VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maria Jimenez
2233 Sanibel Drive
Reston, VA 20191
(571) 286-8355

Current Inspector: Keesha Minor (703) 479-4680

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

Comments:

An announced initial inspection was completed today. This was completed as an initial to operate a Family Day Home. The Licensing Inspector met with the Provider to complete the inspection. The physical plant, staff/child ratios, adequate and approved space, programming, and nutrition. The inspector reviewed 1 staff record, 5 children record, staff training, emergency plans and procedures were inspected approximately 9:30 am to 11:40 am. There is currently 1 staff certified in MAT (medication administration training). There were 5 children present ( one child is the provider's) directly supervised by 2 staff; totaling 10 points. 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. Should you have any questions, please contact me at eureka.nance@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on child records 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 (date of enrollment 2/01/2022) did not have a written physical examination in record for review during the inspection. 2. Child #3 (date of enrollment 1/31/2022) did not have a written physical examination in record for review during the inspection. 3.Child #4 (date of enrollment 11/18/2021) did not have a written physical examination in record for review during the inspection. 4. Child #5 did not have a written physical examination in record for review during the inspection.
Plan of Correction:	Parents were notified to bring to my attentions as soon as possible.
Standard #:	8VAC20-800-90-A
Description:	Based on child records review, the provider obtain documentation that the child has been adequately immunized before a child attending the family day home. Evidence: 1. Child #3 (date of enrollment 1/31/2022) did not have written documentation of immunizations in record available for review during the inspection.
Plan of Correction:	I requested from the parents today and they said they will provide in the next couple of days
Standard #:	8VAC20-800-430-B
Description:	Based on observation, the provider did not ensure accordion expansion gates and pressure mounted gates were not used as protective barriers at stair openings. Evidence: 1. The provider has pressured mounted gates as a barrier located at the bottom of the stairs in the child care area of the home.
Plan of Correction:	Gate will be mounted tomorrow from the wall
Standard #:	8VAC20-800-540-A
Description:	Based on observation, the provider did not ensure high chairs be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. Child #4 was sitting in a high chair. The provider did not follow the manufacturer's instructions and when occupied to use a safety strap shall be used and securely fastened.
Plan of Correction:	Teachable moment two will be checking after the other one to ensure this will not happen again.