VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Rebecca Washington
1806 Irene Court
Woodbridge, VA 22191
(703) 492-1203

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: March 2, 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 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 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Technical Assistance:

Discussed Medication Administration with the Assistant and required paperwork that will be expiring soon.

Comments:

An unannounced monitoring inspection was conducted today from 9:35am to 12:00pm with the Assistant. There were three children in care, ranging from three to five years of age, for a total of six points. Children were observed listening to a story, using the restroom and washing hands, eating morning snack, reading stories by Dr. Seuss and doing a related art project, and having free play. Four children?s records, two staff records, and two household members? records were reviewed and were in compliance. The provider and assistant have current certification in CPR and First Aid. Four medications and authorization forms were reviewed and the provider and assistant have current certification in Medication Administration Training (MAT). Morning snack today was peaches and milk.The emergency drill log, attendance, and menu were also reviewed and were in compliance. The most recent evacuation drill was documented 2/28/20 and the most recent shelter-in-place drill was documented 1/21/20. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-111-700-C
Description:	Based on review of four medications for one child, parents were not notified that medications with expired authorizations needed to be picked up within 14 days of expiring or the parent must renew the authorization. Evidence: The Licensing Inspector (LI) observed an emergency inhaler, Benadryl, an Epi-Pen, and Diazepan on site for Child A, all with authorization dated 9/11/18, which expired on 9/11/19.
Plan of Correction:	We will let the parents know as soon as possible and obtain new authorization.
Standard #:	22VAC40-111-710
Description:	Based on review of four medications for one child, the family day home did not ensure that prescription medication was maintained in the original, labeled container. Evidence: The Licensing Inspector (LI) observed an emergency medication on site for Child A that was not in the original container from the pharmacy with the prescription label.
Plan of Correction:	We will ask the parents for this.