VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norma Colorado
6327 Gentele Court
Alexandria, VA 22310
(703) 960-2342

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

Inspection Date: Dec. 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 Preventing the Spread of Disease 22VAC40-111 Emergencies

Technical Assistance:

The provider was oriented by the inspector in the following areas: cleaning and sanitizing surfaces, training hours and record keeping.

Comments:

An unannounced monitoring visit was conducted today between the hours of approximately 7:15 am through 11am. At the time of entrance, no children were in care. During the course of the inspection, 4 children (11 points) arrived and were supervised by the provider. A sample of 4 children's, the provider's and one household member's files were reviewed. The children were observed engaged in the following: free toy play, games, movie time, bathroom breaks and hand washing. Cribs, the physical space of the care area, emergency supplies, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. There were no medications on site today. 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, it was determined that a working portable battery-operated weather band radio was not available to caregivers at all times. Evidence: 1) On the date of inspection, a working portable battery-operated weather band radio was not available for review.
Plan of Correction:	I have a radio but it was upstairs. I will bring it downstairs or buy a new one this weekend.
Standard #:	22VAC40-111-780-B
Description:	Based on record review, the provider did not review annually with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct. Evidence: 1) The most recent information update for Child #2 was dated 08/08/2017. 2) The most recent information update for Child #3 was dated 06/07/2017. 3) The most recent information update for Child #4 was dated 11/21/2018.
Plan of Correction:	I will ask parents for the information as soon as possible.
Standard #:	22VAC40-111-800-B
Description:	Based on document review, it was determined that the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1) The most recent update recorded in the Emergency Plan was dated 01/26/2017.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-830-A
Description:	Based on documentation review and interview, it was determined that emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: 1) An evacuation drill for November 2019 was not documented in the evacuation procedures drill log. 2) The provider stated that they forgot to practice the evacuation drill that month.
Plan of Correction:	We practiced the drill but forgot to document it.
Standard #:	22VAC40-111-30-A
Description:	Based on documentation review, the provider did not meet the requirements specified in 22 VAC 40-80, General Procedures and Information for Licensure, which states that the findings of the most recent inspection of the facility are required to be posted on the premises. Evidence: 1) The most recent inspection was conducted on May 2019. The inspection report posted was dated 11/20/2018.
Plan of Correction:	I will keep posted the most recent inspection today.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, it was determined that children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain name, address and telephone number of each custodial parent's place of employment and first date of attendance.
Plan of Correction:	I will ask parents for the information as soon as possible.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, it was determined that before the child's first day of attendance, parent's were not provided with all required information. Evidence: 1) The policy for the family day home administration of medications in the records for Child #1 - #4 did not contain a signature by the parent. The forms in the children's records were incomplete; it was missing the second page. 2) The provisions of the family day home's emergency preparedness and response plan in the record for Child #2 did not contain a signature by the parent.
Plan of Correction:	I will ask parents for the information as soon as possible.
Standard #:	22VAC40-111-70-B
Description:	Based on document review, the provider did not obtain the parent's written acknowledgement of the receipt of the information required in section 22VAC40-111-70. Evidence: 1) The record for Child #3 did not contain documentation of the parent's written acknowledgement of the family day home's information required.
Plan of Correction:	I will ask parents for the information as soon as possible.
Standard #:	22VAC40-111-90-C
Description:	Based on documentation review, additional immunizations once every six months for children under the age of two years were not obtained. Evidence: 1) The most recent immunization record available for Child #2 [dob 06/08/17] was dated 02/21/17. 2) The most recent immunization record available for Child #3 [dob 08/19/15] was dated 01/31/17. 3) The most recent immunization record available for Child #4 [dob 01/04/18] was dated 04/08/19.
Plan of Correction:	I will ask parents for the documentation today.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1) In the bathroom of the care area, the door and two drawers of the cabinet under the sink were unlocked. Inside this cabinet the inspector observed cleaning agents (Lysol, bathroom cleaner, glass cleaner), lotions, hair products, body spray, deodorant spray, face wash and other beauty products.
Plan of Correction:	I will fix it as soon as possible.
Standard #:	22VAC40-111-690-D
Description:	Based on observation and interview, it was determined that the diapering surface was not nonabsorbent and washable. Evidence: 1) The diapering mat was covered by pillowcases. 2) The provider stated that the diapering mat was covered because it had rips in it.
Plan of Correction:	I will buy a new mat this weekend.