VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fabiola Salinas
8471 Summer Breeze Lane
Springfield, VA 22153
(571) 315-6231

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

Inspection Date: Jan. 4, 2022 and Jan. 6, 2022

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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Discussed background checks and documentation for household members.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and interviews. A renewal inspection was initiated on 01/04/2022 and concluded on 01/06/2022. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 6 children present, ranging in ages from 20 months to 5 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 3 child records and 2 staff 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 #:	8VAC20-770-40-D-4-a
Description:	Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for household members 18 years or older. Evidence: 1) The most recent Central Registry search request results available in the record for HM #1 were dated 07/25/2016.
Plan of Correction:	Completed and provided to the Licensing Inspector.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not ensure that Central Registry search results are obtained every five years for staff. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #1 were dated 07/15/2016.
Plan of Correction:	Completed and provided to the Licensing Inspector.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider did not review, annually, with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1) The most recent review of the emergency contact information in the record for Child #1 was dated 02/27/2020.
Plan of Correction:	I talked to the parents
Standard #:	8VAC20-800-800-B
Description:	Based on documentation review, the provider did not review the emergency preparedness plan (EPP) at least annually, update the plan as needed and document in writing each review and update to the emergency plan. evidence: 1) The most recent review documented in the EPP provided was dated 08/04/2016.
Plan of Correction:	Completed. I reviewed the emergency preparedness plan.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1) The record for Child #3 (start date 11/04/2021) did not contain the results of a physical examination.
Plan of Correction:	The child is not coming back to the fdh.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview with the provider, children's records did not contain all required information. Evidence: 1) The record for Child #1 did not contain the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached. 2) The records for Child #2 and Child #3 did not contain complete required information of two designated persons to contact in case of an emergency if the parent cannot be reached, as follows: the first designated emergency contact was one the parents and the second contact provided was missing a complete address.
Plan of Correction:	I talked to the parents.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, the provider did not obtain from the parent, within seven business days of the child's first day of attendance at the family day home, verification of the identity and age of the child. Evidence: 1) The record for Child #2 (start date 11/04/2021) and Child #3 (start date 11/04/2021) did not contain information that the provider obtained documentation to verify the identity and age of the children.
Plan of Correction:	The child is not coming back to the fdh.
Standard #:	8VAC20-800-90-A
Description:	Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia. Evidence: 1) The record for Child #2 (start date 11/04/2021) did not contain an immunization report as required.
Plan of Correction:	The child is not coming back to the fdh.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1) The most recent immunization report in the record for Child #1 (dob 11/29/2019) was dated 05/29/2020.
Plan of Correction:	The child is not coming back to the fdh.
Standard #:	8VAC20-800-180-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 from the date of the first screening. Evidence: 1) The most recent Tb screening report for Staff #2 was dated 10/29/2019.
Plan of Correction:	There is an appointment for this week.
Standard #:	8VAC20-820-120-E-2
Description:	Based on document review and interview with the provider, certain documents related to the terms of the license were not posted on the premises of the facility, as required. Evidence: 1) The findings of the most recent inspection of the facility on 08/10/2021 were not posted. The provider could not locate a copy of the inspection report for 08/10/2021.
Plan of Correction:	I will locate it.