VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Monica Alegre Munoz
2515 Lauderdale Drive
Henrico, VA 23233
(804) 445-2511

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: May 5, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was initiated on May 5, 2022. The provider was available during the inspection. There were 12 children present, ranging in ages from 1 years to 5 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 5 child records and 2 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of records and interview on May 5, 2022, the provider did not ensure every person required to undergo a background check shall submit to fingerprinting and provide personal descriptive information. Evidence: 1. The record of caregiver #2 (hired 5/2/22) did not contain documentation of fingerprint results. 2. The provider confirmed she did not obtain fingerprint results for caregiver #2 prior to hire.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of caregiver records and interview on May 5, 2022, the provider did not ensure to have a Sworn Statement or affirmation available for each caregiver. Evidence: 1. The records of caregiver #1 (hired 3/7/22) and caregiver #2 (hired 5/2/22) did not contain documentation of a sworn statement or affirmation. 2. The provider confirmed she did not obtain sworn statements from the caregivers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of caregiver records and interview on May 5, 2022, the provider did not ensure to obtain results of a central registry search within 30 days of employment for each caregiver. Evidence: The record of caregiver #1 (hired 3/7/22) did not contain documentation of central registry results. The provider acknowledged the results were not received.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-830-C
Description:	Based on a review of the fire drill log and interview on May 5, 2022, the provider did not ensure that documentation shall be maintained of emergency evacuation and shelter-in-place drills. Evidence: The fire drill log indicated the last fire drill documented was dated 11/22/21. The provider stated the drills are being conducted but not logged.
Plan of Correction:	Start documents for fire drills.
Standard #:	8VAC20-800-120-A
Description:	Based on a review of caregiver records on May 5, 2022, the provider did not ensure to maintain a complete record for each caregiver as required. Evidence: 1. The record of caregiver #1 (hired 3/7/22) did not contain documentation of a name, address, and telephone number of a person to be notified in an emergency and did not contain documentation of one reference as to character and reputation, as well as, competency checked before employment. 2. There was no record for caregiver #2 (hired 5/2/22). 3. The provider confirmed she did not obtain the required information for the caregiver records.
Plan of Correction:	We will complete caregiver records as soon as possible.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of children's records on May 5, 2022, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized. Evidence: 1. The record of child #1 (enrolled 2/25/22) contained documentation of immunizations dated 2/28/22. 2. The record of child #5 (enrolled 12/27/21) did not contain documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of caregiver records and interview, the provider did not obtain from one caregiver prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. The record of caregiver #2 (hired 5/2/22) did not contain documentation of a tuberculosis screening. 2. Caregiver #2 was observed caring for children. 3. The provider confirmed she did not obtain a tuberculosis screening from caregiver #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-B
Description:	Based on a review of caregiver records on May 5, 2022, the provider did not ensure that the tuberculosis screening form shall have been completed within the last 30 days and be signed by a physician, physicians' designee, or an official of the local health department. Evidence: The record of caregiver #1 (hired 3/7/22) contained documentation of a tuberculosis screening dated 1/5/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-240-A
Description:	Based on observation on May 5, 2022, the provider did not ensure that areas and furnishings of the family day home, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. There was a broken picnic table outside with approximately 13 nail pops creating cracks in the plastic that could snag children's clothing or skin. 2. There was a Little Tykes climber/slide that was cracked approximately 12x4 creating a hole that children's clothing or skin could get entangled or snagged. 3. There was a crack and hole approximately 4x2 in the plastic of a tunnel of the Little Tykes climber that could entangle or snag children's clothing and skin. 4. The provider acknowledged the broken equipment.
Plan of Correction:	Playground remove for trash.
Standard #:	8VAC20-800-250-A
Description:	Based on observation and interview on May 5, 2022, the provider did not ensure hanging items including, but not limited to, window blinds or curtain cords, appliance cords, and ropes shall be out of the reach of children under five years of age. Evidence: 1. The cording to the back screen door came apart from the door leaving a cord hanging from the door. 2. There was a piece of string approximately 14 inches long hanging from the door knob of the back door leading to the outdoor play area. 3. Children under the age of five were using the back door to get to the play area. Both the cord and the string were in reach of children under the age of five. 4. The provider acknowledged the cording was broken and that the string was hanging from the knob.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-350-E
Description:	Based on observation on May 5, 2022, the provider did not ensure that hot water taps available to children were maintained within a range of 105?F to 120?F. Evidence: The hot water temperature in the children's bathroom was obtained using a digital thermometer. The hot water temperature registered 130?F.
Plan of Correction:	Water reduce temperature.