VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Saraiid Vidaurre
5283 Navaho Drive
Alexandria, VA 22312
(703) 989-8636

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Nov. 13, 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 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An unannounced renewal inspection was conducted today from approximately 12:45 pm - 3:00 pm. There were 7 children (18 points) in the direct care and supervision of 1 caregiver. A sample of 7 children?s records, 2 caregiver's records, and 2 household member's records were reviewed. The children were observed napping, playing with the caregivers and being dropped off. One new caregiver has been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review with the parent the emergency contact information to ensure the information is correct. Evidence: 1. The record of Child A was last reviewed 10/21/2018. 2. The record of Child B was last reviewed 07/10/2017. 3. The record of Child C was last reviewed 09/21/2018. 4. The record of Child D was last reviewed 09/21/2018.
Plan of Correction:	I will give it to parents today to be fixed by tomorrow.
Standard #:	22VAC40-111-800-B
Description:	Based on observation, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed 04/29/2018.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-120-B
Description:	Based on record review, the assistant's record did not contain required information. Evidence: The Assistant's record was missing the following required information: 1. Verification of age; 2. Job title; 3. Date of employment or volunteering; 4. Name address and telephone number of an emergency contact; 5. References.
Plan of Correction:	I will print today.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain required information. Evidence: 1 of 7 records records reviewed were missing required information. 1. Child A was missing the insurance policy number and the mother's employer phone number.
Plan of Correction:	I will fix it today.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, the parents were not provided required information before the first day of attendance. Evidence: The parents of Children B and C were not provided the following: 1. Medication administration disclosure; 2. Liability insurance disclosure; 3. Provisions of emergency preparedness plan, and 4. Contract of care for children.
Plan of Correction:	I will give them to parents today to be fixed by tomorrow.
Standard #:	22VAC40-111-140-B-3
Description:	Based on record review, a caregiver did not have a current certification in CPR. Evidence: The CPR certification for Caregiver A was last completed 05/22/2017.
Plan of Correction:	I will call the guy for training.
Standard #:	22VAC40-111-140-B-4
Description:	Based on record review, a caregiver did not have a current certification in first aid. Evidence: The first aid certification for Caregiver A was last completed 05/22/2017.
Plan of Correction:	I will call the guy for training.
Standard #:	22VAC40-111-170-A
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire prior to coming in caontact with children a current report of tuberculosis screening. Evidence: 1. Caregiver B did not have a current report of tuberculosis screening.
Plan of Correction:	Doctor will send to me today by email.
Standard #:	22VAC40-111-280
Description:	Based on observation, potential poisonous substances were not inaccessible to children. Evidence: Disinfectant wipes were located on a teal shelf approximately 3 1/2 feet from the floor in the main child care area.
Plan of Correction:	Moved to a higher shelf. Corrected during inspection.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, child resistant protective covers were not placed on unused outlets. Evidence: An outlet located to the left of the bathroom door in the main child care area was not covered with a protective cover.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-570-A
Description:	Based on record review and observation, the provider failed to ensure that a caregiver not exceed 16 points. Evidence: There were 7 children, a total of 18 points in the care of Caregiver B.
Plan of Correction:	I will correct tomorrow.
Standard #:	22VAC40-191-60-B
Description:	Based on record review and interview, an employee of a licensed family day home did not complete a sworn statement of affirmation. Evidence: 1. Caregiver B did not complete a sworn statement of affirmation. 2. Caregiver A stated Caregiver B began employment in September of 2019.
Plan of Correction:	I will print it today.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review and interview, a caregiver did not have a central registry finding within 30 days of employment. Evidence: 1. Caregiver B did not have central registry findings within 30 days of employment. 2. Caregiver A stated Caregiver B began employment September of 2019.
Plan of Correction:	I sent it in yesterday.