VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Patrycja Kuklinski
21432 Chickacoan Trail Dr
Ashburn, VA 20148
(571) 426-0270

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Feb. 3, 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 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 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSE. 22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:

Clarification provided regarding the need for topical ointments to be inaccessible to children in care. All hazardous substances such as cleaning agents are required to be locked.

Comments:

An unannounced Renewal inspection was conducted this date. A total of 3 children with 2 staff were present. The children were observed playing with toys, sitting in staff's laps and freely moving around the program area. Age appropriate toys and equipment were observed onsite. Two cribs in use at this time with one cot. No medication needs identified. All levels of the home was inspected. One new child enrolled since the last inspection and no new staff. One child record and all staff records were reviewed. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation of the diapering area, one topical ointment was not properly labeled. Evidence: One diaper cream was found not labeled with the child's name.
Plan of Correction:	I will make sure all ointments and bug spray and sunscreen is labeled with the child's name.
Standard #:	8VAC20-800-790
Description:	Based on observation of the family day home, telephone numbers were not posted. Evidence: 1. 911 or local dial number for police, fire, and emergency medical responders was not posted within the family day home. 2. The phone number for the responsible backup person for emergency care was not posted.
Plan of Correction:	All required phone numbers will be posted near the phone.
Standard #:	8VAC20-800-800-B
Description:	Based on review of the emergency plan, an annual review was not completed. Evidence: The Emergency Plan last documented review was dated August 2020.
Plan of Correction:	I will update the plan to include additional detail for continuity of operation while at the emergency location.
Standard #:	8VAC20-800-830-C
Description:	Based on staff statement, emergency evacuation drills have not been completed. Evidence: No documentation of emergency evacuation and shelter in place drills was maintained.
Plan of Correction:	I will begin to use the state model form for all drills. A monthly drill will be done and 2 shelter in place drills we be done and documented.
Standard #:	8VAC20-800-890
Description:	Based on observation of food brought from home, some food was not properly labeled. Evidence: A can of formula powder brought from home was not properly labeled.
Plan of Correction:	All food brought from home will be labeled with the child's name.
Standard #:	8VAC20-800-920
Description:	Based on observation and staff statement, a menu was not found. Evidence: The provider stated that the children in care recently began providing meals and has not developed a weekly menu.
Plan of Correction:	A weekly menu will be posted and updated as needed.
Standard #:	8VAC20-800-690-D
Description:	Based on staff statement, the diapering surface has not been properly cleaned and sanitized after each use. Evidence: 1. The Provider stated that sanitizing wipes are used to clean the diaper surface. 2. Proper cleaning and sanitizing must include soap and water and then bleach and water spray.
Plan of Correction:	We will have two spray bottles, one with soap and water and one with bleach and water and will properly clean the surface after each diaper change.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation of the family day home, findings of the last inspection was not posted. Evidence: The last inspection in December 2021 was not posted within the family day home.
Plan of Correction:	This inspection will be posted on the bulletin board.