VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patricia Martinez
3128 Patrick Henry Drive
Falls church, VA 22044
(571) 481-6453

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: May 7, 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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

1. COVID-19 Essential Guidance for Child Care Programs was reviewed with the provider. The provider has developed a safety plan, which includes parents not entering the home/daycare. This was discussed, and the provider was advised that should a parent wish to enter the home where their child is in care they be allowed to do so. The provider intends to give parents a copy of the safety plan. 2. The inspector gave the provider a copy of the current sworn disclosure statement.

Comments:

This inspection was conducted by licensing staff using an alternative remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. An on-site inspection of the home was not conducted at this time. A renewal inspection was initiated on 5/7/20 and concluded on 5/8/20. The provider was contacted by phone to initiate the inspection, following a preliminary information call on 5/5/20. There were no children or staff present, as the daycare closed due to the health pandemic on 3/13/20. The inspector emailed the provider a list of items required to complete the inspection. The inspector reviewed 2 child records, 1 assistant caregiver record, and 3 household member records submitted by the provider to ensure documentation was complete.Information gathered during the inspection determined non-compliances with applicable standard or laws, and violations were documented on the violation notice issued to the provider. Background check violations must be corrected within 10-days. Questions about this inspection may be directed to pamela.sneed@dss.virginia.gov 5/13/20-Revised violation notice issued.

Violations:

Standard #:	22VAC40-111-50-B
Description:	Based on interviews conducted, it was determined that the provider's records were not made accessible to the inspector within the timeframe of the remote inspection. Evidence: On 5/7/20, the provider was given a list of documents to send the inspector by 5:00pm. Some of the requested documents were not received, and the provider was given until 8:00am on 5/8/20 to submit the documents however, they were not received. This included: background checks for a household member, information in children's records, and a sample of the weekly menu.
Plan of Correction:	The Provider began submitting some of the requested documents one hour after the extended deadline. In the future, the provider will make all records available to the inspector.
Standard #:	22VAC40-111-60-B
Description:	Based on records reviewed, it was determined that 2 of 2 children's records did not include required information. Evidence: 1. Child #8 - No written authorization for emergency medical care. 2. Child #9 - Parents work addresses + phone numbers; and the addresses + phone numbers for 2 emergency contact persons.
Plan of Correction:	Information in children's records will be completed when the children return to care in June 2020.
Standard #:	22VAC40-111-90-C
Description:	Based on records reviewed, it was determined that 1 of 2 children's records did not include documentation of immunizations every 6 months until the age of 2 years old. Evidence: Child #9 - The immunizations were dated June 2019, when the child was 2 months old.
Plan of Correction:	Updated immunizations records will be requested from the parents, and on-file when the child returns to care in June 2020.
Standard #:	22VAC40-191-40-D-4-a
Description:	Based on records reviewed, it was determined that background checks for an assistant caregiver and 2 household members were not completed as required. Evidence: 1. Household member #2 - There was no documentation that this individual completed the current version of a Sworn Disclosure Statement (SDS). The document used was issued by VDSS in 2014, and does not include information about where the individual has lived for the prior 5 years. There was no other documentation indicating this information was obtained. 2. Household member #3 - There was no documentation that this individual completed the current version of a SDS. The document used was issued by VDSS in 2014, and does not include required information, such as information about where the individual has lived for the prior 5 years. There was no other documentation indicating this information was obtained. [Note: The inspector was not able to verify if background checks were completed within the required time frame, as the provider gave several different dates of when the individual moved into the home, to include: On 3/16/20, the provider signed the license renewal application indicating this person was living in the home at that time; on 5/5/20, the provider verbally told the inspector the person moved into the home in January 2020; and on 5/7/20 submitted a document stating the individual moved in on 4/5/20. 3. Assistant #2 - There was no documentation that this individual completed the current version of a SDS. The document used was issued by VDSS in 2014, and does not include required information, such as information about where the individual has lived for the prior 5 years. There was no other documentation indicating this information was obtained.
Plan of Correction:	All background checks will be completed and sent to the inspector within 10-days.
Standard #:	22VAC40-191-40-D-5-a
Description:	Based on records reviewed, it was determined there was no documentation that a household member had a completed central registry check (CPS). Evidence: Household member #1 - The CPS check was due 3/14/20, which was the last day of the 30-day grace period. The incomplete CPS check reviewed by the inspector was notarized on 5/6/20, the day after the inspector requested the document, and to-date has not been completed.
Plan of Correction:	The provider sent the inspector a copy of the notarized form, and will follow through in submitting for processing.
Standard #:	63.2-1721.1-B-2
Description:	Based on records reviewed, it was determined that the criminal record check/fingerprinting (CRC) for an assistant caregiver was not completed with the individuals full legal name. Evidence: Assistant #2 - The name on the CRC does not match the name on the drivers license.
Plan of Correction:	This background checks will be re-done with the accurate names and sent to the inspector within 10-days.
Standard #:	63.2-1721.1-B-3
Description:	Based on records reviewed, it was determined that the out-of-state abuse + neglect search (CPS check) was not submitted/completed by the 30th day of residence. Evidence: Household member #3 moved into the home between January 2020 (specific date not known) + 3/16/20 (the date the provider signed the renewal application, which has the individual living in the home at that time) + to-date (5/13/20) there is no documentation of the out-of-state CPS check.
Plan of Correction:	The Provider will submit the out-of-state CPS check by 5/23/20.