VIRGINIA DEPARTMENT OF SOCIAL SERVICES

James Smith
2456 Windbreak Drive
Alexandria, VA 22306
(571) 277-4353

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Sept. 18, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Discussion was held on the topics of current enrollment, current staffing, and background checks. Further information will be needed to determine the status of the fingerprint checks required for the family day home (FDH). The OBI offices are open and operating in around the Alexandria area. In addition, a search of the central registry request will need to be sent for a household member about to turn 14 years of age. The following blank documents were sent to the FDH: Assistant/Substitute Provider Record, Information for Parents form, Orientation Training form, and the Sworn Statement and Affirmation form.

Comments:

The following inspection took place between the hours of 10 am through 1 pm. This inspection was conducted virtually; using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. At the start of this announced Initial inspection there were a total of 3 children in care observed with 1 resident child (9 points) with 2 caregivers. A total of 3 children?s files, 2 staff files, and 3 household member?s files were reviewed. The children were engaged in the following: indoor play, games, diapering, and other organized activities. If you should have any questions, please call or send an email to charles.perkins@dss.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-111-750-A
Description:	Based on interview, when topical skin products were used not all requirements were met. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 09/18/2020) that since the start date of 08/27/2020, diaper cream was administered on Child #1. 2. A written parent authorization noting any known adverse reactions was not obtained.
Plan of Correction:	This documentation shall be obtained from child's parent.
Standard #:	22VAC40-111-760-A
Description:	Based on observation, not all of the required emergency supplies were on site at the family day home (FDH). Evidence - 1. On the date of inspection (09/18/2020), tweezers were not available within the first aid kit located on site at the FDH. 2. The Provider confirmed this finding on the date of inspection.
Plan of Correction:	Tweezers shall be obtained and placed within the FDH's first aid kit.
Standard #:	22VAC40-111-770
Description:	Based on observation, a working portable battery-operated weather band radio (WB), and extra batteries were not kept in a designated area and be available to caregivers at all times. Evidence - 1. On the date of inspection (09/18/2020), a WB radio was not available on site at the family day home (FDH). 2. While the radio on site had FM and other bands, it did not have a "WB" indication.
Plan of Correction:	A WB radio shall be obtained for the FDH.
Standard #:	22VAC40-111-790
Description:	Based on observation, not all of the emergency telephone numbers were posted. Evidence - 1. On the date of inspection (09/18/2020), the phone number of the responsible person to serve as an emergency backup (to provide care as required in 22 VAC 40-111-800 A 3) was not posted. 2. This information was listed on the Emergency Preparedness and Response Plan for the family day home (FDH), but not posted with other emergency number (such as 911 or the number for poison control) that were observed posted at the FDH.
Plan of Correction:	This number shall be posted.
Standard #:	22VAC40-111-800-C
Description:	Based on review, documentation that each caregiver received training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures was not available. Evidence - 1. On the date of inspection (09/18/2020), documentation of the emergency training conducted for Staff #2 was not available for review. 2. The Assistant and Substitute Provider Orientation Training form for Staff #2, that would confirm this training was conducted, was not available for review.
Plan of Correction:	Emergency training for Staff #2 shall be documented on the Documentation of Assistant and Substitute Provider Orientation Training form.
Standard #:	22VAC40-111-940-B
Description:	Based on observation, the Provider did not have an operable thermometer available to monitor the freezer compartment temperatures. Evidence - 1. On the date of inspection (09/18/2020), a thermometer was not available for the freezer area where food is stored. 2. This finding was confirmed by the Provider on the date of inspection.
Plan of Correction:	A thermometer shall be purchased and placed in the freezer.
Standard #:	22VAC40-111-100-A
Description:	Based on review and observation, 2 of 3 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (09/18/2020), documentation of a physical examination was not available for: Child #2 (start date - 02/28/2019), and Child #3 (start date - 08/13/2017). 2. Both Child #2, and Child #3 were observed on site on the date of inspection. 3. While a physical examination was also needed for Child #1. Child #1 was still within the 30 day grace period from their start date of 08/27/2020.
Plan of Correction:	A physical shall be obtained for all applicable children.
Standard #:	22VAC40-111-120-B
Description:	Based on review, 1 of 2 staff records indicated that not all of the assistant's information was contained within their file. Evidence - 1. On the date of inspection (09/18/2020), the following information for Staff #2 was not available for review: date of employment, and emergency contact information. 2. Neither of these items were found to be documented.
Plan of Correction:	The Assistant/Substitute Provider Record form shall be completed in order to document this information.
Standard #:	22VAC40-111-60-B
Description:	Based on review, 3 of 3 children files indicated that not all of the required information and documentation was contained within each record. Evidence - 1. On the date of inspection (09/18/2020), the policy number for the following children's medical insurance policies were not available for: Child #1, and Child #2. 2. A signed Information for Parent form was not on file and available for review for the following: Child #1, Child #2, and Child #3. 3. A written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately was not available for Child #2.
Plan of Correction:	All missing information and documentation shall be obtained for each applicable child and placed on file.
Standard #:	22VAC40-111-90-C
Description:	Based on review, 1 of 3 children files indicated that the family day home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months who were under the age of two years on the date of inspection. Evidence - 1. On the date of inspection (09/18/2020), the most current Immunization Page on file for Child #2 was dated - 04/22/2019. 2. Based on information on file at the FDH, Child #2 was under the age of 2 years on the date of inspection.
Plan of Correction:	An updated immunization page shall be obtained and placed on file.
Standard #:	22VAC40-111-200-A
Description:	Based on review, 1 of 2 staff files indicated that documentation of a staff orientation training was not available. Evidence - 1. On the date of inspection (09/18/2020), documentation of an orientation training was not available for review for Staff #2. 2. This finding was confirmed on the date of inspection by the Provider.
Plan of Correction:	An orientation training for Staff #2 shall be conducted and documented on the Documentation of Assistant and Substitute Provider Orientation Training form.
Standard #:	22VAC40-111-280
Description:	Based on observation and interview, potentially poisonous substances, such as, petroleum distillates were accessible to the children in care. Evidence - 1. On the date of inspection (09/18/2020), a large canister of oil was observed stored within a blue bucket. This bucket was sitting out in the open in the middle of the family day home's back yard. 2. The Provider stated (during an interview conducted on the date of inspection) that the children use the back yard as one of their play areas. The Provider also confirmed that it was oil within the observed canister.
Plan of Correction:	The canister of oil shall be moved and secured to prevent access by the children in care.
Standard #:	22VAC40-191-40-C-1-a
Description:	Based on review, documentation required for the applicant upon application for licensure was not available. Evidence - 1. On the date of inspection (09/18/2020), the sworn statement or affirmation (SDS) form was not available for review for the applicant. 2. The Provider confirmed this finding on the date of inspection.
Plan of Correction:	A SDS shall be completed and placed on file for the applicant.
Standard #:	22VAC40-191-60-B
Description:	Based on review, documentation required for an employee who was involved in the day-to-day operations of the family day home was not available. Evidence - 1. On the date of inspection (09/18/2020), the sworn statement or affirmation (SDS) form was not available for review for Staff #2. 2. Staff #2 was observed working within the family day home on the date of inspection.
Plan of Correction:	A SDS shall be completed for Staff #2 and placed on file at the family day home.
Standard #:	63.2-1720.1-B-2
Description:	Based on review, an employee has not submitted to fingerprinting and provided personal descriptive information described in subdivision B 2 of ? 19.2-392.02. Evidence - 1. On the date of inspection (09/18/2020), the results for a fingerprint check for Staff #2 was not available for review and was not in place prior to employment. 2. Staff #2 was observed on site working on the date of inspection.
Plan of Correction:	OBI shall be contacted in order to obtain the Fieldprint Codes and the Facility I.D. An appointment shall be scheduled, and (once when obtained) the findings of the background check for Staff #2 shall be submitted to the Licensing Inspector for review.
Standard #:	63.2-1721.1-B-2
Description:	Based on review, the applicant has not submitted to fingerprinting and provided personal descriptive information described in subdivision B 2 of ? 19.2-392.02. Evidence - 1. On the date of inspection (09/18/2020), the results for a fingerprint check for the applicant was not available for review. 2. The Provider was notified in a letter dated 02/20/2020 from the Fairfax Licensing Office that Background Checks would be required in order to consider the Initial Application for a License to Operate a Family Day Home (FDH) to be complete.
Plan of Correction:	OBI shall be contacted in order to obtain the Fieldprint Codes and the Facility I.D. An appointment shall be scheduled, and (once when obtained) the findings of the background check for the applicant shall be submitted to the Licensing Inspector for review.