VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sandra Reardon
26155 Glasgow Drive
Chantilly, VA 20152
(703) 608-4621

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: March 16, 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 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Consultation was given on the current health crisis and the CDC guidelines for sanitizing, heating infant bottles and on-line training opportunities.

Comments:

An unannounced renewal was conducted from 10:00-12:00. Six children were in care (17 points) with two caregivers which is within ratios for supervision. Children were observed being dropped off to care, free play with blocks, infant care, and listening to music. Space is well developed with a separate area for sleeping, eating and outside play space. Reviewed a sample of records, caregiver and household member background checks and health requirements, training and emergency preparation. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-800-B
Description:	Based on record review, the home's written emergency plan was not reviewed annually. Evidence: The last documented review of the written emergency plan was 10/23/2018.
Plan of Correction:	The plan was reviewed and updated during the inspection.
Standard #:	22VAC40-111-830-B
Description:	Based on record review and provider statement,shelter-in-place (SIP) procedures were not practiced a minimum of twice per year. Evidence: The provider stated only one SIP drill was practiced for 2019.
Plan of Correction:	The shelter was practiced but not posted on the drill record. I will be posting it on the record.
Standard #:	22VAC40-111-960-E
Description:	Based on observation, bottles were not labeled as required when more than one infant is in care. Evidence: Four bottles in the refrigerator were missing the date.
Plan of Correction:	Parents bring the bottles from home, they are required to date them before they bring them into the daycare.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical exam within 30 days of attendance. Evidence: Child #3 was missing a physical exam and enrolled 12/1/2019.
Plan of Correction:	Parents will bring it next week.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 1 of 3 children's records did not contain all required information. Evidence: Child #1 was missing a second emergency contact name, address and phone number.
Plan of Correction:	The information was required to parents the same day.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, 1 of 3 children's records did not have signed documentation that the parent or guardian had been provided in writing information on the family day homes policies and procedures. Evidence: Child #3 was missing signed documentation that the parent was aware of the home's medication policy, liability insurance coverage and the Provision for Emergency relocation in case of an emergency.
Plan of Correction:	Parents signed the papers the same day.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, areas of the home were not maintained in a safe, clean or operable condition. Evidence: 1. The wall board at the bottom of the stairs where the gate attached has a hole approximately 4 inches long. 2. Electrical extension cords are hanging down from the deck stairs and could pose a tripping hazard.
Plan of Correction:	1. The gate accidentally made a little damage on the wall. The wall will be repaired this weekend. 2. The electrical extension cords were located outside and were fixed right away. (3/16)
Standard #:	22VAC40-111-320-B
Description:	Based on observation, unused electrical outlets were missing protective covers. Evidence: 2 unused outlets were missing electrical outlet covers in the side room where the infant swings are located. The room was not being used at the time of the inspection.
Plan of Correction:	Outlets were covered right away.
Standard #:	22VAC40-111-680-A
Description:	Based on observation, the provider did not wash her hands prior to feeding a child. Evidence: The Licensing Inspector observed the provider feed an infant a bottle of formula and her hands were not washed.
Plan of Correction:	Provider will wash her hands each time before holding a bottle.