VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norma Colorado
6327 Gentele Court
Alexandria, VA 22310
(703) 960-2342

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: June 7, 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 Emergencies 8VAC20-800 Nutrition 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 63.2 Child abuse and neglect

Technical Assistance:

Discussed with the provider: *Daily schedule *Backyard maintenance *Proper documentation of the weekly menu *Diapering procedures *Proper storage of potentially hazardous substances The inspector emailed the provider model forms to include in the children?s records.

Comments:

An unannounced monitoring inspection was conducted today between the hours of approximately 10:05 a.m. and 12:06 p.m. There were 5 children present with the Provider within the ages of 7 months and 3 years, for a total of 12 points within the supervision guidelines. The children were observed playing outside, watching television and playing with toys. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please e-mail me at maria.robles@ doe.virginia.gov.

Violations:

Standard #:	22.1-289.058
Description:	Based on observation, the family day home did not have a working carbon monoxide detector. Evidence: The provider had a carbon monoxide detector installed, but the batteries had been removed.
Plan of Correction:	Corrected during inspection: The provider placed batteries in the carbon monoxide detector during the inspection.
Standard #:	8VAC20-800-750-A
Description:	Based on observation, not all requirements were met when using topical skin products. Evidence: 1. At the time of inspection, there was written parent authorization for Child #3?s diaper cream. 2. At the time of inspection, there was 1 diaper cream that belonged to Child #3, that was not labeled with the child?s name.
Plan of Correction:	The provider will ask the parents to submit an authorization form.
Standard #:	8VAC20-800-750-B
Description:	Based on observation, topical skin products were not inaccessible to children. Evidence: At the time of inspection, there were 2 diaper creams in bins within reach of the children.
Plan of Correction:	The provider will place diaper creams somewhere inaccessible to the children.
Standard #:	8VAC20-800-830-D
Description:	Based on documentation review and interview with the provider, records of emergency evacuation and shelter-in-place drills were not maintained for one year. Evidence: The emergency evacuation and shelter-in-place drills log available for review, included drills from January 2022 to May 2022. Upon request of the drills log for the year 2021, the Provider stated that she had disposed of the document.
Plan of Correction:	The provider will keep her records for at least 2 years.
Standard #:	8VAC20-800-920
Description:	Based on observation, a menu for the current one-week period was not posted, and menus were not kept on file for one week. Evidence: On the date of inspection, a list of breakfast and snack options along with the lunch for the specific day was posted, however, the requirement of a one-week dated menu was not met.
Plan of Correction:	The provider will create a weekly menu to post.
Standard #:	8VAC20-800-100-A
Description:	Based on children?s record review, the provider did not obtain documentation of a physical examination prior to the child?s attendance or within 30 days of the first day of attendance. Evidence: 1. At the time of inspection, Child #1 (start date: 03/14/2022) did not have documentation of a physical examination on file. 2. At the time of inspection, Child #2 (start date: 11/08/2021) did not have documentation of a physical examination on file.
Plan of Correction:	The provider will ask the parents to submit the physicals.
Standard #:	8VAC20-800-50-A
Description:	Based on record review, the provider did not keep a written record of children in attendance each day. Evidence: At the time of inspection, there was no written record of attendance for the day.
Plan of Correction:	Corrected during inspection: The provider completed the attendance for the day.
Standard #:	8VAC20-800-80-C
Description:	Based on children?s record review, the provider did not document in each child?s record, the method of verification of the child?s age and identity. Evidence: The records for Child #1, Child #2 and Child #3 did not contain the method of verification of the child?s age and identity.
Plan of Correction:	The provider will start documenting properly the child?s identity by registering in the child?s record which method of verification was used.
Standard #:	8VAC20-800-90-A
Description:	Based on children?s record review, the provider did not obtain documentation that all children were adequately immunized, before a child may attend the family day home. Evidence: At the time of inspection, Child #2 (start date 11/8/2021) did not have an immunization record on file.
Plan of Correction:	The provider will ask the parents to submit the immunization record.
Standard #:	8VAC20-800-180-A
Description:	Based on household member record review, the provider did not obtain a current Report of Tuberculosis (TB) Screening every two years from the date of the first screening. Evidence: The most recent tuberculosis screening in the record for household member #1 was dated 08/15/2019.
Plan of Correction:	The household member will complete a TB screening.
Standard #:	8VAC20-800-240-A
Description:	Based on observation and interview with the provider, areas and furnishings of the family day home, outside, were not maintained in a clean, safe, and operable condition. Evidence: 1. The wooden fence in the backyard had broken boards and chipped wood. 2. There were garden tools with sharp edges in the backyard near the play area. 3. A pair of adult scissors were used to secure the shed in the backyard. 4. The provider stated that she will be getting the fence repaired.
Plan of Correction:	The provider will get the fence will repaired and remove the garden tools and scissors.
Standard #:	8VAC20-800-250-A
Description:	Based on observation, hanging items were not out of reach of children under five years of age. Evidence: 1. In the nap room, the cord to the blinds was dangling within reach of the children. 2. At the end of the wooden fence, there was a yellow cable hanging within reach of the children. 3. Outside of the house, between the back door and window, there was a gray electric cord hanging within reach of the children. 4. Ages of children in care on this date were within 7 months and 3 years.
Plan of Correction:	The provider will replace the blinds with newer blinds that do not have cords. The provider will remove the yellow cable and attach the gray cord to the home so that it is no longer hanging.
Standard #:	8VAC20-800-280
Description:	Based on observation and interview with the provider, potentially poisonous substances, were not stored away in areas inaccessible to children. Evidence: 1. On the middle shelf of the changing table, there were 2 containers of disinfectant wipes and 1 cleaner & bleach bottle. 2. In the bathroom used by children, on the rim of the bathtub, there was a can of paint. 3. In the bathroom used by children, there were two drawers and a cabinet under the sink with child locks that were broken. In the drawers and cabinet, there were 6 full size bottles of perfume, 3 mini bottles of perfume, 1 bottle of nail polish remover, 4 lotions/creams, 4 bottles of nail polish, 2 bottles of eye drops, 1 eye cream, 2 mini hand sanitizers, 1 bottle of antiseptic, 1 razor, 1 pair of scissors, 1 can of disinfectant spray, and 1 bottle of cleaner. 4. The provider stated that she did not realize the child locks were broken and will replace them.
Plan of Correction:	The provider will lock away the disinfectant wipes, cleaner and paint can. The provider will replace the child locks.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: In the nap room, next to the crib, there were 2 unused electrical outlets without child-resistant protective covers.
Plan of Correction:	The provider will install outlet covers.
Standard #:	8VAC20-800-500-C
Description:	Based on observation, stationary outdoor playground equipment was installed over concrete, asphalt, or any other hard surface and was not placed at least six feet from the perimeter of other play structures or obstacles. Evidence: 1. The bottom of the green slide was placed over the wooden border of the playground. 2. There was less than six feet from the perimeter of the green slide and the brown playhouse on the playground.
Plan of Correction:	The provider will move the slide away from the wooden border and playhouse.
Standard #:	8VAC20-800-540-A
Description:	Based on observation, when a high chair was occupied by a child, a safety strap was not used and securely fastened. Evidence: While Child #3 was seated in a high chair, a safety strap was not used and securely fastened.
Plan of Correction:	The provider will ensure that children are strapped in the high chairs going forward.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, the caregiver did not ensure that children's hands were washed with liquid soap and warm running water after diapering. Evidence: After changing child #3?s diaper, the caregiver did not wash the child?s hands.
Plan of Correction:	The provider will begin washing infant?s hands.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface used for all diaper changes was not separate from surfaces used for children's activities, nonabsorbent and washable and cleaned and sanitized after each use. Evidence: The caregiver was observed changing Child #3?s diaper on a blanket that was placed on the floor in the children?s play area.
Plan of Correction:	The provider will only use the changing table for diapering.