VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Yolanda Acho
106 Mount Vernon Avenue
Alexandria, VA 22301
(703) 475-3675

Current Inspector: Alyssa Simons (571) 423-6392

Inspection Date: June 2, 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 ?8VAC20-770 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

Comments:

A monitoring inspection was conducted on June 2, 2022. There were 8 children present, with 2 caregivers 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 three children records and two caregiver 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on review of two caregiver's records, one does not contain the required completed sworn statement. Evidence The record for caregiver #1 does not contain a completed sworn statement.
Plan of Correction:	I will make sure to have all new caregivers complete a sworn statement before their first day of employment
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of two caregiver's records, one does not contain a central registry finding within 30 days of employment. Evidence The record for caregiver #1 did not contain documentation that a central registry search was conducted within 30 days of employment.
Plan of Correction:	I will get the documentation and place it in their record. When results are received, I will forward them to my inspector.
Standard #:	8VAC20-800-750-A
Description:	Based on review of three children's records, three so not contain documentation of parental permission to apply topical skin products to a child. Evidence The records for child #1, #2 and #3 did not have available for review during the inspection an authorization to apply topical lotions.
Plan of Correction:	I will contact the parents and obtain an authorization to apply topical lotions. Going forward I will ensure authorization is received with new child paperwork.
Standard #:	8VAC20-800-920
Description:	Based on review of nutritional requirements, a menu for the current one-week period was not updated to reflect what was actually being served to the children. Evidence The posted menu was dated March 2022 and was not updated with what was served the day of the inspection.
Plan of Correction:	I will update the menu with any changes immediately.
Standard #:	8VAC20-800-960-E
Description:	Based on observation, not all bottles were labeled with the child's full name and current date. Evidence Four bottles were observed without a child's full name and without the current date.
Plan of Correction:	We will make sure each parent labeled each bottle with the current date and full child?s name
Standard #:	8VAC20-800-120-B
Description:	Based on review of two caregiver's records, one does not contain documentation of reference checks. Evidence The record for caregiver #1 did not have documentation of two references being checked before first day of employment.
Plan of Correction:	I will make sure to document two references before a caregivers first day.
Standard #:	8VAC20-800-50-A
Description:	Based on review of records, the family day home did not keep a written record of children in attendance each day. Evidence A list of children currently in care was not available for review.
Plan of Correction:	We will take daily attendance for all children upon arrival and check them off when departing.
Standard #:	8VAC20-800-60-B
Description:	Based on review of three children's records, three did not contain parental authorization for a child to leave the providers home for a field trip. Evidence The record for child #1, #2 and #3 did not have available for review during the inspection an authorization for a child to leave the providers home on a field trip.
Plan of Correction:	I will contact the parents and obtain an authorization for a child to go on field trips. Going forward I will ensure authorization is received with new child paperwork.
Standard #:	8VAC20-800-90-C
Description:	Based on review of three children's records, two do not contain the required additional immunizations. Evidence The record for child #2 and #3 (under the age of 2), did not have available for review during the inspection an updated immunization record every six months.
Plan of Correction:	I will contact the parents and obtain a copy of the immunization record. Going forward I will ensure updated immunizations are received.
Standard #:	8VAC20-800-200-B
Description:	Based on review of two caregiver's records, one does not contain documentation of an orientation. Evidence The record for caregiver #1, does not have documentation that an orientation was given within the first week of employment.
Plan of Correction:	I will make sure to conduct and document the orientation given for each caregiver by the end of their first week of employment.
Standard #:	8VAC20-820-120-E-1
Description:	Based on observation the most recently issued license was not posted in a prominent place for review. Evidence The last licensing inspection was not posted.
Plan of Correction:	I will print and post the inspection.