VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Zeinab Salem
305 Jade Court, NW
Vienna, VA 22180
(703) 762-6595

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Dec. 17, 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 22VAC40-80 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 63.2 Facilities and Programs

Technical Assistance:

Discussion was held on the topics of current enrollment, current staffing, and background checks. The findings of the fingerprint check must be on file within the Family Day Home prior to the start of any and all new staff.

Comments:

The following inspection took place between the hours of 10 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Vienna, Virginia. At the start of this unannounced monitoring inspection there were a total of 7 children in care observed, plus 1 resident child (All points combined came to a total of 21 points) with 2 caregivers. A total of 9 children?s files, 3 staff files, and 3 household member?s files were reviewed. The children were engaged in the following: toy play, infant feeding, infant play, infant sleeping, music, movie time, indoor play, games, learning, lunch, nap time, and other organized activities. If you should have any future questions, please call or send an e-mail to charles.perkins@dss.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on review, 1 of 9 children files indicated that annually, the Provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information was correct, and obtained the parent's signed acknowledgment of the review. Evidence - 1. On the date of inspection (12/17/2019), the most recent documented review for Child #3 was dated 11/13/2018. 2. This documentation was observed on file within the FDH.
Plan of Correction:	This documentation shall be reviewed, (if needed) updated, and signed by the parent as verification of this review.
Standard #:	22VAC40-111-100-A
Description:	Based on review, 1 of 9 children files indicated that 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. On the date of inspection (12/17/2019), documentation of a physical was not available for review for Child #2. 2. The start date for Child #2 was listed as 10/21/2019.
Plan of Correction:	The parent of this child shall be contacted and the missing documentation shall be obtained and placed on file.
Standard #:	22VAC40-111-60-B
Description:	Based on review, 1 of 9 children files indicated that not all of the required information was contain within each child's record. Evidence - 1. On the date of inspection (12/17/2019), the policy number for the medical insurance listed for Child #9 was not available for review. 2. The start date for Child #9 was listed as 11/04/2018.
Plan of Correction:	The parent of this child shall be contacted and the missing information shall be placed on file.
Standard #:	22VAC40-111-90-C
Description:	Based on review, 1 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (12/17/2019), the most current immunization page on file for Child #6 was dated - 06/05/2019. 2. Based on the information on file, on the date of inspection, Child #6 was under the age of two years.
Plan of Correction:	The parent of this child shall be contacted and the updated documentation shall be obtained and placed on file.
Standard #:	63.2-1721.1-E
Description:	Based on review and interview, 1 of 3 staff files indicated that a staff person was observed involved in the day-to-day operations of the Family Day Home (FDH), and was alone with, in control of, or supervising one or more children, without first having completed the required background check. Evidence - 1. On the date of inspection (12/17/2019), Staff #3 was without an Eligibility Letter on file within the FDH. The start date for Staff #3 was listed as 09/03/2019. 2. Staff #3 was observed today working within the FDH and supervising the children. At times, by herself with 3 infants. 3. The Provider stated (during an interview conducted on the date of inspection) that the fingerprint check has not yet been conducted for Staff #3.
Plan of Correction:	Staff #3 will cease employment until a satisfactory fingerprint check (eligibility letter) has been obtained. An appointment for this check shall be scheduled today and verification of this appointment shall be sent to the Licensing Inspector. This letter shall then be reviewed by the Licensing Inspector. In the future, no staff shall start their employment until the eligibility letter is already in house and on file.