VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shaun Bissett
3110 19th Street S.
Arlington, VA 22204
(202) 316-8888

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Nov. 18, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-80 THE LICENSE. 63.2 Licensure and Registration Procedures

Technical Assistance:

Reviewed new hire paperwork on the phone during the inspection with the Provider.

Comments:

An unannounced focused monitoring inspection was completed today. Today's inspection is being completed due to the FDH having been placed on a 6 month Provisional license. The physical plant, 6 caregiver records, 5 children's records, caregiver training, child nutrition, children's activities and evacuation drills were inspected between 11:05am- 1:45pm. There were 9 children, totaling 33 points, directly supervised by 4 staff. The Provider was not present during the inspection, so the reports will be left for him to complete, sign and mail back to the Fairfax office within 5 days. There are no caregivers certified in MAT (medication administration training) and there are no children with any medication needs at this time. Children were observed enjoying free play, being fed bottles (infants) and lunch, having tummy time, playing with musical instruments and listening to story time. For lunch, the children were served chicken, broccoli, cauliflower and milk. Should you have any questions regarding this inspection, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-830-A
Description:	Based on observations, the Provider failed to practice monthly with all caregivers and children in care during all shifts that children are in care. Evidence 1. There was no documentation of an evacuation drill having been completed in October 2019 on the posted evacuation drill log.
Plan of Correction:	"Missed the month of October, but we routinely practice."
Standard #:	22VAC40-111-120-B
Description:	Based on file review, 2 out of 5 caregivers do not have all required information. Evidence 1. Caregivers #4 and #5 do not have the following information on file: address; verification of age; date of employment; name address and telephone number of a person to be notified in an emergency. 2. Caregiver #5 does not have documentation that two or more references as to character and reputation as well as competency were checked before employment began.
Plan of Correction:	"Caregiver is a referral from a past employee. So I have reference. It wasn't written."
Standard #:	22VAC40-111-120-C
Description:	Based on interview, the FDH did not have documentation of the time of arrivals and departures for the Substitute Provider. Evidence 1. When the LI asked caregiver #2 if she had a Substitute timesheet, or any documentation of the time of arrival as a Substitute, she stated that she does not have this.
Plan of Correction:	"Will update Substitute form to show her hours."
Standard #:	22VAC40-111-50-A
Description:	Based on interview, the FDH does not have a written record of children in attendance each day. Evidence 1. When asked by the LI if there was an attendance sheet for today, caregiver #2 stated that they did not have one for this week yet.
Plan of Correction:	"We have electric attendance on iPad."
Standard #:	22VAC40-111-60-A
Description:	Based on file review, 1 out of 5 children's records has not been updated annually. Evidence 1. Child #1's record was last updated on 8/31/18.
Plan of Correction:	"Will get parents to sign form."
Standard #:	22VAC40-111-60-B
Description:	Based on file review, 2 out of 5 children's records do not have all required information. Evidence 1. Children #3 and #5 do not have the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. 2. Child #3 does not have the policy number of their health insurance.
Plan of Correction:	"Will get parents to update files."
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 3 out of 5 children's records do not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #1 is 2 years old. The most recent immunization record was updated when the child was 6 months old 2. Child #2 is 12 months old. The most recent immunization record was updated when the child was 2 months old. 3. Child #3 is 13 months old. The most recent immunization record was updated when the child was 4 months old.
Plan of Correction:	"Will get parents to update files."
Standard #:	22VAC40-111-340-C
Description:	Based on observations, the bathroom did not contain all required items. Evidence 1. There were no paper towels in the bathroom.
Plan of Correction:	"I have kept the paper towels in the kitchen to avoid them being put in toilet. There are paper towels always available."
Standard #:	22VAC40-111-680-B
Description:	Based on observations, the caregivers failed to ensure that children's hands are washed with liquid soap and warm running water before eating. Evidence 1. The Inspector observed children being given/fed food for lunch without having washed their hands with liquid soap and warm running water. The children's hands had been wiped with a cleaning wipe. The LI informed the caregivers that was insufficient and that liquid soap and warm running water was necessary. Once they were informed of this, they washed the children's hands.
Plan of Correction:	Corrected during the inspection.
Standard #:	22VAC40-191-60-B
Description:	Based on file review, 1 out of 5 caregivers does not have a sworn disclosure statement (SDS) completed by the end of the first day of employment. Evidence 1. Caregiver #5 began working at the FDH on 11/12/19. There is no SDS on file 1. Caregiver #5 does not have a s
Plan of Correction:	"Will get signature."
Standard #:	22VAC40-80-120-E-1
Description:	Based on observations, the most recently issued license was not posted at each public entrance of the facility. Evidence 1. The posted state license was not dated for the current licensure period.
Plan of Correction:	"Have not received new license yet."
Standard #:	63.2-1721.1-B-3
Description:	Based on file review, the Provider did not obtain a search of the central registry (SCR) by any other state in which a caregiverl has resided in the preceding five years. Evidence 1. Caregiver #4 's sworn disclosure statement listed Maryland as a state that the caregiver has resided in within the past 5 years. There is no documentation of SCR check having been completed in this state.
Plan of Correction:	"Background check was sent to central registry. Has not responded. Followed up with them on 11/21 and still no call back."