VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sangeeta Sarkar
13586 Cobra Drive
Herndon, VA 20171
(703) 668-0722

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

Inspection Date: Feb. 4, 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

Technical Assistance:

Technical assistance was provided regarding medication and diapering. The central registry search must be requested within 10 days and proof sent to the LI. Follow up must be done if results are not back within 30 days.

Comments:

An unannounced renewal visit was conducted today between the hours of approximately 9:45 am through 2:30 pm. There were 11 children (28 points) directly supervised by 3 caregivers. A sample of 12 children's files and 3 staff/household member's files were reviewed. The children were observed during the following: story time, toileting and diapering procedures and working on a craft with one of the assistants. Infants were observed crawling and playing with toys. The provider has exceeded the 16 hours of annual training; she completed 33 hours of training this past year. The physical space of the care area, emergency supplies, evacuation drills, attendance records, medications and the Emergency Preparedness Plan were reviewed. 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-D
Description:	Based on documentation review, records of emergency evacuation drills were not maintained for one year. Evidence: 1) On the date of inspection, the records available for review documented drills conducted for the months of August 2019 through February 2020. No documentation was available for the period of January 2019 - July 2019. 2) The provider stated that she must have discarded them.
Plan of Correction:	I will document it properly.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, bottles were not labeled with the child's full name and the date. Evidence: 1) One bottle for Child 7 was labeled with only the child's first name. It's last name and the date was missing.
Plan of Correction:	I will label and date the bottle right away.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, 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) The record of Child 1 (start date 03/08/2018) did not contain documentation of a physical examination.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provider did not maintain all required information in the record for each child. Evidence: 1) The record for Child 1 did not contain phone numbers for both parent's place of work. 2) The record for Child 4 did not contain the policy number of the child's medical insurance. 3) The record for Child 6 did not contain the address of one of the child parent's place of employment and the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-70-B
Description:	Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of information of the family day home (FDH). Evidence: 1) In the record for Child 3 did not contain a signature on the Parent's acknowledgement of the receipt of the FDH information.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1) The record for Child 2 (dob 08/21/2017) did not contain documentation of a current immunization report. The most recent immunization report was dated 11/28/2018. 2) The record for Child 5 (dob 10/21/2017) did not contain documentation of a current immunization report. The most recent immunization report was dated 05/03/2019.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-170-B
Description:	Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening form completed within the last 30 days documenting the absence of tuberculosis in a communicable form. Evidence: 1) The record for Staff 2 (doh 12/16/2019) contained a screening report dated 12/10/2018 which is more than 30 days from the date of hire.
Plan of Correction:	It will be completed by the end of the week.
Standard #:	22VAC40-111-230-A
Description:	Based on record review and interview, the provider did not maintain written documentation of each caregiver's annual training. Evidence: 1) On the date of inspection, the record for Staff 3 did not contain all the documentation of training hours completed for 2019. The record shows 10 hour completed by 2019. 2) The provider stated that the training hours were completed but she did not keep a copy of the certificates in the file.
Plan of Correction:	The provider shall make copies of the certificates to keep in the employee file.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small electrical appliances were not kept unplugged when not being used. Evidence: 1) In the upstairs kitchen, a coffee maker was observed plugged in and not in use.
Plan of Correction:	It was corrected during inspection.
Standard #:	22VAC40-111-320-G
Description:	Based on observation and documentation review, wood burning fireplaces and associated chimneys were not inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) The inspector observed a fireplace in the living area upstairs of the care area. 2) On the date of inspection, a current inspection of the fireplace was not available for review.
Plan of Correction:	I agree to get it inspected and get the documentation from him.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review and interview, not every employee had a central registry finding within 30 days of employment. Evidence: 1) On the date of inspection, the record for Staff 2 (doh 12/16/2019) did not contain the results of a central registry finding.
Plan of Correction:	The provider must complete a central registry request within 10 days. Central registry findings must be sent to the Licensing Inspector within 30 days of being requested.