VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norma Colorado
6327 Gentele Court
Alexandria, VA 22310
(703) 960-2342

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Nov. 12, 2021 and Nov. 15, 2021

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 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Discussed requirements for menus and emergency supplies (battery-operated radio).

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and interviews. A monitoring inspection was initiated on 11/12/2021 and concluded on 11/15/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 4 children present, ranging in ages from 23 months to 3 years, with 1 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 1 child record and 2 staff/household members records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	22VAC40-111-790
Description:	Based on documentation review and interview with the provider, emergency telephone numbers were not posted as required. Evidence: 1) On the date of inspection, the following telephone numbers were not posted for review: 911 or local dial number for police, fire, and emergency medical responders; the responsible person for emergency backup care and the regional poison control center. The provider confirmed that she did not have these numbers posted.
Plan of Correction:	The provider will post the required telephone numbers.
Standard #:	22VAC40-111-800-A
Description:	Based on documentation review and interview with the provider, the provider did not ensure to have a written emergency preparedness plan for the family day home (fdh). Evidence: 1) On the date of inspection, the provider could not locate the fdh emergency preparedness plan so the licensing inspector could review the annual update.
Plan of Correction:	The provider shall locate the fdh's emergency preparedness plan (or complete a new one if it cannot be located). Once located/completed, the provider will provide to the licensing inspector for review.
Standard #:	22VAC40-111-90-A
Description:	Based on record review and interview with the provider, the provider did not obtain documentation that the child has been adequately immunized before the child attends the family day home. Evidence: 1) The record for Child #1 (start date 11/08/2021) did not contain documentation of the child's immunizations. The provider stated that they have not received the immunization form from the parents.
Plan of Correction:	The provider will contact the parents to request the immunizations for Child #1.
Standard #:	22VAC40-111-180-A
Description:	based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (Tb) Screening form, every two years. Evidence: 1) The most recent Tb screening in the record for Staff #1 was dated 06/06/2019. The most recent Tb screening in the record for HHM#1 was dated 08/15/2019.
Plan of Correction:	Staff #1 will visit the medical provider on 11/17/2021 to begin the screening process. HHM #1 will contact the medical provider to coordinate the screening.
Standard #:	22VAC40-80-120-E-2
Description:	Based on documentation review and interview with the provider, the findings of the most recent inspection of the facility were not posted as required. Evidence: 1) On the date of inspection, the violation notice that was posted was dated 12/06/2019. The findings from the inspection conducted on 04/30/2021 were to be posted.
Plan of Correction:	The provider shall post the current violation notice.