VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Marta Alejos
7506 Mendota Place
Springfield, VA 22150
(703) 298-4781

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: March 9, 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. 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors

Comments:

An unannounced renewal inspection was conducted today between the hours of 9:30 am through 10:45 am. There were a total of two children (4 points) observed with one caregiver. A total of two children's files and five staff/household member's files were reviewed. The children were engaged in the following: toy play, coloring, puzzles, bathroom breaks, diapering, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Thank you for your cooperation today. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	8VAC20-770-40-D-4-a
Description:	Based on record review, the provider did not obtain a Central Registry Results for household members. Evidence: 1. Household Member #2's record did not contain documentation of a current Central Registry finding. The Central Registry results in the record was dated 01/03/2017 and expired on 01/03/2022. 2. Household Member #4's record did not contain documentation of a completed Central Registry search.
Plan of Correction:	The provider will re-submit the Central Registry and send the results to the Licensing Inspector.
Standard #:	8VAC20-800-800-A
Description:	Based on record review and interview, the family day home did not have a written emergency preparedness and response plan. Evidence: 1. The family day home did not have documentation of a written emergency preparedness plan. Caregiver #1 stated that the plan was completed, but could not locate the plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
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. Child #2's first date of enrollment was 01/13/2020. Child #2's record did not contain results from a physical examination.
Plan of Correction:	I will get a physical examination document from the doctor's office and document the record.
Standard #:	8VAC20-800-50-A
Description:	Based on observation, the family day home did not keep a record of the children in attendance. Evidence: 1. At the time of the inspection, there were two children in attendance. Documentation of attendance for the children in care was not taken for the 03/09/2022.
Plan of Correction:	Attendance will be taken when the children arrive to the daycare.
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 Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. Household Member #3's record did not contain documentation of a subsequent Tuberculosis (TB)Screening. The TB screening in the record was dated 03/24/2017 and expired on 03/24/2019.
Plan of Correction:	The Household Member has an appointment for a TB screening tomorrow. Once the results are sent, I will document the file and send results to the Licensing Inspector.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: 1. Caregiver #1 changed the diaper of a child in care. After the diaper change, Caregiver #1 washed their hands and the child's hands, but did not clean and sanitize the diapering surface after use.
Plan of Correction:	I will clean and sanitize the diapering surface after each use.