VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farjana Akter
5614 7th Place South
Arlington, VA 22204
(571) 645-3857

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Jan. 7, 2020

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 22VAC40-191 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 was provided regarding, fingerprints must be completed before caregivers first day of employment, they cannot work until an eligible fingerprint is received. Send inspector the results within ten business days. (1/22/20) For all children under the age of two, an updated immunization record must be obtained every six months. For children's records: an original document must be seen by provider and initialed it has been seen, parent information, liability insurance information, medication information must be complete and signed by parent and provider.

Comments:

An unannounced monitoring inspection was conducted today from 9:30am-11:45am. There were 7 children (28 points) supervised by 3 direct caregivers. The home, 2 staff records, 7 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Staff and children were engaged playing, eating and sleeping. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact nancy.radcliffe@dss.virginia.gov or call 703-268-3728.

Violations:

Standard #:	22VAC40-111-920
Description:	Based on observation, there is no menu posted for meals provided by the family day home. Evidence: No menu is posted.
Plan of Correction:	I was closed last month, and will post one this week.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, bottles are not labeled with child's name and date. Evidence: Bottles are not being labeled with child's name and date.
Plan of Correction:	I will label all the bottles with child's name and date.
Standard #:	22VAC40-111-120-A
Description:	.
Plan of Correction:	I will document the orientation and training in child abuse.
Standard #:	22VAC40-111-120-B
Description:	Based on review of four caregiver's records, one is incomplete. Evidence: Caregiver #2 does not have documentation of emergency contacts.
Plan of Correction:	I will have her complete the form.
Standard #:	22VAC40-111-60-B
Description:	Based on review of seven children's records, four are incomplete. Evidence: Child #1 does not have documentation of proof of birth, parent information, emergency contacts medical sign off and liability insurance form. Children #2,3 &,4: do not have documentation of proof of birth.
Plan of Correction:	I will review all the records and get all the information we are missing.
Standard #:	22VAC40-111-200-C
Description:	Based on review of four caregivers records, one is incomplete. Evidence: Caregiver #2 does not have documentation of child abuse training or receiving an orientation
Plan of Correction:	I will document the orientation and child abuse training.
Standard #:	22VAC40-111-690-D
Description:	Based on observation the diapering surface is not being cleaned and sanitized. Evidence: The diapering surface is not being cleaned and sanitized using the two step method of spraying with soap & water, wiped dry, then sprayed with bleach & water and allowed to air dry.
Plan of Correction:	I have the bleach and water, but will make the soap and water bottle and use immediately.
Standard #:	63.2-1720.1-B-2
Description:	Based on review of four caretakers records, two do not have documentation of an eligible fingerprint before first day of employment. Evidence: Caretaker #1 and #2 do not have documentation of an eligible fingerprint.
Plan of Correction:	We will call fingerprint today and send you the results when received.