VIRGINIA DEPARTMENT OF SOCIAL SERVICES

James Smith
2456 Windbreak Drive
Alexandria, VA 22306
(571) 277-4353

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: June 1, 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 ?8VAC20-800 Transportation ?8VAC20-800 Nighttime Care ?8VAC20-820 THE LICENSE. ?8VAC20-820 THE LICENSING PROCESS. ?8VAC20-820 HEARINGS PROCEDURES. ?8VAC20-770 Background Checks ?20 Access to minor?s records ?22.1 Background Checks Code, Carbon Monoxide ?54.1 Provider must be MAT certified to administer prescription medication. ?63.2 Child abuse and neglect ?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:

Discussion was held on the topics of current enrollment, current staffing, and training. Discussion on available free online training at: earlychildhoodwebinars.com Discussion that with the inspection reports the LI will also email to the FDH the following: a copy of a blank fire drill/shelter-in-place log; training link (see above); a copy of a SDS, and a blank FDH application.

Comments:

This renewal inspection was initiated by licensing staff and concluded on 06/01/2022, between the hours of 10 am to 12:30 pm. There was 1 toddler child present (3 points), with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 6 children records, 3 household records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (12) twelve non-compliances with the applicable standards, and code. These violations were documented on the Violation Notice issued to the home. 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 #:	22.1-289.035-A
Description:	Based on review, 1 of 3 household records did not have a criminal record / fingerprint check (FPC), and a sworn disclosure statement (SDS) that were available for review. Evidence - 1. On the date of inspection (06/01/2022), a FPC, and a SDS for Household Member #1 was not available for review. 2. On the date of inspection, Household Member #1 was at least 18 years of age or older.
Plan of Correction:	Will schedule a FPC for Household Member #1, and complete a SDS. Household #1 just turned 18 years of age less than a week.
Standard #:	8VAC20-800-830-C
Description:	Based on review, documentation was not available for the emergency evacuations and shelter-in-place drills conducted by the Family Day Home (FDH). Evidence - On the date of inspection (06/01/2022), a drill log was not available for review.
Plan of Correction:	Will correct and record in a log all conducted drills.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 1 of 6 children files indicated that not all of the required information / documentation was on file. Evidence - 1. On the date of inspection, the following information / documentation were not available for review for Child #6: Name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; Proof of the child's age and identity and the names and addresses of previously attended child day care and schools as required by 8VAC20-800-80; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 2. The following documentation (while on file) was not signed by the Parent of Child #6: the child's record, the provisions of the emergency preparedness plan, the policy of the administration of medication form, and the liability declaration form.
Plan of Correction:	Will get and/or correct from the Parent of Child #6.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 6 children files 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 (06/01/2022), the immunization page for Child #1 was dated 09/02/2020. 2. Based on the information on file, on the date of inspection, Child #1 was under the age of two years.
Plan of Correction:	Will get and/or correct.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review and interview, 2 of 2 staff files indicated that there was not a current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care available. Evidence - 1. On the date of inspection (06/01/2022), the CPR certifications on file for both Staff #1 and Staff #2 both expired on 02/22/2022. 2. The Provider stated (during an interview conducted on the date of inspection) that he and his assistant was still trying to set up a training.
Plan of Correction:	Will get and/or correct.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review and interview, 2 of 2 staff files indicated that there was not a current certification in first aid. Evidence - 1. On the date of inspection (06/01/2022), the first aid certifications on file for both Staff #1 and Staff #2 both expired on 02/22/2022. 2. The Provider stated (during an interview conducted on the date of inspection) that he and his assistant was still trying to set up a training.
Plan of Correction:	Will get and/or correct.
Standard #:	8VAC20-800-170-A
Description:	Based on review, 1 of 3 household records indicated that the Provider did not from each adult household member (prior to coming into contact with children) a current Report of Tuberculosis Screening (TB) 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. On the date of inspection (06/01/2022), initial TB documentation for Household Member #1 was not available for review. 2. Based on the documentation on file, Household Member #1 (on the date of inspection) was 18 years of age or older.
Plan of Correction:	Will get and/or correct.
Standard #:	8VAC20-800-180-A
Description:	Based on review and interview, 1 of 2 staff files indicated that a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years (from the date of the first screening or more frequently as recommended by a physician or the local health department) was not available. Evidence - 1. On the date of inspection (06/01/2022), the TB documentation on file for Staff #2 was dated - 04/18/2019. 2. Staff #2 stated (during an interview conducted on the date of inspection) that she believed that she had obtained this documentation. However, she was unable to produce this same documentation during the inspection.
Plan of Correction:	Will get and/or correct.
Standard #:	8VAC20-800-210-A
Description:	Based on review and interview, 2 of 2 staff files did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence - 1. On the date of inspection (06/01/2022), certificates documenting a total of at least 16 hours of annual training was not available for review for: Staff #1, and Staff #2. 2. Both Staff #1 and Staff #2 confirm on the date of inspection during an interview, that they did not obtain the required 16 hours each. 3. The only documentation available on site was prior to the annual year that was up for review.
Plan of Correction:	Will complete for both Staff #1, and Staff #2.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings of the Family Day Home (FDH) inside, was not maintained in a safe condition. Evidence - 1. On the date of inspection (06/01/2022), the following was areas were observed: a loose floor tile in the child care bathroom; and chipped drywall near and around the closet door located in the main room. 2. The following furnishing was observed: a metal corner shelving unit, located in the child care bathroom, was shown to have rust.
Plan of Correction:	Will fix; and remove rusted shelving.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets accessible to children under five years of age. Evidence - 1. On the date of inspection (06/01/2022, four outlets were observed without their protective covers. 2. These outlets were accessible to the one child in care (under five years of age).
Plan of Correction:	Will cover all outlets that are accessible to the children in care.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface was not separate from surfaces used for food or children activities. Evidence - 1. On the date of inspection (06/01/2022), a high chair serving tray was observed being stored on top of the diapering surface. 2. This high chair was intended for Child #1 who was in care on the date of inspection.
Plan of Correction:	Corrected on the date of inspection.