VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Miriam Medina
3233 Nealon Drive
Falls church, VA 22042
(703) 507-5650

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Feb. 13, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussed medications. Due to the background check related violations cited in today?s inspection, the provider is required to follow-up with the appropriate department regarding the status of any missing and/or incomplete background checks. Documentation of the completed follow-up must be sent to the Licensing Inspector within 10 business days, and a copy of all missing/incomplete background check results must be sent to the Licensing Inspector upon arrival.

Comments:

An unannounced monitoring inspection was conducted today from 11:45am-2:30pm. There were 11 children (26 points) supervised by 3 direct care staff. The home, 1 staff record, 5 children?s records, evacuation drills, emergency supplies, medications, and policies were inspected. Children were observed playing with blocks, Legos, eating lunch,and transitioning to naptime. Lunch served was rice, ground beef, mixed vegetables, oranges, and milk. There was a sufficient amount of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-940-B
Description:	Based on observation, the provider did not maintain an operable thermometer to monitor refrigerator and freezer compartment temperatures. Evidence: There was no thermometer in the refrigerator or freezer compartments.
Plan of Correction:	Thermometers were place in refrigerator and freezer during inspection.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, the family day home did not ensure that bottles were labeled with the child's full name and date. Evidence: 1. Child #3 (age: 8 months) had one bottle with that was not labeled with a name, and two bottles that were not labeled with the date. 2. Child #4 (age: 5 months) had one bottle that was not labeled with the name and date.
Plan of Correction:	Bottles were labeled during inspection.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain the following information: Evidence: 1. Child #1's (age: 10 months old) record did not contain documentation of proof of identification. 2. Child #2's (age: 2 years old) record did not contain documentation of the father's work telephone number. 3. Child #4's (age: 5 months old) record did not contain documentation of that child's immunization record.
Plan of Correction:	I will talk to the parents today.
Standard #:	22VAC40-111-600-B
Description:	Based on observation, the provider did not ensure that infants and toddlers spend no more than 30 minutes of consecutive time during waking ours confined in a crib, play pen, high chair or other confining piece of equipment. Evidence: 1. From approximately 12:09pm to 12:44pm, Child #3 (age: 8 months old) was in a saucer. 2. From approximately 12:09pm to 12:44pm, Child #4 (age: 5 months old) was in a bouncy chair. 3. From approximately 12:09pm to 12:44pm, Child #1 (age: 10 months old) was in a Bumbo chair.
Plan of Correction:	Children were removed from restrictive devices as directed.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the provider did not ensure that caregivers have a central registry finding within 30 days of employment. Evidence: Caregiver A's (date of hire: 1/20/2020) record did not contain documentation of a central registry finding.
Plan of Correction:	Background check was already sent; we are waiting for results.
Standard #:	63.2-1720.1-B-2
Description:	Based on record review, the provider did not ensure that all caregivers submit to fingerprinting. Evidence: Caregiver A's (date of hire: 1/20/2020) record did not contain documentation of completed fingerprint results.
Plan of Correction:	I will have the caregiver make an appointment.