VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fabiola Salinas
8471 Summer Breeze Lane
Springfield, VA 22153
(571) 315-6231

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

Inspection Date: Jan. 21, 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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Provider will have 10 work days to provide evidence to the LI of a follow up for the new assistant's CPS background result.

Comments:

An unannounced renewal visit was conducted today between the hours of approximately 8:15 am through 12:30 pm. At the beginning of this inspection, there were 9 children (16 points) with the provider. During the course of the inspection, 2 more children (7 points) and an assistant for a total of 11 children (23 points) and 2 caregivers. A sample of 12 children's files and 4 staff/household member's files were reviewed. The provider exceeded the 16 required annual training hours having completed a total of 30 training hours during 2019. The children were observed during breakfast, handwashing procedures, bathroom breaks, free toy play, singing and dancing, reviewing the letter D and E, and transition to lunch. 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 #:	22VAC40-111-830-B
Description:	Based on record review and interview it was determined that shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1) The emergency response drills log did not contain documentation of any shelter-in-place drills being practiced during 2019. 2) Provider stated that both drills documented for October 2019 were fire drills.
Plan of Correction:	I will make sure to complete the shelter in place two times.
Standard #:	22VAC40-111-920
Description:	Based on observation, it was determined that the menu for the current week did not contain all required information: it did not list any substituted food. Evidence: 1) The posted menu listed breakfast for the day as oatmeal, apple and milk. The children were observed eating fruit loops and milk as breakfast. The substitutions were not listed on today's menu.
Plan of Correction:	I will list the substitutions and include all the components.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child 3, Child 5 and Child 12 did not contain a first date of attendance. 2) The records for Child 1-4, Child 8-9 and Child 12 did not contain the results of the health examination for the child. 3) The records for Child 3, Child 5 and Child 12 did not contain documentation that proof of the child's age and identity were verified. 4) The records for Child 5 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately and immunization records for the child 5) The records for Child 3 and Child 5 did not contain information of the parent's place of work address and telephone numbers. 6) The records for Child 4-7 and Child 11-12 did not contain documentation of name, address and telephone number of designated persons to contact in case of an emergency if the parent cannot be reached 7) The records for Child 3, Child 5, Child 8-9 and Child 12 did not contain the policy number of the child's medical insurance
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, it was determined that parents were not provided in written with all required information of the family day home (FDH) Evidence: 1) The records for Child 1-3, Child 5 and Child 11 did not contain the FDH policies for the administration of medications. 2) The records for Child 1-2 and Child 4 did not contain the provisions of the FDH's emergency preparedness and response plan. 3) The records for Child 2-3 did not contain whether or not there is liability insurance for the FDH.
Plan of Correction:	I will ask the parents for the information.