VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fareeha Shaharyar
19248 Broken Rock Street
Leesburg, VA 20175
(703) 728-0071

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: March 25, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:

Inspector provided guidance regarding capacity, sleeping requirements, background check requirements and training hours.

Comments:

An in-person monitoring inspection was conducted on March 25, 2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 13 children present, ranging in ages from 6 months to 4 years, with 3 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 3 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 Leah Pagala at 703-537-6757 or leah.pagala@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, a repeat background check was not completed for a staff member every five years. Evidence: Caregiver 1 did not have a repeat check conducted every five years. Central registry background check was last conducted on 06/26/2016.
Plan of Correction:	Follow up background check was sent on 3/28/2022.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, the provider exceeded the maximum licensed capacity of the home. Evidence: 1) At 10:00am, there were 13 children in care. At 10:15am, a child was picked up by a parent and there were 12 children in care. 2) Provider confirmed there were 13 children in case for approximately 20 minutes.
Plan of Correction:	We will ensure that we keep the capacity at 12.
Standard #:	8VAC20-800-210-A
Description:	Based on record review and interview, caregivers did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: The caregivers did not obtain any hours of training annually. The provider confirmed all staff members have not completed the required hours of training.
Plan of Correction:	We will ensure all hours are completed this year.
Standard #:	8VAC20-800-530-A
Description:	Based on interview, rest mats do not have linens consisting a top cover and bottom cover. Evidence: Provider stated children lay on rest mats without a top or bottom cover during nap time.
Plan of Correction:	We will make sure all mats have a top and bottom cover.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, an infant spent more than 30 minutes of consecutive time during waking hours in a confining piece of equipment. Evidence: 1) Child 1 was observed in a sit 'n play from 10:00am to 10:50am. 2) Child 2 was observed in a booster seat at 10:00am, moved to a high chair at 10:35am, and moved to another booster seat at 10:55am. At 11:10am, Child 2 was removed from the chair and moved to the floor to play. Child 2 was in a confining piece of equipment for a total of 55 minutes.
Plan of Correction:	We will make sure infants and babies are allowed an hour of time in between being in chairs.