VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Karina Moscoso
6740 Bostwick Dr
Springfield, VA 22151
(703) 642-5033

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

Inspection Date: Feb. 8, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE.

Technical Assistance:

A discussion was held with the provider on the following: diapering procedures, cleaning and sanitizing tables, house maintenance, and equipment.,

Comments:

A monitoring inspection was conducted today between the hours of approximately 9:20 am and 11:20 am. There were 11 children present, ranging in ages from 4 months to 3 years, with 2 staff supervising. The children were observed during free toy play, handwashing, eating snack, transition to play outside, and outside play. Infants were observed while napping, being diapered, bottle fed and tummy time. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, special care and emergencies and nutrition. There were no medications on site on this date. A total of 4 child records and 6 staff/household 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 #:	8VAC20-800-800-B
Description:	8VAC20-800-800-B Based on document review and interview, the provider did not review the emergency plan at least annually. Evidence: 1) On the date of inspection, the most recent review of the emergency plan was dated 02/17/2017. Upon interview with the provider, two additional documents that were to be part of the emergency plan were attached and considered. The most recent reviews of these documents were dated as follow: Continuity of Operations was dated 09/04/2019 and Lockdown Procedures was dated 01/06/2020.
Plan of Correction:	I review the document and signed.
Standard #:	8VAC20-800-890
Description:	8VAC20-800-890 Based on observation and interview with the provider, the provider did not ensure that food containers brought from home be clearly labeled in a way that identifies the owner. Evidence: 1) On the date of inspection, two milk bottles in the refrigerator were not labeled. 2) The provider stated that both bottles belonged to Child #2.
Plan of Correction:	Corrected during inspection. The provider labeled and dated the bottles.
Standard #:	8VAC20-800-940-B
Description:	8VAC20-800-940-B Based on observation and interview with the provider, an operable thermometer was not available to monitor the freezer compartment temperature. Evidence: 1) On the date of inspection, a thermometer for the freezer compartment was not available. 2) The provider stated that they did not have a thermometer for the freeze.
Plan of Correction:	I have already purchased.
Standard #:	8VAC20-800-100-A
Description:	8VAC20-800-100-A 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 11/29/2021) and Child #4 (start date approximately 11/29/2021) did not contain a physical examination.
Plan of Correction:	I will contact the parents to request the information.
Standard #:	8VAC20-800-60-B
Description:	8VAC20-800-60-B Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #4 did not contain the name and policy number of the child's medical insurance; and the first date of attendance.
Plan of Correction:	I will contact the parents to request the information.
Standard #:	8VAC20-800-180-A
Description:	8VAC20-800-180-A 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 screenings available for review were dated as follows: for Staff #1 was dated 11/26/2019, for HM #1 was dated 01/27/2020, for HM #2 was dated 01/28/2020, and for HM #3 was dated 11/21/2019.
Plan of Correction:	We already have a doctor's appointment.
Standard #:	8VAC20-800-240-A
Description:	8VAC20-800-240-A Based on observation, areas of the of the family day home, were not maintained in a clean, safe, and operable condition. Evidence: In the backyard area, the following was observed: a) A plastic slide had a broken support piece underneath. b) Areas on the lower part of the wooden storage shed were broken and showed splintered wood: bottom part of the door, and the back corner on the left side of the shed. c) A broken slat of the wooden fence on the left side area of the backyard.
Plan of Correction:	a) plastic slide - Corrected during inspection. The provider moved the slide so the children don't play with it. b and c) - I will fix.
Standard #:	8VAC20-800-280
Description:	8VAC20-800-280 Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children. Evidence: 1) In the bathroom of the care area, two cleaning products (a can of Lysol spray and a container of Clorox wipes) were observed on top of the toilet tank lid.
Plan of Correction:	The provider removed the cleaning products and located them in a high shelf inaccessible to the children.
Standard #:	8VAC20-800-320-G
Description:	8VAC20-800-320-G Based on documentation review and interview with the provider, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1) On the date of inspection, a current inspection to the wood burning fireplace of the family day home was not available for review. The provider stated that an inspection of the fireplace had not been conducted in quite some time.
Plan of Correction:	I am working with a company.
Standard #:	8VAC20-800-510-C
Description:	8VAC20-800-510-C Based on observation and interview with the provider, the provider did not ensure that occupied cribs were located at least 12 inches from each other. Evidence: 1) There were two occupied cribs in the Infant room that were located right next to each other with no space in between.
Plan of Correction:	Corrected during inspection. The provider rearranged the cribs in the room so they have appropriate separation in between.
Standard #:	8VAC20-800-520-A
Description:	8VAC20-800-520-A Based on interview with the provider, cribs were used for children over 12 months of age who are developmentally ready to sleep on a cot, rest mat, or bed. Evidence: 1) On the date of inspection, the provider brought Child # 2 (2 years) out of the Infant room where the child had been napping. The inspector did not see a cot or rest mat in the Infant room for Child #2. The provider stated that Child #2 was sleeping in a crib and that the parents have not disclosed of any medical reasons or that Child #2 is not developmentally ready to sleep on a cot or rest mat.
Plan of Correction:	I will fix it.
Standard #:	8VAC20-800-530-F
Description:	8VAC20-800-530-F Based on observation, soft bedding was used on or around infants. Evidence: 1) On the date of inspection, Child #3 (4 months old) was observed napping and a soft blanket was placed over the infant's tummy. There were two occupied cribs in the Infant room and two blankets were hanging from the sides of the cribs. (One blanket on each crib)
Plan of Correction:	Corrected during inspection. After the inspector pointed it out, the provider removed the blankets from the cribs and the infant.
Standard #:	8VAC20-800-540-B
Description:	8VAC20-800-540-B Based on observation, infant walkers were being used. Evidence: 1) On the date of inspection, Child #4 was observed sitting in an infant walker. The child was observed in the walker for about 30 minutes before being moved to the floor for "tummy time".
Plan of Correction:	It's removed.
Standard #:	8VAC20-800-690-E
Description:	8VAC20-800-690-E Based on observation, caregivers did not ensure that soiled disposable diapers and wipes be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1) After diapering an infant, Staff #2 was observed disposing the diaper in a plastic grocery bag and hanging it on the side of the changing table and walked away leaving it there.
Plan of Correction:	We fixed.
Standard #:	8VAC20-820-120-E-1
Description:	8VAC20-820-120-E-1 Based on observation, the most recently issued license was not posted as required. Evidence: 1) On the date of inspection, the license posted at the family day home had an expiration date of August 6, 2021.
Plan of Correction:	I fixed it.
Standard #:	8VAC20-820-120-E-2
Description:	8VAC20-820-120-E-2 Based on observation, the findings of the most recent inspection of the facility were not posted as required. Evidence: 1) On the date of inspection, the inspection findings posted at the family day home were dated 07/09/2020. The most recent inspection to this facility was conducted on 07/21/2021.
Plan of Correction:	I posted already.