VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mercedes Guerrero
511 N. Armistead Street #301
Alexandria, VA 22312
(703) 941-7048

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: April 6, 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. 8VAC20-770 Background Checks for Child Day Programs and Family Day Systems 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures

Technical Assistance:

Discussion of the role of Household Member #1. Once HM #1 becomes the Provider's assistant, he would need to obtain 16 hours on annual training, and complete all other training requirements. Background checks for HM #1 are all current and up to date for the Family Day Home (FDH). A copy of the FDH Renewal Application, Assistant / Substitute Provider Record form, and Orientation form was sent to the FDH. The Emergency Preparedness & Response Plan (EP&RP) was posted and dated on the parent bulletin board. Please continue to sign, and date an annual review of this document.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 04/06/2022, between the hours of 10 am to 12:30 pm. There were 4 children present (10 points), ranging from infant to preschool-age, with 1 caregiver and 1 volunteer 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 6 children records, and 1 household record, and 1 staff record was reviewed. Information gathered during the inspection determined that there were three (3) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the program. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review, 1 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (04/06/2022), documentation of a physical examination was not available for review for Child #1. 2. The start date for Child #1 was listed as 05/27/2019. Child #1 was in attendance on the date of inspection.
Plan of Correction:	Documentation of a physical examination will be obtained for Child #1.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 6 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (04/06/2022), the most recent immunization page on file for Child #6 was dated - 07/21/2021. 2. Based on information contain on file, on the date of inspection, Child #6 was under two years of age.
Plan of Correction:	An updated immunization page will be obtained for Child #6.
Standard #:	8VAC20-800-180-A
Description:	Based on review, 1 of 1 staff file, and 1 of 1 household file indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 22 VAC 40-111-170), every two years from the date of the most recent TB documentation on file. Evidence - 1. On the date of inspection (04/06/2022), the TB documentation on file for Staff #1 was dated - 06/22/2016. 2. The TB documentation on file for Household member #1 was dated - 02/12/2018.
Plan of Correction:	Updated TB documentation will be obtained for both Staff #1 and Household Member #1.