VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rita David
2607 Stirrup Lane
Alexandria, VA 22308
(703) 360-5263

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: Nov. 6, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Technical Assistance:

Technical assistance today included record keeping; updated background check forms; menu for parents; attendance, required postings, substitute timesheet for the times when the provider is off premises; requirements for transporting children from school; physical environment, training opportunities. The website for licensing is dss.virginia.gov

Comments:

An unannounced renewal inspection was conducted today from 10:30 am - 1:30 pm. There were 6 children at the beginning of the inspection and 10 children after noon for 25 points with the provider and two assistants. I observed children playing with toys and working with manipulative puzzles. I also observed preparation for lunch and naptime. Records were well-organized and there was a variety of accessible activities for children. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-760-A
Description:	Based on staff confirmation today, there were no emergency first aid supplies in the vehicle used to pick up children at school today.
Plan of Correction:	I will get a first aid kit for the car.
Standard #:	22VAC40-111-800-A
Description:	Based on observation, the current written emergency preparedness/response plan did not include the posted phone number of an individual to contact in the event of an emergency to help with child care as required. The names listed are current staff.
Plan of Correction:	I will update the form and post it.
Standard #:	22VAC40-111-920
Description:	Based on observation during today's inspection, there was no posted menu available for parents. Evidence: There was no written menu for parents that was completed for the current one week period.
Plan of Correction:	The Food Program is going to computerized but I will write up a weekly menu.
Standard #:	22VAC40-111-980-A
Description:	Based on a review of records today, there was no written permission from parents of children who were picked up by the provider from school today. Evidence: Child # 7, 8 , 9 and 10 arrived at child care after being picked up at school by the provider, but there were no parental authorizations documented giving permission for transportation.
Plan of Correction:	I will give them to the parents to sign.
Standard #:	22VAC40-111-100-A
Description:	Based on observation during a review of records, there was no physical exam available for one child. Evidence: Child # 6, who began care 4/19, did not have physical exam within 30 days of attendance.
Plan of Correction:	I will talk to the parent.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of a sample of children's files today, not all required information was present. Evidence: There were incomplete proof of identities for Child # 6 and 7 . The forms for Liability Information were not signed by the parent/guardian of Child # 1, and the Information for Parent forms were incomplete for Child # 6 and 8; and there were no addresses for second emergency contacts for Child # 4, 6, and 8 as required.
Plan of Correction:	I will make sure all paperwork is complete.
Standard #:	22VAC40-111-70-A
Description:	Based on a review of records today, there was no documentation that parents were provided in writing of information before beginning care. Evidence: There was no form signed by parents to acknowledge liability insurance information for Child # 3. The Information for Parents did not have the back page completed for Child # 8
Plan of Correction:	I will have parents sign the forms.
Standard #:	22VAC40-111-80-A
Description:	Based on a review of children's records today, there was no documentation for required proof of identity and previous/current child care for some children. Evidence: Child # 4 (who began care 12/18) did not have documentation of proof of identity within seven days. Child # 7, 8, 9 and 10 did not have information about current schools attending (they are picked up at school daily.)
Plan of Correction:	I will have parents write in the name of the schools on the forms, and make sure the parent brings in the birth certificate information tomorrow..
Standard #:	22VAC40-111-240-A
Description:	Based on observation during today's inspection, there were some areas not maintained in a safe/operable condition. Evidence: There was some badly peeling paint at child height in the children's area..The gate separating the infant toddler area was shakey when children leaned on it.
Plan of Correction:	We will cover or repaint the wall.
Standard #:	63.2-1720.1-B-3
Description:	Based on a review of staff records today, two staff did not have results of Search of the Child Registry for the state they are currently living in. Evidence: Although the Registry results are documented for Virginia, no out of state searches were conducted as required for Assistant # 1 and 2, who began work 4/19 but reside in Maryland.
Plan of Correction:	These will be notarized this weekend and sent out. I will send you a copy of the form and the results when they are sent.