycare kids. Kids are not allowed in the kitchen area. This was removed when pointed out.
Standard #:	22VAC40-111-570-A
Description:	Based on observation, the provider did not ensure that a caregiver does not exceed 16 points. Evidence: 1) On the date of inspection, 11 children (ages 18 months, 2 years, 2 years, 2 years, 3 years, 3 years, 10 months, 3 years, 4 years, 8 months and 9 months) totaling 39 points, were in care under the supervision of 2 caregivers. 2) The maximum number of points permitted under the supervision of 2 caregivers is 32. Three caregivers are needed for the supervision of 39 points.
Plan of Correction:	My other full time daycare assistant had a family emergency and had to leave that day unfortunately.